Table 2.
HSC | Project | Data Collection Period | Teleconsultation Activities | Main HSC Participants | Remote Facility | Remote Care Provider | Information Technology Configuration | Utilization (approx.) |
---|---|---|---|---|---|---|---|---|
Y | Y1 | Both | Multiple Medical Specialties | Multiple Specialists | Hospital | Primary Care Physicians | Specially Designed | Period 1: 8 times per montha Period 2: 1 time per month |
Y2 | 2 | Multiple Medical Specialties | Multiple Specialists | Clinic | Physician Assistant (PA) | Telemedicine Workstation | Period 1: <1 time per monthb | |
Y3 | 2 | Burn Unit | Subspecialist | Hospital | Nurse | (using off-the-shelf components) with | 1 h every other week | |
Y4 | 2 | Oncology | Subspecialist | Hospital | Primary Care Physicians | |||
Y5 | 2 | Primary Care | Primary Care Physician at Remote Clinicd | Other Remote Clinic | Emergerncy Medical Technician (EMT) | Videoconferencing + | Multiple times per week | |
Y6 | 2 | Pediatric Care | Multiple Specialists | Clinic | Nurse | Attachments | 2 h per week + as needed | |
Z | Z1 | 2 | Hepatitis C (HCV) | Specialists, Subspecialists, Therapists, Nurse, Practitioners, Nurse, Counselors | Hospital | Primary Care Physician | Multipoint Teleconferencing | 2 h per week + 2 h behavioral per week (total) |
Z2 | 2 | Hepatitis C (HCV) | Specialists, Subspecialists, Therapists, Nurse, Practitioners, Nurse, Counselors | Hospital | Resident and Nurse | Multipoint Videoconferencing | 2 h per week + 2 h behavioral per week (total) | |
Z3 | 2 | Hepatitis C (HCV) | Specialists, Subspecialists, Therapists, Nurse, Practitioners, Nurse, Counselors | Hospital | Internist | Multipoint Teleconferencing | 2 h per week + 2 h behavioral per week (total) | |
Z4 | 2 | Hepatitis C (HCV) | Specialists, Subspecialists, Therapists, Nurse, Practitioners, Nurse, Counselors | Clinic | Physician Assistant | Multipoint Videoconferencing | 2 h per week + 2 h behavioral per week (total) | |
Z5 | 2 | Early Childhood Developmental Disabilities (ECDD) | Specialist, Therapists, Counselors | Clinic | Developmental Specialist | Videoconferencing | 3 h monthly (consults only) | |
Z6 | 2 | Early Childhood Developmental Disabilities (ECDD) | Specialist, Therapists, Counselors | Clinic | Developmental Specialist | Videoconferencing | 3 h monthly (consults only) | |
Z7 | 2 | Early Childhood Developmental Disabilities (ECDD) | Specialist, Therapists, Counselors | Clinic | Developmental Specialist | Videoconferencing | 3 h monthly (consults only) | |
Z8 | 2 | Drug Abuse and Behavioral Counseling (DABC) | Psychiatrist | In-patient Clinic | Psychologists, Mental Health Counselor | Videoconferencing | 2 h per week (total)c |
aY1 rural hospital expanded and now has many specialists
bY2 was discontinued when PA moved and supervising physician died
cAt time of data collection, Project DABC was rolling out additional new sites in the near future
dY5 had a telepharmacy project with HSC Y, and a teleconsultation project with a primary care physician located approximately 60 miles from both Y5 and HSC Y