As noted above, limitations in the number and rigor of evaluations in the field of telemedicine prompted the NLM to request that the IOM develop a broad framework for such evaluation. In 1996, based on the deliberations of a 15-member expert committee, the IOM released a report intended to encourage evaluations that would guide policymakers, reass
Assessment of Approaches to Evaluating Telemedicine. 4. Collect and Analyze New Information from Telemedicine Providers
Lewin conducted site visits and moderated telephone discussions to assess the views of providers on the issues and areas where telemedicine evaluation findings would be most useful to them, their patients, and the health care system as a whole. Lewin staff visited telemedicine sites at Allina Health Systems (Minneapolis), University of Missouri He
Assessment of Approaches to Evaluating Telemedicine. 3. Collect and Analyze New Information from Telemedicine Experts
Lewin conducted 15 telephone interviews with experts in various aspects of telemedicine to obtain first-hand information regarding telemedicine evaluation. Interviewees were selected based on recommendations by the Advisory Committee and the review of recent literature on telemedicine evaluation. These experts helped Lewin to identify areas in whi
Assessment of Approaches to Evaluating Telemedicine. 2. Conduct Literature Review and Collect Available Information on HHS Evaluations
In consultation with the Task Monitor and Advisory Committee, Lewin identified the types and sources of information available on telemedicine evaluations supported by HHS. To support these efforts, Lewin conducted preliminary discussions with federal officials and experts to refine the IOM study questions and identify additional information source
Drawing upon input from the ASPE Task Monitor on appropriate candidates, The Lewin Group formed a small Advisory Committee to provide guidance for the study, to suggest experts and programs to be interviewed, and to review and comment on draft deliverables and the final report. This Committee consisted of recognized national experts on telemedicin
This study had four tasks: 1) creation of an advisory committee, 2) analysis of recent relevant literature and information on HHS-supported telemedicine evaluations, 3) interviews with experts in various aspects of telemedicine, and 4) interviews and site visits with providers. A more detailed review of the project workplan is outlined below.
Telemedicine is the use of electronic communication and information technologies to provide health care when distance separates the medical professional from the patient. It also includes educational and administrative uses of these technologies in support of health care, such as distance learning and administrative videoconferencing. -- Associa
Telemedicine is part of the expanding use of communications technology in health care, or "telehealth," being used in prevention, disease management, home health care, long-term care, emergency medicine, and other applications. The diversification of such applications and continued advances in communications technologies, including the Internet, a
Final Report Prepared for: Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services Contract Number: HHS-10-97-0012 Prepared by: The Lewin Group, Inc.
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Endnotes
1 NORC’s Health Studies Department was recently renamed the Department of Health Survey, Program, and Policy Research to reflect its merger with the former Project Hope Center for Health Affairs group.
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. 4. Conclusions
Findings from our site visit demonstrate the potential of a centralized network to serve health center needs through substantial integration financial and information systems. The site visit shows, that when appropriately pursued, such integrations allow health centers to enjoy a much higher level of service than they could afford on their own. Ke
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Experiences with EHR
Health centers reported positive experiences with initial roll-out of EHR in Florida and a high level of enthusiasm in expanding take-up of EHR within their center with the goal of improving the quality of care as well as the overall efficiency. After some struggles at the pilot sites, center staff all report being very pleased with the system and
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Experiences with Medical Manager
Staff at health centers reported overwhelmingly positive experiences using Medical Manager. The most effusive comments were made when comparing current use of Medical Manager to the systems for practice management and billing they had in place prior to HCN. Health centers uniformly noted improvements in operational and administrative efficiency. W
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Health Center Infrastructure and Staffing
As typical in other networks visited, the in-house administrative and IS infrastructure at HCN health centers varies considerably. Some HCN health centers employ dozens of providers across up to 15 sites and manage between 40,000 and 50,000 patient encounters each year. Others are much smaller health centers, with one site that sees barely 5,000 e
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. 3. Health Centers’ Experience with HCN and the EHR
Health center respondents uniformly praised their experience with HCN, citing major improvements in their overall operations following establishment of the network. One center CEO said that his center is “not the same entity” it was before HCN, indicating that the organization would either not be in existence or be operating on a very limite
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Electronic Health Records and Electronic Oral Health Records
In 2002, the BHPC funded a pilot program to help HCN implement EHRs at 4 Florida centers.
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Administrative Applications
HCN provides network members access to centrally administered applications for practice management and accounting. The two primary applications selected by HCN include Platinum and WebMD’s Medical Manager. Kearns has implemented the Platinum financial system successfully at Family Health Centers in Fort Meyers prior to that health center joini
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Network Governance, Operations and Infrastructure
The network operates under a flexible but relatively formal model. Permanent governance derives from a Board of Directors, whose makeup is described below. A standing Integrated Delivery System (IDS) committee oversees issues specific to the nine health centers that have fully devolved their fiscal and IS functions to the network and are therefo
Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Health Choice Network History
HCN, headquartered in Miami, Florida, originated in 1994 as health centers in and around Miami became increasingly concerned about provider consolidation and the movement towards mandatory Medicaid managed care. In addition, health centers were motivated by sharp increases in immigration from Latin America and in the prevalence of HIV/AIDS, whic