holcomb ata palm springs 20050912

Balancing Technical, Political, and Organizational Issues within Your Telemedicine Program:Technical Perspective: 

Balancing Technical, Political, and Organizational Issues within Your Telemedicine Program: Technical Perspective Mike Holcomb Associate Director, Network Architecture Arizona Telemedicine Program

Overview: 

Overview ATP Technology Technical Success Factors for Telemedicine Programs The Role of IT in Telemedicine

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Map created using www.nationalatlas.gov online mapping tool

Grand CanyonNorthern Arizona: 

Grand Canyon Northern Arizona

Tuba City, Arizona: 

Tuba City, Arizona

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Tuba City Installation

Arizona Telemedicine NetworkTechnology: 

Arizona Telemedicine Network Technology Private WAN (Wide Area Network) with multiple firewalled ISP connections Network Backbone T3 private line point-to-point circuits ATM (Asynchronous Transfer Mode) Arizona Telemedicine Program member sites typically connect via T1 or multiple T1 circuits Video Conferencing Both H.320 (Circuit Switched) and H.323 (IP/Packet Switched) are supported Point-to-Point and Multipoint calls supported via private MCU Clinical, Administrative, Educational uses Store and Forward Telemedicine Both proprietary and standards based systems

Arizona Telemedicine Program Technology Beginnings 1996: 

Arizona Telemedicine Program Technology Beginnings 1996 Year 1 - devoted to planning and evaluation of available technologies Year 2 – worked through networking and telecommunications vendors Year 3 – moved technical operations in-house

Arizona Telemedicine Program Technical Operations: 

Arizona Telemedicine Program Technical Operations Telecommunications and networking initially to be outsourced (AZ State Legislature) Telecommunications and networking vendors unable to or not interested in offering customized, flexible and responsive solutions to our program at the time Telecommunications network ultimately designed, installed and operated by 3 University engineers

Arizona Telemedicine ProgramApproach to Technology: 

Arizona Telemedicine Program Approach to Technology Identify potential technology solutions Evaluate technologies on-site Work with users and vendors to test technology Technology selection heavily weighted by users feedback Selection of supporting network technology driven by applications requirements Generalize across the network

Southeast Arizona Medical CenterDouglas, Arizona: 

Southeast Arizona Medical Center Douglas, Arizona

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INTEROPERABILITY

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Nogales Tucson Arizona in 1996 A?? ? Plandel Nightingale Program “Virtual Corporation” Member based state-wide telehealth telecommunication collaborative 0 Sites Flagstaff Phoenix

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http://www.cc.state.az.us/utility/telecom/latamap.pdf

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Nogales Tucson Arizona in 1998 A?? ? Plandel Nightingale Program Tuba City Yuma Nogales 0 Sites 5 Sites Payson Springerville Flagstaff Phoenix

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Arizona in 2001 Nightingale Program Nightingale Members >Not-for-profit >For profit >Public >Private 0 Sites 5 Sites 45 Sites

Arizona Behavioral Health Telemedicine Networks: 

Arizona Behavioral Health Telemedicine Networks

Technical Success Factors for Telemedicine Programs: 

Technical Success Factors for Telemedicine Programs Program success ingredients Successfully implementing the right technologies Architecting the network Collaboration for operational success

Ingredients for Successful Programs: 

Ingredients for Successful Programs Clearly defined program goals Strong and visionary leadership Formation of your team of "experts" Collaboration with clinicians, administrators, vendors from day one Take the time you need to make well informed decisions Learn from the successes and failures of others Evaluate potential solutions in your own environment Make regular training a part of the plan

Successfully Implementing the Right Technologies : 

Successfully Implementing the Right Technologies Start with clearly defined goals for technology services Work with users to understand their operational environment Evaluate technologies in your own environment with your users Begin documenting protocols during evaluation phase Take the time you need to make well informed decisions Plan regular training from the start Keep it simple It’s about patients, not IT

Architecting the Network: 

Architecting the Network Start from the top down Outsourcing vs. In-house Technical planning Security from the start Plan on expansion

Collaboration to Operational Success: 

Collaboration to Operational Success Engage users in the project from day one Get technology into users hands early Maintain open lines of communication Keep it simple Do a pilot project Use protocols for everyone’s benefit

IT is Critical to Telemedicine: 

IT is Critical to Telemedicine Take the time you need to do the job correctly Technology selection should not be rushed Make sure that all key players in the program and the organization are informed about the risks as well as the benefits of the technology effort Use pro-active techniques to monitor and manage technology as much as possible to allow for pre-emptive problem detection and resolution Make training an integral part of the user's technology experience Make security practices everyone's business