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This resource is updated from time to time, as a contribution by
John Mitchell and Associates to the global development of telehealth.
If you would like to add a link to your own site, or contribute
a link you know of to this list, please contact us by email.
John Mitchell and Associates' National Report on Telemedicine in
Australia "Fragmentation
to Integration" (PDF file).
Adobe Acrobat is required to read PDF files. Many newer computers
have this free software already installed. If you do not have a
copy, please click
here to download.
WAMI
Rural Telemedicine Network. The Washington, Alaska, Montana,
and Idaho Rural Telemedicine Networks. The network is a three year
demonstration project funded through September, 1997 by the Office
of Rural Health Policy. The purpose of the project is to explore
the utility of telemedicine consultation by a tertiary care medical
school facility to the clinicians and patients of four remote towns
in the Northwest. Contains project information and up to date newsletters.
Upper
Peninsula Telehealth Network. The Upper Peninsula Telehealth
Network (UPTN) was established with federal funds from the Office
of Rural Health Policy and the Rural Utilities Services. These funds
provided equipment to rural Upper Michigan hospitals and clinics
for distance learning, teleradiology and other telehealth applications.
Canadian
Initiatives on Networking Clearing House(CINCH) - Telehealth.
The national clearing house of information on Canadian networking
initiatives and Canada's contribution to the G7 Global Inventory
Project (GIP), provides extensive information on telehealth.
National
Laboratory for the Study of Rural Telemedicine. The University
of Iowa's Telemedicine
Resource Center (TRC) is the administrative entity that oversees
and coordinates the National Laboratory for the Study of Rural Telemedicine.
The TRC was established in 1994 as a result of a previous award
from the National Library of Medicine.
KU
Medical Center.The University of Kansas Medical Center Telemedicine
program is dedicated to providing access to educational and clinical
services to persons throughout the state of Kansas.
Telehealth
- Bringing Child and Adolescent Mental Health Services to Rural
Communities. This RHSET funded project aims to establish, conduct
and evaluate a telehealth trial for the provision of consultation,
training and support services in relation to child and adolescent
mental health, to mental health, health and other professionals,
in rural and remote areas of South Australia and Northern Territory.
This project is being evaluated by John Mitchell & Associates.
OSU
Telemedicine Centre Homepage. The homepage of the Okalahoma
State College of Telemedicine which is designed and operated for
the education and training of practicing physicians, medical students
and other health care professionals. Includes course information
and archive of health policy research publications.
East
Carolina University School of Medicine Telemedicine. Describes
history of telemedicine and three current grant projects in telemedicine,
including an investigation of policies and standards for reimbursement.
SeaHawk:
A telemedicine project in the Pacific Northwest. An article
describing a pilot project using the MediaStation 5000s to link
the Madigan Army Medical Center to various military and other federal
hospitals and clinics.
NLM
National Telemedicine Initiative evaluates the use of telemedicine
in a wide variety of settings. Summaries for these projects and
links to their web sites are available.
"TIM-TEM",
1997-1998. A telemedicine project on a Greek island.The aim
of this project is to improve the care of people living on islands
and to create a model exportable in other rural areas.
Health
Communication Network: Over the last few years the Australian
government as part of the development of the Health Communication
Network has commissioned a range of demonstration projects to assess
the benefits and uses of the network. These projects demonstrate
just some of the possible applications for health communications.
Best
of Telemedicine Today An excellent site offering access to informative
articles from Ace Allen's journal "Telemedicine Today".
Telemedicine
and Telerehabilitation Telerehabilitation is the delivery of
rehabilitation-related education and services via telecommunications
technology. Since 1995, Shepherd Center has been researching and
developing effective and efficient ways to use telecommunications
technology to deliver services to patients. View their current
research projects.
CardioDynamics
International Announces First Phase of Internet Medical Product
Development; Company Addressing Demand for Internet-Based Home Telemonitoring
Systems CardioDynamics International Corp. (Nasdaq:CDIC), manufacturer
of BioZ(R) noninvasive digital cardiac output monitoring systems,
announced today (11 January, 2000) the launch of the first phase
of its Internet medical product development strategy.
"From
telehealth to e-health: the unstoppable rise of e-health".
New E-health Report for Australian Commonwealth Government prepared
by John Mitchell and Associates.
Free
Lunch American Medical News reports "Most companies don't
hide the fact that they want something in return from physicians
for taking the free stuff, whether it's their eyeballs for advertising
or their personal data for marketing purposes.
Health
Online: A Health Information Action Plan for Australia
Health Online: A Health Information Action Plan for Australia
is a national plan of action for information management in the health
sector over the next five years. It promotes new ways of delivering
health services, by harnessing the enormous potential of new
technologies.
E-Health
Europe - Conference and Exposition 9-11 April 2000, Netherlands
Radiology
Network Project The South Australian Health Commission (SAHC)
has provided funding for the Womens and Childrens Hospital
(WCH) for a teleradiology trial at the WCH, as a proof of
concept project, from February 1997 February 1998.
WCH is committed to undertaking this teleradiology research for
the benefit of the whole of the health system in South Australia.
National
Library of Medicine Teleradiology Project.
Funded by a grant from the National Library of Medicine (NLM), the
project uses the Iowa Communication Network (ICN) to provide medical
professionals with advanced image processing and visualization tools.
The project is also developing a clinical workstation, software
to integrate image diagnostic capabilities and image analysis tools
as well as developing multimedia tutorials to provide education
to physicians on image analysis.
The
University of North Carolina Department of Radiology Teaching File.
Department
of Radiology, Brigham and Women's Hospital.Each case provides
an area for visitors to contribute peer commentary.
St.
Paul's Hospital Department of Radiology.
The
Virtual Hospital The Virtual Hospital (VH) is a project of the
Electric Differential Multimedia Laboratory, University of Iowa
College of Medicine.It provides invaluable patient care support
and distance learning to practicing physicians and other healthcare
professionals.
Telemedicine
and its applications. This site created by Laleh S. Khensari,
PhD, who considers teleradiology to be one of the most common applications
of telemedicine. Follow the links for further information.
Womens
and Children's Hospital in Adelaide South Australia. The bottom
of this page also provides access to a comprehensive set of telehealth
links.
Telehealth
Technology Research Institute(TTRI) at the University of Alberta.
Research and development is the core business for the Telehealth
Technology Research Institute
NLM
National Telemedicine Initiative. In 1996 NLM announced the
funding of 19 telemedicine projects (2 additional projects were
added in 1997). The projects funded affect rural, inner-city, and
suburban areas. They evaluate the use of telemedicine in a wide
variety of settings. Summaries
of these projects and links to their websites are available.
Australian
New Zealand Telehealth Committee One aim of the Australian New
Zealand Telehealth Committee is to promote the dissemination and
sharing of knowledge and experience on telehealth as well as promote
debate and discussion.
British
Columbia Telehealth Initiative. "A vision for the 21st
century".The British Columbia Ministry of Health, Ministry
of Employment and Investment and the Information, Science and Technology
Agency are collaborating to define a "Telehealth" initiative
to help direct activities related to the commercialization and implementation
of telehealth applications in British Columbia and to develop a
provincial Telehealth strategy.
FEST
Framework for European Services in Telemedicine. A European Community
project designed to support different types of individuals interested
in establishing and operating a Telemedicine service.
Georgia
Center for Advanced Telecommunications Technology (GCATT).
National
Laboratory for the Study of Rural Telemedicine. University of
Iowa.Telemedicine is not a panacea for all the challenges facing
rural patients and community health care providers. But it is anticipated
that the data coming from existing telemedicine programs will help
improve the delivery of health care services by allowing community
health providers and their patients local access to specialty consults,
information services, and continuing education opportunities.
Office
for the Advancement of Telehealth (OAT). The Department of Health
and Human Services created OAT to promote the wider adoption of
effective telecommunications and information technologies in providing
health care services to the nations underserved people.
Mid
West Rural Telemedicine Consortium. The MRTC is the largest
telemedicine program in Iowa, and one of the largest in the U.S.The
Consortium was established as a joint development program of Mercy
Hospital Medical Center and North Iowa Mercy Health Center and has
been in operation since August 1995.
Texas
Medical Centre: Telemedicine Projects and Resources . Its mission
is to improve health care by facilitating the exchange of health
care information and contributing to the development of a medical
information infrastructure (MII) that supports this exchange.
UTMB
Teletraining Institute. The UTMB Teletraining Institute provides
the means and environment for administrators, educators, executives,
technologists, students and medical practitioners to investigate
and learn the elements of telemedicine.
The
University of Virginia Health Sciences Center - Office of Telemedicine.
The
Association of Telemedicine Service Providers.The ATSP was created
to meet the information, management, and policy needs of health
care providers that are, or expect to be, providers of telemedicine
services.
New
South W ales Telehealth Initiatives: Newsletter. Archived issues
of the newsletter and press releases available.
Telemedicine
Group, Inc. TheVirtual Housecall program at TGI is composed
of a dedicated group of professionals who have come together with
the mission of providing realtime, online access to confidential
medical advice and Urgent Medical Care to patients on the Internet.
When the circumstances warrant, the TGI Virtual Housecall program
enables initiation of immediate medical care for patients, with
the expectation they will subsequently seek appropriate medical
follow-up with another physician in an office or hospital-based
setting.
CHIC - Collaborative Health Informatics Centre CHIC Ltd is a national,
not-for-profit company whose focus is to facilitate improvements
in business processes and patient care in the Australian health
sector through the application of appropriate information technologies.
The
Future of the Internet in Healthcare: A Five Year Forecast.
This article by Mary Cain and Robert Mittman, sorts through the
current hype to give a realistic assessment of the pace and direction
of change for the next five years.
Medical
College of Georgia. A teaching hospital with innovative programs
in distance learning and use of the information superhighway.
The
Virtual Hospital at the University of Iowa. Contains information
for patients, physicians and students, including multimedia textbooks
and tutorials.
The
Computer-Based Patient Record: An Essential Technology for Healthcare.
1997. R.S. Dick, E.B. Steen, D.E. Detmer, Editors.The authors of
the commentaries are distinguished leaders in the field of medical
informatics and are particularly well known for their work on CPRs.
TeleSCAN
: Telematics Services in Cancer. In the same light as the virtual
hospital, a comprehensive set of resources on cancer diagnosis and
treatment for patients and physicians.
Telemedicine
Information Exchange. A navigation tool for global telemedicine
information.
Consumer
Health Informatics: Emerging Issues. Consumer health informatics
is the union of health care content with the speed and ease of technology.
Medical
Informatics FAQ.
The
Health Law Resource by William L. Manning.This valuable resource
includes a link to Telemedicine
& Health Care Informatics Legal Issues.
American
Medical Informatics Association "Advancing Health Care
Through Information Technology".
The
Informatics Review."The Informatics Review is an electronic
newsletter designed to allow busy medical and information system
professionals interested in the latest academic developments in
the field of clinical informatics and computing to stay abreast
of this rapidly evolving field" - Dean Sittig.
HealthCare
Review Online "Dedicated to reviewing and interpreting
significant developments in healthcare delivery".
Journal
of Telemedicine and Telecare. The Journal of Telemedicine and
Telecare will be published four times a year by the Royal Society
of Medicine.
Telemedicine
Today [Editor: Ace Allen, MD.] Current and past issues available.(with
Table of Contents for each issue since September 1995.) This site
also features On-line lectures on telehealth issues by Dr. Ace Allen.
Reid, J. (1997). A
Telemedicine Primer: Understanding the Issues. Innovative Medical
Communications. A book covering a range of issues related to establishing
a telemedicine project.
Telemedicine:
A Guide to Assessing Telecommunications for Healthcare. 1996.
Marilyn J. Field, Editor; Committee on Evaluating Clinical Applications
of Telemedicine, Institute of Medicine.The book identifies managerial,
technical, policy, legal, and human factors that must be taken into
account in evaluating a telemedicine program. The committee reviews
previous efforts to establish evaluation frameworks and reports
on results from several completed studies of image transmission,
consulting from remote locations, and other telemedicine programs.
The committee also examines basic elements of an evaluation and
considers relevant issues of quality, accessibility, and cost of
health care.
MEDLINE:
A Guide to Effective Searching by Brian S. Katcher, Pharm.D.
Any health professional, health sciences student, or researcher
will benefit from reading this book. It explains the basics of formulating
searches, shows how to put the main indexing elements in MEDLINE
to best use, illustrates the importance of Medical Subject Headings
(MeSH), provides guidance for framing questions, and backs everything
up with practical examples.
"From
telehealth to e-health: the unstoppable rise of e-health".
New E-health Report for Australian Commonwealth Government prepared
by John Mitchell and Associates.
"The
Telemedicine Industry in Australia: From Fragmentation to Integration".
Report prepared by John Mitchell and Associates for the Australian
Commonwealth Government. Released July 3, 1998.(PDF file). Adobe
Acrobat is required to read PDF files. Many newer computers have
this free software already installed. If you do not have a copy,
please click
here to download.
User Adoption Issues
in Renal Telemedicine. An article published in the Journal of
Telemedicine and Telecare, Vol. 2, No. 2, 1996, pp.81-86 Authors
Benjamin Mitchell, John Mitchell, Dr Alex Disney.
Best Practice in Telemedicine.
An evaluation of The Queen Elizabeth Hospital Renal Dialysis Telemedicine
Project 1995-1996. Written by John Mitchell, Managing Director,
John Mitchell & Associates, October 1996.
Telemedicine
use growing, but slowly. The number of doctors and hospitals
delivering care via telemedicine is likely to stay small until reimbursement
issues and other obstacles are addressed. Article from AMNews.com,
July 31 2001.
The
Future of the Internet in Healthcare: A Five-Year Forecast
Why is the use of the Internet in health care growing so quickly?
How sustainable is that growth? What kinds of health-related applications
will develop over the next five years? How will the Internet affect
health care delivery and health outcomes? In all the excitement
about the Internet, there inevitably will be unrealistic expectations
about its impact on the health care industry. This forecast sorts
through the current hype to give a realistic assessment of the pace
and direction of change for the next five years.
Telemedicine
in the Pacific. Medical practitioners in the Pacific often operate
in relative isolation, dealing with diverse health care needs, many
of which arise infrequently because of the small populations served.
Experience
of, and Hopes for, Telehealth in Tokelau. Two key factors affect
health care in Tokelau are its small population and its great isolation.
Both of these make telehealth a critical issue for the development
of health services and it is hard to see how the services can develop
to a modern standard without a larger component of telemedicine.
Telehealth
in Canada: Clinical Networking, Eliminating Distances The challenge
for Canada is to merge one of the worlds best health systems
with an infrastructure that remains at the cutting edge of innovation.
"Canada
strives to be most wired country" (March 1999) This initiative
ensures that the country can act as the test-bed for online applications,
including "tele-learning" and "tele-health".
Outcomes
of the Kaiser Permanente Tele-Home Health Research Project.
Design: Quasiexperimental study conducted from May 1996 to October
1997. Objective: To evaluate the use of remote video technology
in the home health care setting as well as the quality, use, patient
satisfaction, and cost savings from this technology.
Profile
of Users of Real-Time Interactive Teleconference Clinical Consultations.
Design: Descriptive study, February 1, 1996, through April 30, 1999.
Objective: To assess characteristics of participants of interactive
teleconference clinical consultations.
Electronic
Patient-Physician Communication: Problems and Promise. Article
in Annals of Internal Medicine, 15 September 1998, by Mandl, Kohane
and Brandt. "Unless ... technologies are implemented with substantial
forethought, they may disturb delicate balances in the patient-physician
relationship, widen social disparities in health outcomes, and create
barriers to access to health care."
Telemedicine:
Where It Is and Where It's Going in Annals of Internal Medicine.
15 July 1998, by Jim Grigsby, PhD, and Jay H. Sanders, MD.
Telemedicine
Gets a Chance to Prove Itself, in Annals of Internal Medicine,
15 December 1997. M. Larkin.
Optimising Benefits by Using Integrated
Telemedicine for Clinical, Educational and Administrative Purposes.
A paper presented to the ITU's World Telemedicine Symposium for
Developing Countries, Portugal, 30 June-4 July, 1997.
Establishing Renal Clinical Telemedicine An evaluation of The Queen
Elizabeth Hospital Renal Dialysis Telemedicine Project 1994-1995.
Executive Summary, Ch.1. Description
of Project Management: issues and framework for our project
management. Ch.6. Users
and Uses: an in-depth description of the range of uses that
many of the key renal staff make of the telemedicine technology.
Two Leading Edge Telemedicine
Projects: Lessons Learnt. A paper presented by John Mitchell
at the Australasian Teleconferencing Association Conference, October
1995.
The Challenge to Embed Telepsychiatry An evaluation of the non-clinical
aspects of the South Australian Mental Health Services Telemedicine
Project, June - October 1994. Written by John Mitchell, Managing
Director, John Mitchell & Associates. Executive
Summary and Chapter 1: Project
Brief and Methodology
New methods of providing healthcare:
The Health Telematics Unit. Based on information provided by
Dr. Penny Jennett, Health Telematics Unit, Faculty of Medicine.The
study provides new knowledge and demonstrates the success of the
technology in this project.
CDRH Telemedicine
Related Activities. The appended report describes telemedicine-related
activities of the Center for Devices and Radiological Health, FDA.
It also details a variety of Center initiatives being undertaken
to clarify and improve Center operations in this area.
Status
Report on Telemedicine: Report of the Council On Medical Service.
This report, which is presented for the information of the House,
provides an update on the use of telemedicine by hospitals and other
institutional delivery systems, describes current medical specialty
society activities in telemedicine, and presents the major areas
of federal legislative or regulatory activity with respect to telemedicine.
(CMS Report 8-1-97)
Health-Care
On-Ramps: A Road map to Western States' Information Highways. April
1998.This report was undertaken to develop the background information
necessary to bridge the telecommunications infrastructure barrier
to telemedicine. To accomplish this, telecommunications and rural
health leadership in WGA states were surveyed and the information
compiled.
Telemedicine:
A Guide to Assessing Telecommunications in Healthcare. Executive
Summary.. The purpose of evaluation-and the purpose of this
report-is not to endorse telemedicine but to endorse the development
and use of good information for decisionmaking. The evaluation framework
presented here is offered in that spirit.
Medicare
Program; Payment for Teleconsultations in Rural Health Professional
Shortage Areas The Health Care Finance Administration (HCFA)
published proposed regulations on the new rural health care reimbursement
program on June 22, 1998.
Medicaid and
Telemedicine. The Health Care Financing Administration has not
formally defined telemedicine for the Medicaid program, and Federal
Medicaid law does not recognize telemedicine as a distinct service.
Nevertheless, Medicaid reimbursement for services furnished through
telemedicine applications is available, at the State's option, as
a cost-effective alternative to the more traditional ways of providing
medical care (e.g., face-to-face consultations or examinations).
Telemedicine:
New tools, not new medicine. LOG ON, November 11, 1996 Automation
trends in medicine by Greg Borzo, American Medical News.
Connecting the Nation:
Classrooms, Libraries, and Health Care Organizations in the Information
Age: Update 1995 prepared by National Telecommunications and
Information Administration Office of Telecommunications and Information
Applications.
Kim, Donglok; Cabral, James E.; Kim, Yongtmin. Networking
requirements and the role of multimedia systems in telemedicine
Seattle, WA: University of Washington Image Computing Systems Laboratory.
Transmission
of Olfactory Information for Telemedicine.This paper was presented
at Medicine Meets Virtual Reality III, January 1995 and was published
in Interactive Technology and the New Paradigm for Healthcare, K.
Morgan and others (Ed.s), IOS Press and Ohmsha, Amsterdam, 1995,
chapter 27, pp. 168-172. . In this paper, a chemical sensing system
(electronic nose) is presented along with a proposed method for
regenerating the transmitted olfactory information.
Telemedicine
and the Law developed by Arent Fox.
Telemedicine
Report to Congress. January 31, 1997. A report on the use of
advanced telecommunications services for medical purposes, that
also examines questions relating to efficacy,safety and quality
of services, together with other legal, medical and economic issues.
Telehealth
Services Newsletter.Volume 1, Issue 1,July 1997. A newsletter
providing information on telehealth services at The Women's and
Children's Hospital, Adelaide, South Australia. John Mitchell &
Associates is Project Manager of the WCH Telehealth Project.
"A
Prescription for Telemedicine" by Kristen Philipkoski in'
Wired News' reports on a new health-care site that is trying to
differentiate itself from many of its competitors.
"Jedmed,
W2Com promote telemedicine" by Donna Claire in St Louis
Business Journal, July 12, 1999. Companies such as W2Com and Jedmed
Instrument Co. are working to expand the use of telemedicine locally.
'Technology
puts help on the line: phone wires now transmit more than just
doctor's advice.' Press article by Dan Emerson in "American
City Business Journals Minneapolis/St. Paul", December 20,
1999.
Telemedicine
Information Exchange.The most comprehensive and complete database
on telemedicine projects, legislation, issues, equipment and vendors.
Provided by the Telemedicine Research Center, in Portland, Oregon.
Telehealth
- Issues for Nursing The American Nurses Association (ANA) is
committed to the use of telemedicine/telehealth in a manner that
enhances access to quality, affordable health care services.
Telemedicine
Web Sites Provided by the Medical College of Georgia. A selection
of links to telemedicine-related resources and information which
is becoming redundant thanks to the Telemedicine Information Exchange.
Jim Cabral's Telemedicine
Resources. An excellent overview of the technical issues surrounding
medical networks
Arent
Fox Telemedicine Page. Information on the legal issues surrounding
health information systems, computerized decision support technologies
and telemedicine.
Centre Hospitalo-Universitaire de Rouen Informatique
Hospitali²re & de Sant³ ET en T³l³matique de Sant³ & T³l³m³decine.
Marshall
University RuralNet Telemedicine Resources. Provides links to
a Gopher with a wide range of information on world-wide projects
in text format from 1994.
ATA
2002. The American Telemedicine Association's 7th annual meeting
and exposition. June 2-5, 2002, Los Angeles Convention Center, California
USA.
UWGSP9 Telemedicine
Project. A series of projects using the Media Station 5000,
a multimedia telemedicine system designed by the University of Washington.
Card Guard A company which
develops and produces scalable multifunctional transtelephonic monitoring
systems.
The
Royal Society of Medicine - Telemedicine Forum. The Royal Society
of Medicine (RSM) is an independent, apolitical organisation with
a telemedicine forum for discussion and the exchange of ideas and
techniques.
The American Telemedicine Association
The ATA promotes professional, ethical and equitable improvement
in health care delivery through the application of telecommunications
technology.
Association of Telemedicine Service
Providers.The ATSP was created to meet the information, management,
and policy needs of health care providers that are, or expect to
be, providers of telemedicine services.
Canadian Society of Telehealth.
The first Canadian non-profit health association devoted to telehealth.
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