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Appendix C National Library of Medicine Awards to Develop Health Care Applications of the National Information Infrastructure
Pages 222-232

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From page 222...
... , a part of the National Institutes of Health, was funding 19 projects with a total budget of $42 million to develop health care applications of the national information infrastructure. The multiyear projects, located in 13 states and the District of Columbia, will serve as models for evaluating the impact of telemedicine1 applications on cost, quality, and access to health care; assessing various approaches to ensuring the confidentiality of health data transmitted via electronic networks; and testing emerging health data standards.
From page 223...
... A consortium of nine institutions led by the Concurrent Engineering Research Center of the West Virginia University will demonstrate the viability of secure clinical telemedicine on public telecommunication networks and show that its adoption as an integral part of an overall health care plan can result in cost savings and improved access to quality health care for rural populations. Rural primary care physicians, physicians' assistants, and other authorized users will have secure access to electronic medical records and patient monitor data, and be able to confer with collaborating health care providers at a distance in the treatment of patients.
From page 224...
... BDM Federal Inc. and the University of Maryland at Baltimore will develop an advanced mobile telemedicine testbed that will investigate the feasibility and practicality of transmitting real-time vital sign data and video images of patients from inside the ambulance to the hospital's trauma center and clinical information system via cellular communications and local area network technology.
From page 225...
... The University of Washington Academic Medical Center regional telemedicine network will connect health professionals and patients from big cities, small towns, and vast expanses of sparsely populated areas in Washington, Wyoming, Alaska, Montana, and Idaho to provide timely access to vital health information. The University of Washington links clinical and public health partners at selected sites in this five-state area via a regional telemedicine network
From page 226...
... PCASSO will use everyday World Wide Web technology to support information search and retrieval, and state-of-theart security technology to ensure patient privacy and the integrity of patient information. The project represents a new thrust within the health care industry: to provide patients more control over and access to their own medical records while preserving the confidentiality of that information.
From page 227...
... A series of projects will measure the effectiveness of video consultations for patients with special needs, including children with disabilities or heart conditions and persons with mental illness. Another project will give community hospital emergency rooms access to information and expertise by providing special database software and allowing teleconferencing with physicians at the University of Iowa Health Center.
From page 228...
... With new funding from the NLM, Indiana University School of Medicine will broaden the scope of its existing Indianapolis Network for Health Care of hospital emergency rooms, clinics, HMOs, homeless care sites, and pharmacies, so that more people can enjoy its benefits. Already this technically robust network provides instant access to patient records in emergency rooms and efficient access to medical library resources at numerous care sites, and permits collection of prescription information from a large chain of community pharmacies, to improve drug prescribing patterns in a range of health care facilities.
From page 229...
... The goal of Northwestern Memorial Hospital's NetReach project is to provide health care teams with computer systems to assist in outpatient care, and to evaluate the impact of their use. The project observed practicing clinicians at seven diverse outpatient clinics (primary care, specialty care, faculty group practice, independent group practice, and urban care clinics)
From page 230...
... The primary functions of the network are to provide telemedicine services to renal dialysis patients, to create, manage, transfer, and use electronic health data and to provide decision support and information services for caregivers. This project will test the general hypothesis that by facilitating electronic interactive communication among physicians and patients, quality of patient care will be improved and lower costs to patients, physicians, and the health care system will be incurred.
From page 231...
... These images are linked, in real-time, with a wide range of clinical reports stored in the University of Pittsburgh Medical Center's electronic medical record system. The project will study the effect of integrated access to clinical images and textual patient data on the length of time required to diagnose cancer and on the management of cancer treatment.
From page 232...
... 232 FOR THE RECORD: PROTECTING ELECTRONIC HEALTH INFORMATION Contact: Henry I


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