INTEGRIS Health, Inc.
3366 NW Expressway, Suite 800 Micah Post
Oklahoma City, OK 73112-4458
integris-telehealth.com

Pamela G. Forducey, PhD, ABPP
Ph: 405-644-5343
Fax: 405-951-8851
Email: pam.forducey@integris.health.com

Network Partners: INTEGRIS Southwest Medical Center, Stroke Center of Oklahoma. INTEGRIS Heart Hospital, LLC. INTEGRIS Clinton Regional Hospital with Dr. Swami. Cybernet Medical.

Project Purpose: Expand a Blue Cross Blue Shield (BCBS) stroke research project already in progress that gathers information on the efficacy of standardized protocol for telehealth treatment. To study the benefits of
education and intervention to CHF and Diabetes patients through the use of Telehealth as a management tool. The studies will incorporate a combination of broadband, analog, and web-based applications to serve patients in a variety of settings including clinics, homes, and long-term care facilities.

Outcomes Expected: 1) Increase access to quality health services and disease management for rural residents with chronic conditions; 2) Establish a post-acute stroke management network; and 3) Collect and disseminate clinical outcome data for chronic disease, stroke management and rehabilitation,
as well as related costs/cost savings.

Service Area: Kay County, HPSA, MUA; Canadian County, HPSA, MUA; Oklahoma, HPSA, Partial MUA; Grady County, HPSA; Custer County, HPSA and Jackson County.

Services Provided: INTEGRIS Telehealth Network has been in operation since 1993 when a network between rural and metro hospitals and clinics was built. INTEGRIS Telehealth Network is providing services in chronic disease management, (diabetes, CHF & COPD) wound care, mental health, home care, rehabilitation, speech pathology, and Continuing Education for Physicians and Nurses.

Equipment: INTEGRIS Telehealth Network has 10 Polycom or Tandberg Videoconferencing systems in the Oklahoma City metro area between 3 facilities: 8 Polycom Videoconferencing systems at 8 rural facilities, approximately 140 POTS Video Phones in Clinics and Homes w/peripheral equipment, approximately 70 home monitoring systems for Diabetes, CHF, & COPD.

Transmission: Full ATM between INTEGRIS metro facilities and remote rural hospitals and clinics, POTS to homes, clinics and long term care facilities and internet for home monitoring and medical staff and patient education.

Oklahoma Office of Rural Health, Oklahoma State University
117 W. 17th Street
Tulsa, Oklahoma, 74107
osu.com.okstate.edu/research/orh/index.html

Kaleb Bennett
Ph: 918-584-4323
Fax: 918-584-4391
Email: bkaleb@chs.okstate.edu

Network Partners: Oklahoma State University Telemedicine, Education and Training Center (Tulsa, OK) Oklahoma State University Rural Health Policy and Research Center (Tulsa, OK) Oklahoma Critical Access Hospitals (CAH), potential CAHs and other rural health providers.

Project Purpose: The Rural Health Telemedicine Program will help CAHs, potential CAHs and other rural health providers purchase telemedicine equipment, services, and training. We will provide the equipment each participant believes is necessary to improve the quality of healthcare for their patients. Training will also be provided. Each participant must agree to maintain its network and provide documentation of usage. Additionally, each participant must secure its specialists. Participants will have access to OSU’s Telemedicine expertise to help with equipment, training and specialists’ decisions.

Outcomes Expected: Increase access to specialty care—GPRA tool. For medical staff, increase access to continuing education—provider satisfaction survey tool.Decrease amount of time traveled for patients—GPRA tool.
Decrease number of miles traveled for patients—GPRA tool.

Service Area: Statewide, potentially representing 72 counties, including 5 HPSAs, 16 MUAs, and 18 counties that are both HPSA and MUA classified. Final number will be much smaller as there are only enough funds for so many sites. 8 MUAs, 2 HPSAs are currently being serviced by the 26 sites.

Services Provided: Beginning Sep. 2001 we have grown to provide: Cardiology, Radiology, Orthopedics, Mental Health, Wound Care, General Health Care, Physical Therapy, Emergency Room monitoring and Continuing Medical Education.

Equipment: Polycom video conferencing, AMD otoscope, SmartSteth devices, Vidar Digitizer, and e-Film software.

Transmission: Full T1, Internet.

Oklahoma Center for Rural Health, Oklahoma State University
117 W. 17th Street
Tulsa, Oklahoma, 74107
healthsciences.okstate.edu/research/orhprc/index.htm

Jeff Hackler, JD, MBA
Ph: 918-584-4611
Fax: 918-584-4391
Email: jbhackler@chs.okstate.edu

Network Partners: Oklahoma State University Telemedicine, Education and Training Center (Tulsa, OK) Oklahoma Office of Rural Health (Oklahoma City, OK) Oklahoma Critical Access Hospitals (CAH), potential CAHs and other rural health providers.

Project Purpose: The OSU Rural Health Center, the Oklahoma Office of Rural Health (the “OORH”, and the OSU Telemedicine Center hope to make subspecialty services more accessible to rural citizens by providing such services to them via telemedicine technology. Specifically, we hope to expand access to healthcare services available through rural hospitals in cardiology, radiology, and ear, nose, and throat. The OSU Rural Health Center is also requesting funding to support telemedicine staff who will help locate sites that maximize telemedicine utilization, install technology, and provide technical support for telemedicine visits.

Outcomes Expected:

• Primary care physicians will be able to acquire specialty consultation.
• Radiologists and cardiologists will be able to provide diagnosis for patients.
• Orthopedic consultations will be possible from remote sites.
• Dermatology consultation and treatment plans will be provided to rural patients.
• Medical records can be transported quickly and securely via the network.
• Rural community hospitals will share expensive diagnostic equipment.
• Mental health diagnostic and treatment services will be available via the network.

Service Area: Statewide, potentially representing 72 counties, including 5 HPSAs, 16 MUAs, and 18 counties that are both HPSA and MUA classified. Final number will be much smaller as there are only enough funds for so many sites. 8 MUAs, 2 HPSAs are currently being serviced by the 26 sites.

Services Provided: Since September, 2001, the OSU Center for Rural Health has helped coordinate the following services: Cardiology, Radiology, Orthopedics, Mental Health, Wound Care, General Health Care, Physical
Therapy, Emergency Room monitoring and Continuing Medical Education.

Equipment: Polycom video conferencing, AMD otoscope, SmartSteth devices, Vidar Digitizer, and e-Film software.

Transmission: Full T1, Internet.