2/26/2018
1
© 2017 UA Board of Regents
Arizona Telemedicine ProgramFacility Design & Distance Learning
Janet Major, B.S.Associate Director for FacilitiesArizona Telemedicine Program
© 2017 UA Board of Regents
Telehealth is defined in the Public Health Service Act
“The term 'telehealth' means the use of electronic information and telecommunications technologies to support long distance clinical health care, patient and professional health‐related education, public health, and health administration.”
Hardware, software and network!
© 2015, Arizona Telemedicine Program
2/26/2018
2
© 2017 UA Board of Regents
Technology + Telecommunications =
Telehealth
© 2017 UA Board of Regents
2/26/2018
3
© 2017 UA Board of Regents
© 2017 UA Board of Regents
2/26/2018
4
© 2017 UA Board of Regents
Elements of Production
• Soundmicrophones
electronic stethoscope
• Lightingcolor temperature
angle
• Space and geography of the room
• Background is critical
© 2017 UA Board of Regents
Cameras
• Angle• Framing
• Lighting •White balance
• Choosing the right one• Focus on communication and
NOT the technology
2/26/2018
5
© 2017 UA Board of Regents
Telemedicine Facility Design
• Telemedicine Technologies• Store‐and‐Forward• Real Time Video• Clinical Appliances (Peripherals)• Personal PC for local data• Multiple Phonelines and FAX
• Rural Studio Development• Room Design and Location• Equipment Installation• Training and Support• Equipment Obsolescence
© 2017 UA Board of Regents
2/26/2018
6
© 2017 UA Board of Regents
Site Assessment• map of the facility and draw the specific room
location and geographydoors, windows, lighting fixtures, electrical, network, air handling
• measure the room and draw the details
• determine the current use or other potential uses of the room
• send, receive or both
© 2017 UA Board of Regents
Clinic Room Design
• economic use of spacecamera placementmic placementpatient exam arealightingbackground
• easy to use equipmentergonomicssite coordinator/back‐up
2/26/2018
7
© 2017 UA Board of Regents
Ergonomics:From Greek, “the study of work”
The science of designing working environments and the tools in them for maximum work efficiency and maximum worker health and safety.
WARREN STREET CLINICSPOKE or Rural Site
HUB or Provider Site
Telemedicine Site Coordinator
TSC Back‐up
2/26/2018
8
1998
WARREN STREET CLINIC 2016
2/26/2018
9
© 2017 UA Board of Regents
SPOKE HUB
© 2017 UA Board of Regents
PHOENIX
TUCSON
PHOENIX
TUCSON
2/26/2018
10
© 2017 UA Board of Regents
Sells IHS, AZ
© 2017 UA Board of Regents
2/26/2018
11
© 2017 UA Board of Regents
Lynn Bedonie, TSC Tuba City, AZ
2/26/2018
12
No Semi‐Gloss
ADC Douglas, AZ
© 2017 UA Board of Regents
TSC for IHS Hopi Polacca, AZ
2/26/2018
13
© 2017 UA Board of Regents
St Elizabeth Health Center Tucson, AZ
© 2017 UA Board of Regents
2/26/2018
14
© 2017 UA Board of Regents
© 2017 UA Board of Regents
Distance Education & Administration
by Videoconference
2/26/2018
15
© 2017 UA Board of Regents
T‐Health Institute UsersAHEC
AZ Sci Tech
Arizona Rural Health Association
Arizona State University
College of Law
College of Medicine Diversity & Inclusion
College of Nursing
College of Pharmacy
College of Public Health
Department of Biomed
Department of Faculty Affairs
© 2017 UA Board of Regents
University of ArizonaDepartment of Outreach & Recruitment Department of Planning and Facilitates
Department of Public AffairsEmergency MedicineFacilities ManagementFinance DepartmentHRSA Rural Health
Medical AdministrationNACP Cancer CenterSponsored Projects
2/26/2018
16
© 2017 UA Board of Regents
Courses• College of Nursing
• College of Law
• College of Public Health• Advanced Healthcare Admin
• Public Health, Law & Ethics
• Health Budgeting & Finance
• Health Services and Administration
• Healthcare Marketing
• American Indian Health Policy
• Applied Public Health Practice
© 2017 UA Board of Regents
• ATP Training• Tucson• Phoenix
• VIDA Breast Cancer to Multiple Sites for healthcare providers and patients
• Spanish• English
• PCORI Patient‐Centered Outcomes Research InstituteOstomy Grant Project
• Innovations in Education• Democratization of Medical Knowledge• Interprofessional Collaboration & Practice
2/26/2018
17
© 2017 UA Board of Regents
Distance Learning Technology
• Audioconference
• Videoconference
• Online
• Flipped classroom
• Hybrids
• Special Events
© 2017 UA Board of Regents
Internal Medicine Journal ClubACP American College of Physicians
Teachers of the Internal Medicine Residency Programs for all six medical schools and internists in the state of AZ
2/26/2018
18
© 2017 UA Board of Regents
St Joseph’s Hospital PHOENIX
UA Banner South Campus TUCSON
T‐Health Amphitheatre PHOENIX
© 2017 UA Board of Regents
IPE InterProfessional EducationEvent October 14, 2016
• Pandemic Flu Storyline and Scenarios• Distribution for Tamiflu – a prescription medicine used to treat the flu in people 2 weeks of age and older who have had flus symptoms for no more than two days
• Who receives treatment?
• 66 doses/9 sites Plus EOC
• Which sites, How much and Why sites they should receive it?
• 3230 Emergency Operations Center
• 9 spoke sites
2/26/2018
19
© 2017 UA Board of Regents
EOC Room 3230 UA College of Medicine TUCSON
© 2017 UA Board of Regents
ATP Video Engineer’s Desktop TUCSON
2/26/2018
20
© 2017 UA Board of Regents
Distance Learning Technology Preparing the Healthcare Workforce of the Future
© 2017 UA Board of Regents
Medicine = ScienceTechnologyEngineeringArtMath
2/26/2018
21
© 2017 UA Board of Regents
Arizona Commerce Authority
© 2017 UA Board of Regents
T Health AmphitheatreAZ Sci Tech Kick‐Off Event April 23, 2015
2/26/2018
22
© 2017 UA Board of Regents
Connected 7 AZ Mayors to promote STEM Learning and how to recruit the workforce of the future!
2/26/2018
23
© 2017 UA Board of Regents
© 2010, Arizona Telemedicine Program
TelehealthNetworking
© 2017 UA Board of Regents