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Name of Collaboratory :

 

Arizona Telemedicine Program (ATP)

 
 

Logo :

   
 
 

URL :

  http://www.telemedicine.arizona.edu/  
 

Collaboratory Status :

 
Operational   Start Date : 1993 End Date : Info Last Updated : Tue, Dec 7 2010 3:01pm PST
 
 

Primary Collaboratory Function :

  Expert Consultation  
 

Secondary Collaboratory Functions :

  Distributed Research Center  
 

Domain(s) :

  telemedicine  
 

Brief Description of the Collaboratory :

 

The Arizona Telemedicine Program (ATP) is a large, multidisciplinary, university-based program that provides telemedicine services, a mobile evaluation facility, distance learning, informatics training, and telemedicine technology assessment capabilities to communities throughout Arizona. Services provided include disease prevention, public education, correctional telemedicine and telenursing. In addition, ATP has instituted innovative programs in home health care for patients with artificial hearts awaiting transplantation, patients requiring home-nursing services, and children in need of occupational and physical therapy.

Currently, the Arizona Telemedicine Program provides medical services via both real-time and store-and-forward technologies in twenty communities. Those served include Arizona residents who live in remote areas, on Indian reservations, or in prisons and patients in Mexico and China. In 2003, 500 hours of continuing medical education and continuing education was delivered to thirty-four communities using bi-direction video conferencing; 11,000 consultations were also performed. Through its state-wide program Project Nightingale, access to T-1/ATM telecommunications on a private network is provided throughout Arizona on a cost-sharing basis.

In an effort to promote telemedicine, ATP has successfully created strong ties between the University of Arizona College of Medicine, the College of Electrical Engineering and Computer Engineering, various healthcare providers, and the state legislature. Collaborations with various programs in disease prevention, public education, correctional telemedicine and children's healthcare and home health nursing have also been established.

The Joint Legislative Budget Committee of the Arizona State Legislature created the Arizona Telemedicine Council, which was given oversight for the Arizona Telemedicine Program and the development of its telecommunications network. The council is chaired by the Chairs of the House and Senate Appropriations Committees. Senator Robert (“Bob”) Burns, who initiated the legislation that created the Arizona Telemedicine Program, became the first Co-chairman of the Council which has met quarterly in Phoenix since 1996.

ATP also has the Arizona Telemedicine Technology Assessment Program, whose mission is to assess a full range of telemedicine technologies including video imaging, networks, picture archiving and communication systems, and end-user equipment and appliances. The goals are: to evaluate state-of-the-art telemedicine equipment and telecommunications systems; and to transfer the technologies into clinical practice.

 
 

Access to Instruments :

  ATP provides medical services via both real-time and store-and-forward technologies in twenty communities. In 2003, 500 hours of continuing medical education and continuing education was delivered to thirty-four communities using bi-direction video conferencing. Project Nightingale provides dedicated broadband healthcare infrastructure which functions as a telecommunications collaborative providing access to T-1/ATM telecommunications on a private network throughout the state on a cost-sharing basis.
Instruments available at Psychophysics Lab at Arizona University Medical Center:
ïStandard Radiologic view box
ïLumisys film digitizer with variable spot sizes ranging from 50 to 400 mm;
ïKodak Ektascan film laser writer (12-bit) which is capable of writing 4096 x 5120 pixel images
ïSeries 4000SU Eye-Tracker with software to collect and analyze data.
ïData sets are archived on ISO9660 standard CD's.

Mobile evaluation facility with a heavy cart carrying the equipment for precision scanning and a lighter cart carrying the support electronics. Instrumentation located on both carts include:
ï2 Pentium Server Class computers
ïA/D converter (Metrabyte DAS-HERS 16-bit I/O-board)
ïReal time video frame grabber
ïX-Y-Z translation stage with 2-micron position resolution
ïTranslation in X (horizontal): 15 inch
ïTranslation in Y (vertical): 20 inch
ïTranslation in Z (perpendicular to CRT): 3 inch
ïNetwork connection to a VAX 8600 digital computer
ïVideo Generator (Quantum Data Fox 8701)
ïPulse Generator (Hewlett Packard 8011A)
ïPulse Generator (Hewlett Packard 8012B)
ïDigital line selector (in-house built)
ïPhotomultiplier (RCA 8850)
ïRadiometer/Photometer (EG&G model 550)
ïPhotometer (Minolta LS-110)
ïCooled integrating CCD camera (Patterson), 512 x 512 pixels, 8 bits
ïCooled CCD camera with 2048 x 2048 pixels and 14 bits contrast resolution
ïGated analog integrator (in-house built)High-speed wave-form recorder (Biomation 2100)
ïVarious photographic and microscopic lenses
ïVarious optical holders and manual translation stages
ïLow-noise amplifier with variable gain and bandwidth (EG&G PAR 113)
ïLow-noise, broad-band amplifier with variable gain (United Detector Technology 101C)
ïVery fast amplifier (in-house built)
ïElectronic filter (Ithaco)
ïDigital oscilloscope (Hewlett Packard 54201D)
ïLaser for precision alignment of CRT on evaluation cart

Research Computing Resources at Arizona University Medical Center:
ï10baseT connectivity with FDDI/CDDI ports

Image Processing available:
ïPentium and Alpha based workstations
o 1600 x 1200 pixel 24-bit true-color displays
o 100 - 266 MHZ cpu clock rate.
 
 

Access to Information Resources :

  ATP provides telemedicine services, distance learning, informatics training, and telemedicine technology assessment capabilities to communities throughout Arizona. These services include disease prevention, public education, correctional telemedicine and, more recently, children's healthcare and home health nursing. Telenursing services are also being implemented in Phoenix schools. In addition, the Arizona Telemedicine Program has recently instituted innovative programs in home health care for patients with artificial hearts awaiting transplantation, patients requiring ostomy home-nursing services, and children in need of occupational and physical therapy.

Software available on the PC's in Psychophysics Lab:
ïdata correction
ïFourier transforms
ïevaluation of modulation
ïdisplay
ïData sets are archived on ISO9660 standard CD's

Image processing software on mobile consultation carts:
ïVisilog
ïImage Pro Plus
ïAdobe Photoshop
ïCorel Photopaint
ïIDL and MATLAB
ïSpecial purpose programs have been developed in-house for the needs of medical image processing research
 
 

Access to People as Resources :

  ATP creates partnerships among a wide variety of not-for-profit and profit healthcare organizations and builds bridges between state agencies, local governments and legislative bodies, thereby fostering a high level of awareness of the importance of telemedicine and e-health to achieving healthcare goals.  
 

Funding Agency or Sponsor :

 
AMB Foundation
Arizona Community Foundation
Arizona Department of Corrections
Arizona Department of Health Services
University of Arizona
Arizona Health Sciences Center
Arizona State Legislature
Department of Agriculture
Department of Commerce (DOC)
Department of Defense (DOD)
Flinn Foundation
United States Department of Health and Human Services
National Institutes of Health (NIH)
National Library of Medicine (NLM)
 
 
 

Notes on Funding Agencies/Sponsors:

 
 
 
Organizations with Funded Participants:
 
Organization name:
Approx # of participants:
Description of organization's role(s):
Arizona Department of Health Services
1
Council members - Agency members
   Bureau of Emergency Medical Services (Arizona)
1
Council member - Agency members
   Arizona Children's Rehabilitative Services
1
Council member - Agency members
Arizona Department of Corrections
1
Council members - Agency members
Arizona Government Information Technology Agency (GITA)
1
Council member - Agency members
Arizona Health Care Cost Containment System (AHCCCS)
1
Council member - Agency members
Arizona Joint Legislative Budget Committee
1
Council member - Agency member
Arizona Supreme Court
1
Council members - Agency Members
Banner Health
1
Executive Committee; Council member - Public members
University of Arizona
   College of Medicine (University of Arizona)
10
Executive Committee; Council members - Public members
United States House of Representatives
2
Council members - Legislators
United States Senate
1
Council members - Legislators
 
TOTAL PARTICIPANTS:
11000
 

Notes on Participants/Organizations:
11000 consultations provided by the Arizona Telemedicine Program in 2003. Besides Arizona, ATP has provided telemedicine services to China and Mexico.

   
     
 
 

Communications Technology Used :

  See Access to Instruments Field
ïbi-direction video conferencing
ïT-1/ATM telecommunications on a private network

 
 

Technical Capabilities :

   
  Key Articles :    
 

Project-reported performance data :

  A major contributing factor to the success of the Arizona Telemedicine Program is its strong commitment to research, and its track record in technology transfer.  
 
         
    
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