Rural Health Toolkit

 

TELEMEDICINE
 

Telemedicine is the use of telecommunications to transfer medical information for diagnostic and educational purposes. Telemedicine can be used to bridge the distance barrier in delivering healthcare to rural populations. Specific rural telemedicine applications include  monitoring chronic health conditions, providing support to rural primary care clinicians, providing access to a physician specialist, and allowing healthcare professionals to participate in continuing medical education.  By using the rural health online toolkit, the rural health administrator has the necessary information to learn about telemedicine and make an informed decision about the viability of  telemedicine as a healthcare delivery option.

 

General Telemedicine Resources

  • “Telemedicine: A Guide to Assessing Telecommunications   for Healthcare”
    This  reference is a comprehensive guide on all aspects of telemedicine including technology, planning, and evaluation. Written by the National Library of Medicine and the Division of Health Care Service, Institute of Medicine.
    http://www.nap.edu/books/0309055318/html/index.html

http://books.nap.edu/books/0309055318/html/239.
html#pagetop

  [Glossary of telemedicine terms]

 

   

Legislation and Reports – Federal and State of Texas

Federal

  • 1997 Telemedicine Report to Congress
    This 1997 report to Congress by Secretary of Commerce Michael Cantor was  required by theTelecommunications Reform Act of 1996. This report includes findings from federally funded telemedicine projects and the technical, legal, and political issues surrounding telemedicine
    http://www.ntia.doc.gov/reports/telemed/index.htm

  http://www.ntia.doc.gov/reports/telemed/letsec.htm
              [Message from Commerce Secretary Kantor]

  http://www.ntia.doc.gov/reports/telemed/execsum.htm
              [Executive Summary]

  http://www.ntia.doc.gov/reports/telemed/intro.htm
              [Introduction]

  http://www.ntia.doc.gov/reports/telemed/evaluate.htm
              [Evaluation]

  http://www.ntia.doc.gov/reports/telemed/legal.htm
               [Legal Issues]

  http://www.ntia.doc.gov/reports/telemed/payment.htm
               [Payment Issues]

  http://www.ntia.doc.gov/reports/telemed/safety.htm
              [Safety and standards]  

   http://www.ntia.doc.gov/reports/telemed/telecom.htm
               [Infrastructure]  

   http://www.ntia.doc.gov/reports/telemed/privacy.htm
               [Privacy, security, and confidentiality]

    http://www.ntia.doc.gov/reports/telemed/conclude.htm
               [Conclusion] 

 
  • Exploratory Evaluation of Rural Applications of Telemedicine, 1997
    This report, published by the Office of Rural Health Policy (ORHP), is a nationwide assessment on the status of telemedicine in rural areas and the effects of telemedicine on rural healthcare.
    h
    ttp://www.hrsa.dhhs.gov/Newsroom/publications.htm  

 

  • Legislative, Legal, and Policy Issues in Telemedicine , 1999-2000.

This site of the Telemedicine Research Center includes full-text federal telemedicine legislation in 1999-2000.
http://tie.telemed.org/legal/federal/#major 

           http://thomas.loc.gov/cgi-bin/query/z?c106:S.2505:  
           [S.2505 - Telehealth Improvement and Modernization Act
           of 2000]  

           http://thomas.loc.gov/cgi-bin/query/z?c106:S.770:
          
[S.770 - Comprehensive Telehealth Act of 1999]     

http://thomas.loc.gov/cgi-bin/query/z?c106:H.R.3146:
          
[H.R. 3146 - Healthcare Restoration Act of 1999]  

http://thomas.loc.gov/cgi-bin/query/z?c106:S.980:
[S. 980 - Promoting Healthcare in Rural Areas Act of 1999]   

http://thomas.loc.gov/cgi-bin/query/z?c106:H.R.1746:  
[H.R. 1746 - School and Libraries Internet Access Act of 1999]  

http://thomas.loc.gov/cgi-bin/query/z?c106:H.R.1344:  
[H.R. 1344 - Triple-A Rural Health Improvement Act of 1999]  

http://www.hcfa.gov/regs/bbra/title4.htm :
[H.R.3426 – The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 – Title IV – Rural Provider Provisions]

 

State of Texas

 

 

 

 

Agencies and Grants:  Federal and State of Texas

 

Federal  

  • Federal Telemedicine Gateway

The  Joint Working Group on Telemedicine (JWGT) is a  consortium of federal agencies involved in telemedicine. Site includes links to all agency members of the JWGT as well as links to telemedicine projects by state and by funding source.
http://www.tmgateway.org/  

http://telehealth.hrsa.gov/jwgt/teldirect98/index.html
           
[Federal Telemedicine Directory]  

            http://telehealth.hrsa.gov/jwgt/teldirect98/states.html
                        [State projects]  

            http://telehealth.hrsa.gov/jwgt/teldirect98/source.html
                        [Projects by funding source]  

 

  • Office for the Advancement of Telehealth
    The Office for the Advancement of Telehealth is a division of  the Health Resources Services Administration,Department of Health and Human Services. Site includes a grant application kit (in PDF format) and links to other federal and state agencies involved in telemedicine.
    http://telehealth.hrsa.gov/links.htm  

            http://telehealth.hrsa.gov/funds.htm                        
                        [Funding guide]
 

            http://telehealth.hrsa.gov/grants/applic.htm                         
                        [Rural Telemedicine Grant Program]
           

 

  • Rural Utilities Services (RUS)  
    The Rural Utilities Services is a division of the Department of Agriculture. This site includes the application guide for grants under the Distance Learning and Telemedicine Loan and Grant Program. Site also includes links to state projects currently funded by RUS.
    http://www.usda.gov/rus/telephone/telephon.htm  

                        http://www.usda.gov/rus/home/succ_tel.htm                         
                        [State projects funded by Rural Utilities Services]
 

http://www.usda.gov/rus/home/succ_tel.htm
            [2000 grant application guide]

 
  • USAC Rural Health Care Program
    The Universal Service Administration Rural Health Care Program ensures that rural health care providers obtain telecommunications services at rates comparable to their urban counterparts. Site includes an overview of the RHC program along with grant information for  2000/2001. http://www.rhc.universalservice.org/2000/programoverview/  

                        http://www.rhc.universalservice.org/2000/forms/forms.asp
                         
[Forms and instructions for the 2000/2001 grant period]    

 

  • National Library of Medicine (NLM) Telemedicine Initiative
    This site outlines telemedicine projects funded by the  NLM National Telemedicine Initiative. Site contains links to other federal telemedicine initiatives.
     http://www.nlm.nih.gov/research/telemedinit.html  

           http://www.nlm.nih.gov/research/funding.html
                        [Funding sources]  

 

  • Technology Opportunities Program(formerly Telecommunications Information and Infrastructure Assistance Program)
    The Technology Opportunities Program, formerly the Telecommunications Information and Infrastructure Assistance Program, promotes the use of advanced telecommunications technologies in public and non-profit organizations. Site includes links to government and funding resources.
    http://www.ntia.doc.gov/otiahome/top/index.html  

http://www.ntia.doc.gov/otiahome/top/grants/applicationkit.htm  
           
[Grant application kit for 2000 grant process]

 

  • Universal Service Fund (USF) for Rural Health Care  
    The Universal Service Fund was established by the Federal Communications Commission (FCC) to encourage the growth of telehealth. Site includes a description of the USF as well as links to other FCC divisions.
    http://www.fcc.gov/ccb/apd/ruralhealth/

 

 

 

State of Texas

  • Telecommunicatons Infrastructure  Fund Board (TIF)
    TIF was created by Texas H.B.2128. Its goals are to modernize the telecommunications infrastructure for non-profit healthcare centers. Site includes TIF’s master plan and grant and loan information.  

    http://www.tifb.state.tx.us/
     

http://www.tifb.state.tx.us/grantloan/health_info.html
            [2000 funding information for non-for-profit health grants including telemedicine]

 

Telemedicine Organizations  

  • Telemedicine Information Exchange (TIE)
    The Telemedicine Information Exchange is a comprehensive source of telemedicine information supported by the Telemedicine Research Center and the National Library of Medicine.
    http://tie.telemed.org/  

           http://tie.telemed.org/funding/#search  

  • American Telemedicine Association (ATA)
    ATA is one of the leading organizations promoting telemedicine. Site includes links to special interest groups, membership information and current news items affecting telemedicine.

    http://www.atmeda.org/
     

            http://www.atmeda.org/news/newres.htm

 
  • The Association of Telehealth Service Providers (ATSP)  
    The ATSP is an international organization dedicated to improving healthcare through telemedicine. Site includes links to legislation and court cases involving telemedicine...  

 

  • Center of Excellence for Remote and Medically Underserved Areas (CERSA)
    CERSA is a testing, evaluation, demonstration and assessment center for telemedicine prototypes to identify “best practices” for providing medical care to underserved areas.
     
    http://www.cermusa.org/news/ 

 

Texas Telemedicine Centers

  • University of Texas Medical Branch (UTMB) Center for Telehealth and Distance Learning
    This site provides general information on UTMB’s telemedicine program. Site contains a list of UTMB telemedicine projects in addition to the mission, vision, and goals of the telemedicine program.
    http://www2.utmb.edu/telehealth/strategic_planning.htm

 

  • University of Texas Health Science Center San Antonio (UNTHSCSA) Center for Distance Learning and Telemedicine
    This site describes the telemedicine programs of UNTHSCSA and its Internet collaborative projects with regional healthcare facilities.
    http://dlserve.uthscsa.edu/

 

  • Texas Tech University Health Sciences Center (TTUHSC) Center for Telemedicine/Telhealth
    Site includes descriptions of Texas Tech’s telemedicine programs as well as a map of links to telemedicine sites served by TTUHSC.
    http://www.ttuhsc.edu/telemedicine/rualmap.htm

 

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