the university of texas system virtual health networkuniversity texas health science center houston...
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The University of Texas System Virtual Health Network
Mari Robinson, JDDirector, Telehealth
David Lakey, M.D.Vice Chancellor for Health Affairs and Chief Medical Officer
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The UT Virtual Health Network• Telemedicine uses specialized videoconferencing to enable health
care providers to assess and treat patients from a distance. • UT Medical Branch in Galveston has been practicing telemedicine
for more than 20 years.• The VHN is building on the system’s existing capabilities, providing
the infrastructure to connect all of UT’s health institutions and medical schools under one statewide telemedicine network.
• The VHN was established in 2016, when the UT System Board of Regents approved $10.8 million to improve access to underserved areas of Texas, enhance patient care and increase coordination and collaboration among experts systemwide.
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History & Experience
U.T. has a lengthy & robust history with telemedicine and telehealth:
• TDCJ contract• Frew settlement projects• DSRIP projects• South Pole services• Offshore services (oil rigs, cruise
ships)
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Taking The Lead In Telehealth: The Virtual Health Network
U.T. is leveraging technology to create a model for care delivery that:
• Expands current programs• Initiates innovations • Facilitates virtual centers of excellence• Provides access to every citizen• Serves as a conduit for coordinated
care• Bridges access to specialty services
for rural providers and their patients• Invites collaborations across
institutions
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Concurrent & Parallel Undertakings
C E N T R A L I Z E D & C O N N E C T E D V I D E O
S H A R E D S C H E D U L I N G &
D O C U M E N T A T I O NT E L E M E D I C I N E
E X P A N S I O N
• Design, develop, and deploy a common source of televideo communication connecting patients and telemedicine care providers within any of the UT medical campuses
• Respect & use existing technology systems already in place within each facility
• Design, develop, and deploy a single system to schedule telemedicine appointments, as well as access/ update relevant medical documents to improve care coordination
• Decrease duplication of effort by synchronizing, where possible, with existing schedule + documentation systems
• Improve patient access to providers, especially in remote areas with fewer specialists
• Facilitate and initiate institutional and collaborative initiatives
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Telemedicine Projects
University Texas Health Science Center Houston Pilot: Psychiatric care via telemedicine at state care facilities under the purview of the Department of State Health Services
University of Texas Medical BranchPilot: Primary care via telemedicine at Mexia state care facility
MD AndersonPilot: Follow-up care to patients receiving on-going treatment at affiliated infusion centers
University of Texas Rio Grande Valley Medical SchoolPilot: Joint project with the local school districts & FQHCs
University Texas Health Science Center San Antonio Pilot: Join with MDA to coordinate care for patients
University Texas Health NortheastPilot: Dietary Counseling & Genetic Counseling
University of Texas Southwestern Medical SchoolPilot: Partner HHSC under HB1697 to provide pediatric care
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The VHN creates access to medical care that• is accessible to currently underserved populations• is based in a high quality, academic setting• integrates with the care team already in place• creates a continuous physician patient relationship• covers a broad range of specialties at eight different
campuses
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Telemedicine Technologyused in the
Virtual Health Network
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Patient Cart
Patient Station• Camera• Monitor• Cart – Medical Grade, smallest
footprint possible, stable platform
• Measurement - 29″W x 24″D x ~72”H (adjustable height)
Camera
Processing Unit (CODEC)
Display w/ built in speakers
Horus Scope camera CODEC microphone
Secure storage drawer
USB to HDMI converter Box
Receptacles & power switch
Locking wheels
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The Camera
– High Zoom (12x or better)– Remote Control Pan, Tilt, Zoom– High Definition (1920x1080)
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Processing Unit
• Polycom, Cisco or PC– ITU Standards base– High Definition
(1920x1080)– Encrypted audio and
video
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Monitor
• Medical Grade• 1920 x 1080 resolution• Digital inputs
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Electronic Stethoscope
• Thinklabs One• Up to 100x amplification• 30hz to 1500hz Frequency
Response• Built in adjustable filtering• Built in volume control• Rechargeable battery
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Medical Camera
Hand Held Chassis• High Definition (1920 x
1080)• Interchangeable lenses for
different medical specialties• Built In Screen• Live Video or Store and
Forward File Capability
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Medical Camera
• Otoscope Lens• Built in Illumination LEDs• Provides imaging for
tympanic membrane and auditory canal.
• Uses standard Heine or Welch-Allyn specula (adult and pediatric)
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Medical Camera
• General View Lens• Built in Illumination
LEDs• Provides imaging for
dermatology, oral examinations, general body images
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Medical Camera
• Surface Lens• Built in Illumination LEDs• Provides imaging for highly
magnified images of the skin.• Built-in polarization for
reduction of skin reflection• Equipped with 5mm ruler
(1mm increments)
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Medical Camera
• Anterior Chamber Lens• Built in Illumination LEDs• Built in cobalt blue lighting for
fluorescein eye stain test• Provides highly magnified
images of the anterior segment
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Provider Station
• Laptop or PC with HD Display• I7 Quad Core Processor• 8GB RAM• 256GB SSD• Built in Camera• Video Conferencing Software
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Provider Station
• Audio Puck– Built in Volume Controls– USB interface– Plug in headphones with no
annoying popup on PC screen
• Headphones– 20-20Khz frequency response
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THANK YOU!