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Name of Collaboratory :

 

Arizona Telemedicine Program (ATP)

 
 

Logo :

   
 
 

URL :

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

Collaboratory Status :

 
Operational   Start Date : 1993 End Date :
 
 

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.

 
 

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:
•Standard Radiologic view box
•Lumisys film digitizer with variable spot sizes ranging from 50 to 400 mm;
•Kodak Ektascan film laser writer (12-bit) which is capable of writing 4096 x 5120 pixel images
•Series 4000SU Eye-Tracker with software to collect and analyze data.
•Data 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:
•2 Pentium Server Class computers
•A/D converter (Metrabyte DAS-HERS 16-bit I/O-board)
•Real time video frame grabber
•X-Y-Z translation stage with 2-micron position resolution
•Translation in X (horizontal): 15 inch
•Translation in Y (vertical): 20 inch
•Translation in Z (perpendicular to CRT): 3 inch
•Network connection to a VAX 8600 digital computer
•Video Generator (Quantum Data Fox 8701)
•Pulse Generator (Hewlett Packard 8011A)
•Pulse Generator (Hewlett Packard 8012B)
•Digital line selector (in-house built)
•Photomultiplier (RCA 8850)
•Radiometer/Photometer (EG&G model 550)
•Photometer (Minolta LS-110)
•Cooled integrating CCD camera (Patterson), 512 x 512 pixels, 8 bits
•Cooled CCD camera with 2048 x 2048 pixels and 14 bits contrast resolution
•Gated analog integrator (in-house built)High-speed wave-form recorder (Biomation 2100)
•Various photographic and microscopic lenses
•Various optical holders and manual translation stages
•Low-noise amplifier with variable gain and bandwidth (EG&G PAR 113)
•Low-noise, broad-band amplifier with variable gain (United Detector Technology 101C)
•Very fast amplifier (in-house built)
•Electronic filter (Ithaco)
•Digital oscilloscope (Hewlett Packard 54201D)
•Laser for precision alignment of CRT on evaluation cart

Research Computing Resources at Arizona University Medical Center:
•10baseT connectivity with FDDI/CDDI ports

Image Processing available:
•Pentium 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:
•data correction
•Fourier transforms
•evaluation of modulation
•display
•Data sets are archived on ISO9660 standard CD's

Image processing software on mobile consultation carts:
•Visilog
•Image Pro Plus
•Adobe Photoshop
•Corel Photopaint
•IDL and MATLAB
•Special 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 Service
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:

 
 
 
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
•bi-direction video conferencing
•T-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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