1. AFHCAN Project Stewart Ferguson, Ph.D Associate Project Director Director of Technology AFHCAN Project Office Alaska Native Tribal Health Consortium 907-729-2260 www.afhcan.org

2. AFHCAN Sites

4. “Remoteness” by Access

5. Cost of Travel

6. “Types of Sites” by Staffing

10. What is Telemedicine? “ Telemedicine involves the transfer of health data over a telecommunications system.” Ask-a-Doc Home Health Store & Forward RMT Radio/Phone/Fax Remote RPMS VideoConference Remote Surgery Single Provider Multiple Providers

11. Workload Distribution

14. AFHCAN Referrals

20. CLINIC NETWORK AFHCAN SYSTEM CART Otoscope ECG Scanner Touchscreen CPU UPS LAN Access Point Hub PRINTER Print Server Printer SERVER AFHCAN Cold Fusion SQL Server Web Server O/S CPU BASIC COMPUTER Monitor CPU WAN Router AFHCANet

26. A properly designed system can improve the quality of health care delivery without saving or sending a single byte.

29. Effect of Proxy / SSL

30. Alaska Federal Health Data Sharing Planned Project Relationships What the AFHCAN software is not ... VISTA CHCS T2P2 ? GCPR MFI Telerad AFHCAN PACS Integrator HIS Telehealth CPRS ANMC 1/02-6/03, field start 9/03 CPRS Phase I deploy 7/00 RPMS Alpha 3/01-7/01 Beta 7/01-12/01 Phase III 2/02 RAHALL 4/00 version4 ANMC billing 6/00-10/00 Adding lab & meds Adding 10 yr data existing planned possible Going to CHCSII NPIRS/ ORYX

34. PE Tubes

36. Develop standards to … ENHANCE the interoperability of disparate telehealth systems and applications. IMPROVE the sustainability and usability of such systems in future years. Provide a mechanism for meeting current and projected FUTURE needs for data security www.hss.state.ak.us/atac Core Principles Alaska Telehealth Advisory Council - Technical Standards Workgroup