1. Telehealth in Michigan: A Status Report Sally Davis

2. Imagine a world where anyone can get health care when they need it.

4. Defining the field  Telehealth  Events  Connections  Telemedicine  Clinical consults  Patient encounters  Store and forward  Telehome Care  Informatics

5. Finding reality in definitions  NICU infant to mother  Neonatologist to pediatric surgeon  Pediatric echo transmission  Pediatric surgery follow-up  Dietician to parent

6. Technology in a nutshell  Equipment  Room systems, set tops, clinical, desk tops, home health, home monitoring  Transmission  ISDN  T-1  Internet Protocol  Bandwidth  POTS  128kbps and beyond

7. Status of Telehealth in Michigan  Established Networks  UPTN, REMEC, DOC, VA  Applications  Why these network?  Rural  Funding  Activity level  Others: UMHS, Hospice of Michigan, Lifeways Mental Health

8. Why it makes sense for us..  Weather  Isolation  Sparse population  Travel time, risks and distance  Quaternary health care 18+ hour drive

9. Success Measures  Steady growth and expansion  Continuation post initiation  Integration into system  Multiple uses  Evidence of acceptance  Administrative support  Value to the organization  Continuous objective evaluation

10. Developing Networks  Northeast, HNHS, Alpena, Southwest  Michigan RHI funding  Applications  Challenges in developing  Practitioner buy in  Start up funding  Process  Practicality  Sustainability post grant funding

11. Michigan Challenges  Licensure, credentials  Payment, reimbursement  Safety, Liability  Infrastructure  Privacy, Security

12. UPTN Web Site www.mgh.org/telehealth/index.html

13. Michigan Telehealth Policy Group Web Site http://www.msu.edu/~pwhitten/policy/