Telehealth Archive 2001-2002

PLEASE TAKE ME OFF THIS E-MAIL LIST.  THANK YOU!!!!!

At 10:56 AM 10/2/2002 -0700, you wrote:

FYI, that ITU report is 2 years old - reviewing the landscape from a
1998-99 perspective.

John Rowlandson
Project Manager, KO Telehealth


John,

Do you know of more recent reviews?

I am looking for anything related to mental health in particular, but if you have general healthcare updates, I'd be interested in them as well.

Thank you for posting your thoughts and comments to this list!
Marlene
Telehealth Co-admin

FYI, that ITU report is 2 years old - reviewing the landscape from a
1998-99 perspective.

John Rowlandson
Project Manager, KO Telehealth

-----Original Message-----
From: Telehealth (Professional discussion forum for all aspects of
Telehealth) [mailto:TELEHEALTH@MAELSTROM.STJOHNS.EDU] On Behalf Of
Automatic digest processor
Sent: October 1, 2002 10:44 PM
To: Recipients of TELEHEALTH digests
Subject: TELEHEALTH Digest - 30 Sep 2002 to 1 Oct 2002 (#2002-137)


There is one message totalling 40 lines in this issue.

Topics of the day:

  1. New Technologies for Rural Applications

                        

----------------------------------------------------------------------

Date:    Tue, 1 Oct 2002 20:15:04 -0400
From:    Bob Pyke Jr <repyke@INFI.NET>
Subject: New Technologies for Rural Applications

Executive Summary: New Technologies for Rural Applications

Over 40% of the world's population lives in rural and remote areas of
developing countries. The final report of Focus Group 7 provides
technical analysis together with six final recommendations designed to
respond to the challenges of rural connectivity and access.
(Source: ITU)


Read the complete report http://www.itu.int/ITU-D/fg7/pdf/FG_7-e.pdf


Telemedicine: The motivation and commitment to telemedicine in
developing countries is very strong. This motivation is often backed by
a willingness to pay for systems which are expected to improve health
outcomes and lower medical costs in the long run. Telemedicine services
may be perceived as more of a necessity in developing countries than
they are in the industrialized countries, resulting in a greater
willingness among the former to change established methods of
doctor-patient interaction and health care administration.

Telemedicine and telehealth applications are not limited exclusively to
expensive, high bandwidth services. As long as the local medical
community remains motivated and committed to implementing telemedicine
and telehealth programmes, there are a wide range of health benefits
that can be achieved through remote patient monitoring and diagnosis,
multimedia communication links between urban and remote facilities, and
broadcast of health information over radio and television.

------------------------------

End of TELEHEALTH Digest - 30 Sep 2002 to 1 Oct 2002 (#2002-137)
****************************************************************

Executive Summary: New Technologies for Rural Applications

Over 40% of the world's population lives in rural and remote areas of
developing countries. The final report of Focus Group 7 provides
technical analysis together with six final recommendations designed
to respond to the challenges of rural connectivity and access.
(Source: ITU)


Read the complete report
http://www.itu.int/ITU-D/fg7/pdf/FG_7-e.pdf


Telemedicine: The motivation and commitment to telemedicine in
developing countries is very strong. This motivation is often backed
by a willingness to pay for systems which are expected to improve
health outcomes and lower medical costs in the long run. Telemedicine
services may be perceived as more of a necessity in developing
countries than they are in the industrialized countries, resulting in
a greater willingness among the former to change established methods
of doctor-patient interaction and health care administration.

Telemedicine and telehealth applications are not limited exclusively
to expensive, high bandwidth services. As long as the local medical
community remains motivated and committed to implementing
telemedicine and telehealth programmes, there are a wide range of
health benefits that can be achieved through remote patient
monitoring and diagnosis, multimedia communication links between
urban and remote facilities, and broadcast of health information over
radio and television.

Fyi,
Bob

REPYKE@INFI.NET has forwarded you an article
from www.NPLinx.com

Journal: Psychiatry On Line

Headline: Medicare Agrees to Reimburse Telehealth Psychiatric Interviews

Abstract: Conclusion: On June 28 the federal government’s Centers for Medicare and Medicaid Services (CMS) approved the inclusion of psychiatric diagnostic interviews as a reimbursable telehealth service under its updated physician fee schedule. The expansion will be effective January 1, 2003

For the full abstract, visit:  http://www.nplinx.com/thearts.cfm?readurl=&artid=419558&specid=33

MDLinx is the most convenient way to keep up-to-date with medical news
without spending valuable time searching for information. Registration is quick and easy. Just visit: http://mdlinx.com/registerg.cfm  or  http://www.mdlinx.com and get the most current medical news from premier medical journals.

To keep up with the latest developments in your specialty,
sign up for MDLinx's FREE daily newsletters, available at
www.NPLinx.com//index.cfm?go=register&reggo=add

Dear Telehealth Colleagues,

This is a forwarded post. If you decide to look into this product, please let us all know what you think of it.
Best,
Marlene Maheu
Telehealth List Co-administrator
~~~~~

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email neiltubb@shaw.ca
Web Site www.your-door.com

-----Original Message-----
From: Telehealth (Professional discussion forum for all aspects of
Telehealth) [mailto:TELEHEALTH@MAELSTROM.STJOHNS.EDU]On Behalf Of Bob
Pyke Jr
Sent: Friday, September 20, 2002 12:09 PM
To: TELEHEALTH@MAELSTROM.STJOHNS.EDU
Subject: [TH] A moment of silence


This is to let you all know that Dave Balch's wife passed
away Saturday.
David is one of most respected people in telemedicine these days and is
also the director of the Telemedicine at Eastern Carolina University.
Our thought and prayers from all our friends  in telemedicne community go
out to David.
Peace,
Bob

This is to let you all know that Dave Balch's wife passed
away Saturday.
David is one of most respected people in telemedicine these days and is
also the director of the Telemedicine at Eastern Carolina University.
Our thought and prayers from all our friends  in telemedicne community go
out to David.
Peace,
Bob

Interesting job ?
Bob

The University of New Mexico
Health Sciences Library & Informatics Center

Faculty
Job Title:
Director, Office of Educational Development

Description:
The Director of the University of New Mexico Health Sciences Center (HSC)
Office of Educational Development oversees a complex and integrated
program to ensure that training and education are provided to Health
Sciences Center components to ensure compliance with regulatory training
requirements and HSC policies and procedures. Provides consultation and
technical/professional training expertise to content experts from all
areas of the HSC on educational content and delivery methods to ensure
that learning experiences are based on sound adult learning principles and
new technologies. This is a new faculty position with a primary
appointment in the School of Medicine.

Duties and Responsibilities of Director

--Advises HSC components and educators in the design, delivery, and
assessment of compliance education and training for professional
development of HSC staff and faculty, optimizing new technologies;
--With an advisory committee, sets the strategic direction of the program
by developing policies and assessing educational/training needs of the
Health Sciences Center in order to prioritize consultation efforts;
--Consults with content providers and trainers of targeted programs
regarding:
 Articulation of goals and objectives and organization of content
(training, curriculum);
 Collaboration with trainers and content experts to assure quality in
content delivery;
 Emphasis on asynchronous learning and adult learning principles;
--Trains and consults with content experts in principles of educational
delivery, especially optimizing the use of technology; collaborates with
computing technologies and educational services staff to implement the
program; works with educators to resolve technological issues with content
delivery;
--Directs, manages, and oversees the daily administrative components of
the project; supports units in achieving a uniform system for managing
registrations, fees, budgeting, and record-keeping required for
compliance, credentialing, and notification of faculty and staff for
required training;
--Maintains awareness of national, state, and other requirements for
regulatory compliance

Requirements:

--Doctoral degree at time of appointment
--Documented experience in developing technology-based educational
training interventions

Preferred Requirements:

--Doctorate in Instructional Technology, Educational Curriculum and
Supervision or related educational field;
--Evidence of significant experience in providing advanced
technical/professional leadership or consulting in the field of education;
--Evidence of experience in program management including budgeting,
supervising, creating operating policies and standards;
--Knowledge of federal, state and other regulations governing the clinical
delivery of health care and research;
--Knowledge of the health sciences center environment;
--Evidence of ability to function as a faculty member in the areas of
teaching, scholarship, and research.

Salary:
Salary, rank, and track will be based on the credentials of the incumbent,
but we anticipate appointment at the rank of Lecturer III, non-tenure
track.

Application Process:
Application materials must include a letter of interest detailing the
suitability of your credentials for this position, C.V., and a list of
three professional references with complete contact information.

Electronic application is encouraged. Send to Mary Lujan Kerlee
mkerlee@salud.unm.edu

Send Application Materials To:
Mary Lujan Kerlee, Search Coordinator
The University of New Mexico
Health Sciences Library and Informatics Center
North Campus
Albuquerque, NM 87131-5686
505-272-8687

For More Information Contact:
Diane Wax, Chair of Search Committee, 505-272-0691
dwax@salud.unm.edu

Institutional information:  http://hsc.unm.edu/about/

The University of New Mexico is an Equal Opportunity/Affirmative Action
Employer/Educator

   ----------------------------------------------------------------------
Go to http://lists.psu.edu/archives/deos-l.html for the DEOS-L archives, and to change your subscription options.

DEOS-L is a service provided to the Distance Education community by The American Center for the Study of Distance Education, The Pennsylvania State University. Opinions expressed are those of DEOS-L subscribers, and do not constitute endorsement of any opinion, product, or service by ACSDE or Penn State.

"Pyke, Robert" wrote:

Montana Clinic to use CardioNow solutionsDeaconess Billings Clinic, a
VHA-affiliated medical center in Billings, Montana, has signed a contract
with CardioNow, a healthcare IT company dedicated to providing the
cardiology community with reliable, secure, and cost-effective services
for storing and sharing critical patient images and data. CardioNow will
provide its Cardiac Image and Information Management Services to the
clinic's cardiology department, allowing immediate, online access to
patient records from remote locations

http://www.cardionow.com/

Bob Pyke Jr.,RN,CPNP
Nurse Practitioner
Pediatric Cardiology
Rainbow Babies and Children's Hospital
11000 Euclid Ave
Cleveland, Ohio, 44106
1-216-844-7918
Beeper 31952

Dear Colleagues:

There is a date change for the upcoming AlzOnLine Expert Forum.  It has
been changed from September 19 to September 20, 2002 from 12:00 TO 1:00
PM (EST).

The Expert Forum is a monthly phone conference featuring
speakers from a variety of healthcare and service organizations.

This month's topic is:
Alzheimer's drugs - what are they and do they work?

Our guest presenter:
Josepha A. Cheong, MD
Chief, Division of Geriatric Psychiatry
University of Florida, Department of Psychiatry

For those who haven't already reserved a space in this free telephone
conference, please e-mail AlzOnline.net at info@alzonline.net or call
toll-free 1-866-260-2466 ext 12 or 14

Rob Glueckauf, Ph.D., Director
AlzOnLine

Robert L. Glueckauf, Ph.D.
Professor and Director
Center for Research on Telehealth & Healthcare Communications
Dept. of Clinical and Health Psychology
University of Florida
Tel: 352-265-0680 x4-6880
Fax: 352-265-0468
Toll-free Pager: 877-214-8491
WWW: http://www.hp.ufl.edu/chp/telehealth
             http://www.floridatelecare.com

Bette,
It loads slow, but it does load.
Bob

Every time I try to access this website, it hangs up my computer.   Any
ideas as to why?   Thanks.


Bette A. Ide, Ph.D., RN
Professor, College of Nursing
Coordinator, UND American Indian/Alaskan Native
MS to PhD Nursing Science Bridge
University of North Dakota
Telephone:  701-777-4531;  Fax:  701-777-4096
Email:  bette_ide@mail.und.nodak.edu

Fyi,
This group seems active, maybe that's why they don't return my call or e-mail?
Bob

repyke@infi.net wrote:

Council for Responsible Telemedicine challenges online patient care rulingThe
Council for Responsible Telemedicine, a nonprofit organization dedicated to
educating and enlightening consumers, state regulatory agencies, and governing
bodies about the ethical practice of telemedicine, has challenged a proposed
rule by the Florida Board of Pharmacy. Following a legal challenge by Council
member-company United Mail Pharmacy Services and other petitioners, the Board
has put the proposed rule in abeyance until an October hearing when all
parties will be heard. The rule would ban online pharmacists and pharmacy
owners from providing prescription drugs to consumers whose only contact with
a physician was online. The rule would also allow the Board to fine or take
the license of a pharmacist who did not ensure the patient had actually met
with a doctor in person before issuing a prescription. The Council is arguing
that, if approved, the rule could invalidate patient-physician relationships
established through the Internet and prevent quality online patient care.
United Mail Pharmacy Services challenged the rule before an administrative law
judge, citing a lack of substantial evidence to support the rule, the
limitations of the agency's rule-making authority, and vague language that
makes enforcement nearly impossible. The Council also believes that the rule
questions the validity of patient-physician relationships established online
and contradicts a Florida Department of Health Task Forst on TeleHealth that
recommends the definition of the patient-practitioner relationship be expanded
to specifically include telemedicine relationships.

Marlene Maheu said,
"...Ethical and responsible practice involves fully and openly identifying
oneself and one's credentials to the consumer public, is it not??...Perhaps
one of the "self-regulatory practices" it will advocate among its members
is to use their websites to fully and openly identify themselves to the
consumer public..."

Vitally important statements Marlene!  Thank you for reminding all of us
that truthfulness in any of our online, and/or off line conversations are
vital.  Regardless of our respective degrees, experience and/or
education/professional positions!!  True, I am not a fully licensed
practitioner in Psychology.  I am, however, an APA Graduate Student
Affiliate in good standing and continue to attend university level graduate
psychology courses.  Thus, by being truthful with others, I can be more
truthful with myself and loved ones.

Consumers, especially, must...must have the opportunity to read legitimate
and truthful information from a psychology professional!!  If we presume
that  potential "consumers" will visit a professional's website, then
psychologists must be ethical, truthful and of some help to us consumers.
I would like to see a requirement either by the APA or another regulatory
body to make it a requirement that any/all medical/psychological
information be as aboveboard and technicality correct as possible!  After a
while, even those of us in life-long psychology groups with no intention of
diploma's remain as honest and aboveboard as is conceivably possible!

How can the consumer population be more upfront with themselves unless
professional psychologists and even the educational community are hesitant
to be honest with themselves?  As Cervantes said,  *Honesty is the best
policy.*  And it will always be my belief that if we can't be truthful with
others how can we be truthful with ourselves?  Regardless of whether we're
online or off the computer?

Peace,
Camille


Camille Pierce, Email: scholar@cruzio.com . Amer. Psych. Assoc. Grad
Student;  Articles I've written:  www.shpm.com/; *Seizure Disorders: A
Psychosocial Assessment* www.athealth.com/Consumer/FArticles/Pierce.html

   *Americans venture into sad, uncharted territory as they remember the
   Sept. 11th terror attacks.  (Taken, in part, from the 9/8/02 S.F. Chronicle)

Just FYI....they must be answering some calls!

Two articles published today:

(1) (Health Data Management)   New Group Regulates Internet Consults  


http://209.207.24.203/html/BbriefsStory.cfm?DID=9054

Three companies that dispense medical advice online have formed an organization to self-regulate such activity. Founding members of the Council for Responsible Telemedicine are talking with a dozen similar companies about joining. Initial member companies, which provide online physician consultations and mail order pharmacy services, include AmeriMed Industries, Boca Raton, Fla.; Virtual Medical Group, Morrisville, N.C.; and United Mail Pharmacy Services, Hallendale Beach, Fla


(2) (Today in E-Health Business)    New Coalition Sets New Standards for Telemedicine

http://www.aishealth.com/EHealthBusiness/091002.html#story11

The Council for Responsible Telemedicine, a recently formed Washington, D.C.-based nonprofit organization that informs consumers, states, regulatory agencies and governing bodies about the ethical practice of telemedicine, says it has "established the first standards for online patient care with strict guidelines that ensure minor, nonurgent care is properly administered over the Internet." CRT is a coalition made up of companies that conduct online physician consultations and pharmaceutical treatment. The coalition currently consists of just Virtual Medical Group, AmeriMed Industries and Private Medical Group, but is in the process of recruiting other companies to become members, spokesperson Angel Streeter tells Today in E-Health Business


Respectfully submitted to this list by:
Ruth Johnson
MDLinx Editor 
Living in Kelowna, BC......Teleworking in Washington, DC

http://Psychlinx.com
http://Hospitaladminlinx.com
http://MDLinx.com

I called the phone number listed for the Council for Responsible
Telemedicine establishes online patient care
and all I got was a answering machine saying leave a message, nothing else,
no introduction.
Bob

Strategies for the New Health Care Marketplace: Managing the
Convergence of Consumerism and Technology

Strategies for the New Health Care Marketplace-written by a team of
acclaimed experts-examines the factors changing today's health care
system: the growth in demand for services, the increasing influence of
consumers on how services are provided, and the dramatic new advances in
treatment made possible by technology.

Strategies for the New Health Care Marketplace gives health care
professionals-executives, physicians, managers, and educators-strategic
guidance on better serving patients of the U.S. health care system as it
strives to be more responsive and efficient. It identifies and assesses
the key strategies a wide variety of health care organizations should
consider as they attempt to position themselves for the future.

For more information on Strategies for the New Health Care Marketplace:
Managing the Convergence of Consumerism and Technology, please visit:
http://www.hin.com/store/p1431.html
---------------------------------------------------------------------------

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at info@hin.com.

Copyright 2002 Healthcare Intelligence Network. While we encourage
you to forward this email to your friends and colleagues, these articles
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You are currently subscribed to hin-update as: datdnt59@cs.com
To unsubscribe send a blank email to
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I tired to contact them via e-mail, I 'll let you know if they respond.
Thanks for all the comments.
Bob

The University of Florida's Alzheimer's Caregiver Support Project,
AlzOnline.net, is pleased to announce its next Expert Forum, September
19, 2002 from 12:00 TO 1:00 PM (EST).

The Expert Forum is a monthly phone conference featuring
speakers from a variety of healthcare and service organizations.  The
forum is sponsored by the UF Center for Research on Telehealth and
Healthcare Communications and the Florida Dept. of Elder Affairs.

This month's topic is:
Alzheimer's drugs - what are they and do they work?

Our guest presenter:
Josepha A. Cheong, MD
Chief, Division of Geriatric Psychiatry
University of Florida, Department of Psychiatry

To reserve a space in this free telephone conference,
please e-mail AlzOnline.net at info@alzonline.net or call toll-free
1-866-260-2466 ext 12 or 14.

Hope you can join us,

Rob Glueckauf



Robert L. Glueckauf, Ph.D.
Professor and Director
Center for Research on Telehealth & Healthcare Communications
Dept. of Clinical and Health Psychology
University of Florida
Tel: 352-265-0680 x4-6880
Fax: 352-265-0468
Toll-free Pager: 877-214-8491
WWW: http://www.hp.ufl.edu/chp/telehealth
             http://www.floridatelecare.com

Hi All:

Marlene Maheu wrote on 09-08-02:

I agree with you completely. Who are these people? I searched the Council for
Responsible Telemedicine website for names of founders/members, and found none.
If it is there, it is not readily listed on the homepage. If it is there, it is
not readily listed on the homepage
http://www.councilforresponsibletelemedicine.org



I couldn't find any professional contact information on their website either.
Their media contact works for TransMedia Group <http://www.transmediagroup.com>,
the PR firm for Krispy Kreme, Jordache & U.S. Polo Association. This may well be
another commercial "certification" venture rather than a genuine professional
organization.

A WHOIS search reveals that Michael Hendrickson
<michaelbhendrickson@hotmail.com> created the domain name on 07-30-02 at the
same address as the organization. You may want to drop him a line & ask for more
details if you're interested. I hope that this helps. Please Take Care & Be
Well.

Barry
__________________________________
Barry L. Gordon, PhD
Editor, California Psychologist
Clinical & Consulting Psychologist
mailto:cyberdoc@attbi.com

This article got my attention for all the wrong reasons.
We in the telehealth community are small but professional community and we
all know each other and we are a ethical group
of professionals.
What bothers mean is some one violated this trust and now we need a
organization because of that.
Sigh!, a sign of the times?
Bob


                                The newly formed Council for
     Responsible Telemedicine, a nonprofit
                                organization dedicated to educating
     and enlightening consumers, state regulatory
                                agencies, and governing bodies about
     the ethical practice of telemedicine, has
                                officially established standards for
     online patient care, with strict guidelines that
                                ensure minor, non-urgent care is
     properly administered over the Internet. The
                                use of US-licensed physicians,
     preventing children from acquiring medications,
                                and offering treatment plans that do
     not include narcotics, controlled substances,
                                or any other medications requiring
     physical examinations are among the
                                self-regulatory actions being adopted
     by the Council's members. The council
                                has also developed tools to both guide
     online conduct and remedy member
                                infractions. The Council's
     comprehensive Code of Ethics is available through its
                                website. The Council brings together
     companies with long-term commitments to
                                improving the telemedicine industry's
     reputation


     http://www.councilforresponsibletelemedicine.org/

You have the wrong person I think!


************************************************
Telehealth List Guidelines             September 2002
*************************************************

The Telehealth Guidelines are regularly posted to the list.

CONTENTS
    I.     AGREEMENT FOR PARTICIPATING
    II.    TOPICS TO BE DISCUSSED ON THE TELEHEALTH LIST
    III.   IF YOU CHOOSE TO PARTICIPATE
    IV.  TELEHEALTH POLICY STATEMENTS
    V.   ENFORCING LIST RULES
    VI.   LISTSERV HOW TO
    VII.  NETIQUETTE
    VIII. WARNING AND DISCLAIMER
    IX.   TELEHEALTH WEBPAGE
    X.    MAELSTROM LISTOWNER POLICY

I. AGREEMENT FOR PARTICIPATING
Telehealth is a loose "sounding board" for professionals with an
interest in applications of psychology with the Internet.
As a subscriber, you agree to adhere to the following guidelines as a
condition of your subscription.

II. TOPICS TO BE DISCUSSED ON THE TELEHEALTH LIST

Telehealth is a professional forum for the discussion of telehealth
services and technologies. More specifically, telehealth includes
the electronic transmission of medical and mental healthcare
information between professionals; and between practitioners
and patients.

  Some examples of relevant topics may include the following:

§     national and international telehealth law,
§     telehealth ethics including security and confidentiality,
§     telehealth usage and demographic data,
§     technological advances and developments,
§     positive and negative influences in the lives of users,
§     new additions to terminology and symbols related to new
        behavioral patterns resulting from telehealth,
§     positive and negative influences of current and innovative
        forms of telehealth technology,
§     funding resources in both the private and public sectors,
§     innovative uses of telehealth technology to treat
        identified disorders,
§     reviews of resource sites, newsletters, and mail groups
        related to telehealth,
§     research into comparative effects of visual and auditory
        information in consultation and distance learning,
§     discussion of the role of interpersonal dynamics
        including defense mechanisms in telehealth technologies,
§     bandwidth, transmission, and encryption issues,
§     interface design, hardware and access routes,
§     medical records design and usage,
§     comparative role of system integrators and equipment manufacturers,
§     pilot project design, implementation and outcome assessment.

III. IF YOU CHOOSE TO PARTICIPATE

1. You do not have to be a trained healthcare professional
    to participate on this list. We encourage all points of view.
    We ask however that you do not hold yourself out to be a
    practicing clinician, either by implication or omission of
    fact, unless you are so credentialed.

2. We suggest that you post a short introduction stating how
    you'd like to be addressed, what you do, what you'd like
    to be doing, and what you are seeking from this list.
    Giving the specifics of your credentials, training,
    years in practice, and the exact nature of the service
    you deliver is helpful.

3. If possible, develop and use a signature file with your email that
    includes the state or country from which you work, your license
    number if you are licensed, and your full name and email address.
    If you are licensed, please post your license number in your
    signature. Keep your signature files limited to no more than six
    lines. If you are unable to use a signature file, please post your
    name and credentials at the end of each post.

IV. TELEHEALTH POLICY STATEMENTS

1. Members who consistently ignore or violate common
    Netiquette as outlined in Section VII shall be denied
    membership.

2. Members must clearly identify themselves. Members are not permitted to
    use an alias or otherwise conceal their true identity.

3. Any member using the Telehealth subscriber list to bypass the
    listserv to send private email to the list subscribers for any
    purpose at any time, will be subject to the immediate removal from
this list.

4. Anyone on moderated status who re-subscribes under another
    name/address to circumvent the moderated status, regardless
    of their motive, will be permanently unsubscribed.

V. ENFORCING LIST RULES

To facilitate respectful discussion, essential Netiquette
policies will be enforced in the following manner at the sole
discretion of the listmanager:

1. First you will receive a courtesy warning from the list
    owner or administrator, and possibly asked to refrain from
    posting to the list for a week. If you post nonetheless,
    you will be permanently removed from the list.

2. If for any reason you post a public complaint about the
    courtesy warning, however veiled, you will be permanently
    removed from the list.

3. If asked to refrain from posting for a week and you
    comply, you may simply begin posting to the list again.
    However if the unacceptable behavior is repeated, you will
    be permanently excluded from participation in the list
    without further warning.

VI. LISTSERV HOW TO

It is important that you understand the difference between the
two listserv email addresses. Messages that are intended for the
list to read are sent to TELEHEALTH@MAELSTROM.STJOHNS.EDU
and messages intended to send commands to the listserver are sent to:
LISTSERV@MAELSTROM.STJOHNS.EDU

Read the following carefully.

* HOW TO POST TO THE GROUP
   Send an email message to: TELEHEALTH@MAELSTROM.STJOHNS.EDU

* HOW TO SEND A COMMAND TO THE LISTSERV
   Send an email message to: LISTSERV@MAELSTROM.STJOHNS.EDU

* HOW TO UNSUBSCRIBE
   Send an email message to: LISTSERV@MAELSTROM.STJOHNS.EDU
   In the body of the message, type: SIGNOFF TELEHEALTH

* HOW TO TELL YOUR FRIENDS TO SUBSCRIBE
   Send an email message to: LISTSERV@MAELSTROM.STJOHNS.EDU
   In the body of the message type: SUB TELEHEALTH <firstname lastname>

* HOW TO SET LISTSERV OPTIONS
   Send an email message to: LISTSERV@MAELSTROM.STJOHNS.EDU
   In the body of the message type: SET TELEHEALTH <option>
   The following are possible options:
           Option                  Description
        ACK / NOACK / MSG   - Acknowledgements for postings
        CONCEAL / NOCONCEAL - Hide yourself from REVIEW
        Mail / NOMail       - Toggle receipt of mail
        MIME / NOMIME       - Prefer/avoid MIME format
        REPro / NOREPro     - Copy of your own postings

        DIGests/INDex/NODIGests/NOINDex - Ask for digests

    Options for mail headers of incoming postings (choose one):
        FULLhdr  - "Full" (normal) mail headers
        IETFhdr  - Internet-style headers
        SHORThdr - Short headers
        DUALhdr  - Dual headers, useful with PC or Mac mail programs
        SUBJecthdr - Normal header with list name in subject line

Informational commands:

HELP TELEHEALTH - Obtain a list of commands
REV TELEHEALTH  - To see who is subscribed to the specified list

More information on LISTSERV commands can be found in the
LISTSERV Reference Card, which you can retrieve by sending an
INFO REFCARD command to the Listserv at
LISTSERV@MAELSTROM.STJOHNS.EDU

If you have questions of a technical nature you may send
them to Marlene Maheu <drm@telehealth.net>

VII. NETIQUETTE

Holding a discussion online is vastly different than a face to
face discussion. It is easy to misinterpret a comment that is
read as you are missing facial expressions, body language and
vocal inflections. This list employs a series of guidelines we
call "Netiquette" to help make your message come across as you
had intended. In a word, polite. We ask that you please read
over and adhere to these guidelines.

1. FORMAT:
Informal, but thoughtful - don't send a note until you have taken
time to review its contents and header. Make sure your note is
correctly addressed, that it is free of typos, and that you mean
what it says.

2. SENSITIVITY:
Remember there are human beings with feelings who read your
messages.

3. SUBJECT LINE:
Give your message a meaningful and accurate subject line
descriptor. This will eliminate tedious sorting through mail by
subscribers not drawn to a topic.

4. FORWARDING MAIL:
Make sure the list from which you draw postings allows such re-
posting.

5. USING HUMOR:
Please be *very* cautious about using sarcasm and humor. Without
nonverbal cues and voice tone, "subtle" humor can easily be
interpreted as searing sarcasm.

6. COPYRIGHT:
Copyright is still hotly debated, so don't assume you are keeping
your information copyright, even if you sign it with a copyright
notice. Don't post trade secrets. Please understand that all
files are owned by Pioneer Development Resources, and are publicly
accessible through various websites online. PDR will not protect
your copyright under any circumstances. If you have extensive or
sensitive information to share, please post on a webpage and refer
list readers to your page. If you send something to a list, it can very
well
reappear somewhere else, probably where you most don't want it....

7. CONTEXT AND QUOTES:
Include the points to which you are responding in the text of your
reply by quoting a little with your mail reader or summarizing.
St. Johns University houses our list. It's resources are stretched
with over 750 lists. So please delete all but critical portions of
mail you are citing. Please only quote as much as is germane to
your reply, and do NOT re-post an entire message. Write private
notes when you need to agree or apologize to a specific list
member - don't post to the entire list. Use professional
guidelines in citing references. Also be aware that only 4 emails
can be sent to the list by any individual in a 24 hour period.
Therefore, you should plan your postings carefully if you are
involved in a discussion.

8. ATTACHMENTS:
Please do not send attachments to the group - not all email
programs are able to handle attachments and will crash.

9. RESPONSE TIME:
Please check and respond to your E-mail regularly if you choose to
participate.

10. RESPECT OTHERS:
Be respectful of differences. This list consists of non-
professionals and professionals, givers and receivers of
psychotherapy, US and non-US citizens, individuals with English
and non-English as a first language; and a multitude of
professionals with various professional designations who answer
to different ethics codes, state laws, federal laws, and are all
experimenting with the multitude of nuances thereby possible in a
Global Community.

Be aware that not everyone thinks like you do so don't expect
the list to agree with everything you say. There will be differing
opinions. Respect the opinions of others even if you do not agree.

11. DEBATE:
Use logic, and feel free to challenge other people's logic. If
they are using non sequiturs, let them know. Stick to the facts,
cite someone's words and respond to them, not your own assumptions
and fantasy of what they are saying or implying. Do so in a
professional and non-confrontive manner.

12. OBSERVE EMAIL BEHAVIOR:
Use your clinical sense when observing email behavior. While much
of email discussion is standard interaction, this new medium does
involve new behavioral possibilities. Feel free to comment on such
behavior - it is part of our Charter as defined above. Just be
respectful.

13. FORGIVE ACKNOWLEDGED ERRORS:
Sometimes what may look like distortions are simply errors in
assumption. Be aware that repeated errors in assumption can be
damaging to a colleague in email because much like the
*telephone effect,* distortions of any nature can eventually be
considered fact.

Putting anyone in a position of having to write additional posts
to defend or correct misinformation you presented as *fact* is
disrespectful and can lead to your removal from this list. Check
your facts before responding to posts criticizing a colleague's
position.

14. DOUBT:
If in doubt regarding a colleague's position, please ask for
clarification. In the absence of answers to questions, ask again,
but if no answer is forthcoming, respect others enough to
disengage from the topic publicly. Remember that answering email
is a choice, not an obligation.

15. FLAMING:
Flaming will not be tolerated on this list and flamers will be
subject to removal. Accept full responsibility for your
participation. Even if you get "flamed", you will live,
and can continue to contribute. If you are upset by someone's
posting, sleep on it, talk it over with a few colleagues, and
then decide what to do. If you decide to respond, present facts,
not attacks. One way to avoid such unpleasantness is to comment on
issues, not people. Use basic psychological principles of
communication -- and being polite is the first rule of order.

16. SPAMMING:
Spamming is the Internet term that refers to the sending of
unsolicited email generally an advertisement but may also be a
form of "Soap Box". No member may use the list of Telehealth members
to send unsolicited email (spam). The list is private and each
member has the expectation that their subscription to Telehealth
will not expose them to unwanted email. Members found to be
spamming shall immediately be removed from this list and quite
possibly removed from all lists hosted by St. John's University.

17. PROFESSIONALISM:
Please realize that *thousands* of people may eventually see your
messages as archived for future decades. They may include
individuals you know, clients, or someone you may employ or seek
employment from in the future. Information blindly or impulsively
posted may come back to haunt you.

VIII. WARNING AND DISCLAIMER

This list is not intended to be a replacement for professional
consultation or supervision, nor is it a professional
publication. Individuals seeking professional journal
references would do well to seek information in traditionally
recognized sources. It is also not intended to offer direct
psychological advice or supervision to any individual. As a
condition of participation, you must accept responsibility for
your own reactions and related behavior, regardless of what you
read from this list.

Neither Telehealth, the list owners, administrators, assistants or
their delegates; nor contributors can be held liable in any way
for any information and/or data made available, or omitted,
from any and all information distributed through this forum.
Information distributed is not checked for accuracy. By
continuing to remain subscribed to Telehealth, you agree to hold
harmless the all above named parties against any and all
liability for any action that you may or may not take; and any
and all other consequences regarding all postings, regardless
of the cause, effects, or fault of any of the parties. We are
all here to help one another and the profession, but will act
and accept full responsibility for ourselves as individual
agents.

IX. TELEHEALTH WEBPAGE

Telehealth has a web page. There you will find these guidelines
as well as listserv commands, SJU listowner policy statement and
access to the Telehealth archives. The URL:
http://www.shpm.com/ppc/telehealth1.html

X. MAELSTROM LISTOWNER POLICY

St. John's University owns the Maelstrom Listserver
which is host to over 700 lists. Each list is
independently owned and managed. SJU leaves list
management to the Primary List Owner who is responsible
for compliance with the policies of the lists on
Maelstrom. The SJU listserver requires its list owners
to inform list members of its "Love it or leave
it" policy. The primary list owner is responsible
for the policies and conduct of their individual lists.
If members do not agree with these policies, they are
free to leave the list at any time. Of the policies
each list owner must adhere to, the following two are
important for list members to be aware of as well.

Excerpt from the PRIMARY LIST OWNER RESPONSIBILITIES

3) The Primary List Owner is the only person authorized
to contact the Maelstrom Postmaster concerning his/her
mailing list, except to notify the Postmaster of the
loss of a Primary List Owner from a mailing list.

9) The Maelstrom Postmaster is the final authority of
all lists hosted by the St. John's University Maelstrom
server. Those who do not agree with his/her decisions
are free to leave the Maelstrom system.

If you accept the above terms, Welcome Aboard! Please watch
messages for a few days, and then begin communicating with
other list members.

--
Marlene M. Maheu, Ph.D.
drm@telehealth.net
http://telehealth.net
http://shpm.com
Telehealth Administrator

Bob Pyke Jr.,RN,CPNP
mailtp:repyke@akron.infi.net
Telehealth Co-administrator
Telehealth List is Owned by
Pioneer Development Resources, Inc.

*****
     Telehealth Netiquette Guidelines and Subscription Information:
                  http://shpm.com/ppc/telehealth1.html
        The posts to Telehealth are the opinions of the authors.
*****

REPYKE@INFI.NET wrote:

Journal: European Journal of Cardio-Thoracic Surgery

Headline: Telemedicine for cardiac surgery candidates

Abstract: Conclusion: Initial experience using non-sophisticated telemedical transmission of angiograms of cardiac surgery candidates seems to be a promising facility for distantly located centers

For the full abstract, visit: http://www.nplinx.com/thearts.cfm?readurl=&artid=404120&specid=33

MDLinx is the most convenient way to keep up-to-date with medical news
without spending valuable time searching for information. Registration is quick and easy. Just visit: http://mdlinx.com/registerg.cfm  or  http://www.mdlinx.com and get the most current medical news from premier medical journals.

       Hello. My name is Ryan Sheldon. I am currently a sophomore and North Kansas City High School and I am involved in the varsity debate team. The debate topic this year is providing mental health services to the public. In my research I have found that people who live in rural communities have about the same percentage of mental illness of those living in urban areas. Telehealth seems to me to be the best solution to deliver these people quality care at a relatively cheap price and without much traveling. I would love to learn more about the Telehealth program and what is currently going on with the program in the status quo. Any information is much appreciated. Thank you
                                                                                                           Sincerely,
                                                                                                       Ryan SheldonGet more from the Web.  FREE MSN Explorer download : http://explorer.msn.com

Nancy:  Thanks for seeing to my request.  I look forward to reviewing some
of that information on the TIE site.

Terry

-----Original Message-----
From: Nancy Brown [mailto:brown@TELEMED.ORG]
Sent: Tuesday, August 27, 2002 6:23 AM
To: TELEHEALTH@MAELSTROM.STJOHNS.EDU
Subject: [TH] Successes and Failures

Hello - regarding Terry's request about the proceedings from Successes and
Failures 2002, I have just received a copy of the proceedings from the
editor, and we will be entering a summary of each abstract into the
Telemedicine Information Exchange (TIE) Bibliographic database
(http://tie2.telemed.org/biblio/). The proceedings will be published as a
supplement of the Journal of Telemedicine and Telecare (JTT), or can be
ordered from the Royal Society of Medicine, http://www.rsm.ac.uk/pub/jtt.htm
however they have not set a price as yet.

Just FYI, we always try to include any meeting abstracts in our
Bibliographic database, both those published in the JTT for the
International TeleMed conference held annually, and those from the ATA
conference.  We also include many of the IEE and SPIE conference abstracts.

Nancy Brown   brown@telemed.org
Telemedicine Research Center, Portland, OR
Telemedicine Information Exchange (TIE): http://tie.telemed.org
---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.381 / Virus Database: 214 - Release Date: 8/2/2002

Hello - regarding Terry's request about the proceedings from Successes and
Failures 2002, I have just received a copy of the proceedings from the
editor, and we will be entering a summary of each abstract into the
Telemedicine Information Exchange (TIE) Bibliographic database
(http://tie2.telemed.org/biblio/). The proceedings will be published as a
supplement of the Journal of Telemedicine and Telecare (JTT), or can be
ordered from the Royal Society of Medicine, http://www.rsm.ac.uk/pub/jtt.htm
however they have not set a price as yet.

Just FYI, we always try to include any meeting abstracts in our
Bibliographic database, both those published in the JTT for the
International TeleMed conference held annually, and those from the ATA
conference.  We also include many of the IEE and SPIE conference abstracts.

Nancy Brown   brown@telemed.org
Telemedicine Research Center, Portland, OR
Telemedicine Information Exchange (TIE): http://tie.telemed.org
---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.381 / Virus Database: 214 - Release Date: 8/2/2002

Fyi,

>From http://www.mdlinx.com
Bob

This is a courtesy service provided by MDLinx,
where "Your Specialty is Our Specialty."

Journal: Australasian Psychiatry

Headline: E-health responses to common mental disorders in primary care: experiences with 'beyondblue' and 'SPHERE'

Abstract: Objective: To highlight opportunities for enhancing mental health services in primary care through utilisation of e-health systems. Specifically, an information-based website (provided by 'beyondblue: the national depression initiative') and a web-based support system for general practitioners (provided by 'SPHERE: a national depression project') are described...Conclusions: Recommendations regarding potential roles for e-health systems in association with Australian primary care are outlined

For the full abstract, visit: http://www.nplinx.com/thearts.cfm?artid=402604&specid=33
MDLinx is the most convenient way to keep up-to-date with medical news
without spending valuable time searching for information. Registration is quick and easy. Just visit: http://mdlinx.com/registerg.cfm  or  http://www.mdlinx.com and get the most current medical news from premier medical journals.

Bob:  It appears this conference has already been held.  Is there a report,
or minutes that can be viewed?  Many thanks.

Terry K. Baines
Telehealth Coordinator
State of Alaska, DHSS
(907) 465-8505
terry_baines@health.state.ak.us


-----Original Message-----
From: Bob Pyke Jr [mailto:repyke@INFI.NET]
Sent: Thursday, August 22, 2002 8:27 PM
To: TELEHEALTH@MAELSTROM.STJOHNS.EDU
Subject: [TH] Successes & Failures in Telehealth - 2002 Program


"Pyke, Robert" wrote:

Successes & Failures in Telehealth - 2002 Program.url

 http://www.coh.uq.edu.au/coh/conference/sft/2002/program.html

"Pyke, Robert" wrote:

Successes & Failures in Telehealth - 2002 Program.url

 http://www.coh.uq.edu.au/coh/conference/sft/2002/program.html

FYI:

Several counsellors just completed the 6-week online course I recently
offered: "Cybercounselling Level 1." Participants and facilitators alike
thoroughly enjoyed the process and learned a great deal! We'll be running
the course again starting Sept 5. This time, Kate Collie, who is a foremost
expert in online group art therapy research, will be running one of the
sessions.

For more info about the Sept 5 - Oct 24 course, go to
http://www.therapyonline.ca/training/coursedescription.htm.

Here are some of the comments we have received from participants:

" 'You' (plural) [the facilitators] were wonderful. The layout is clear and
sequential. I found it a blessing to have such structure.... I appreciate
the way that I can 'hear' your voice in your instructions."

"There is nothing that I can think of that I had hoped we would learn but
didn't. I was most interested in learning clinical skills. I believe that I
got that and much more."


Dan L. Mitchell, MA, CCC
mitchell@therapyonline.ca
www.therapyonline.ca
(toll free) 1-888-437-2794
(Vancouver) 604-984-2393
(fax) 604-984-2391

Secure e-mail for professional helpers
and their clients www.PrivacEmail.com

Fyi,
Bob
To view the entire article, go to
http://www.washingtonpost.com/wp-dyn/articles/A45823-2002Jun1.html

 Intensive Care, From A Distance

 By David Brown
  NORFOLK -- Virginia M. Robinson, 76, has just arrived at the intensive
care unit of Hampton
General Hospital after fainting from an abnormal heart rhythm. She is
scheduled to get a
pacemaker in the morning. Nimit Aggarwal, one of her doctors, takes a peek
at her.

  An image of a woman lying in a bed appears on a computer screen at the
console where Aggarwal
sits. The doctor moves the computer mouse and the image changes. He focuses
in on a bedside
monitor and examines the woman's electrocardiogram.

  Shannon Lavender, a critical-care nurse at a nearby computer, scrolls
through Robinson's lab
results and notes aloud that the bloodstream potassium is low -- a
potentially serious problem
for heart patients. Aggarwal orders a potassium supplement and another
blood test in the
morning. Lavender picks up the phone and tells the nurse at Robinson's
bedside to keep an eye
out for the orders, which will be coming over the ICU's fax machine
momentarily.

  Aggarwal clicks off Robinson's image and moves on to his next patient, a
man in the ICU at
Norfolk General Hospital, which is 15 miles from Hampton General and 12
miles from the suburban
office park where Aggarwal and Lavender sit.

  Slightly surreal scenes like this occur every day, nearly round the
clock, at Sentara
Healthcare, a chain of hospitals serving southeastern Virginia. It's the
first place in the
country to create an "electronic ICU" (eICU) where specialist physicians
and nurses monitor and
help treat critically ill patients in widely scattered hospitals.

  The concept of "telemedicine" -- everything from reading X-rays to
performing surgery from a
distance -- has gotten much attention over the past decade. Many of its
applications are little
more than high-tech gimmicks. But remote management of ICU patients may
offer advantages on
several fronts. It could reduce medical errors by increasing vigilance on
gravely ill patients,
and it could cut costs by decreasing the rate of complications and
shortening hospital stays.
It could also help compensate for the growing shortage of intensive care
specialists.

   The system, created by a Baltimore company called VISICU, doesn't
substitute for on-site ICU
care. It doesn't eliminate the responsibility or authority of physicians at
the bedside. What
it does is keep trained eyes and brains on patients for whom catching
problems early can mean
the difference between life and death.

  Sentara's eICU receives information on occupants of four ICUs at three
Sentara institutions
-- a total of about 50 patients. Virtually all the bedside data -- from
vital signs and current
prescriptions to the settings of ventilators and intravenous pumps -- come
to the eICU in real
time. Also available in electronic form is the history of the patient's
illness and treatment,
lab results and chart notes made by the doctors and nurses doing the
hands-on care. Video and
audio links give the eICU staff the ability to look at the patient and talk
with caregivers.

  "This is something that's added on top of the care. We amplify the effect
of the bedside
team; we don't replace it," said Gene H. Burke, the Sentara critical-care
physician in charge
of integrating VISICU's system into the hospital operations.

   "I believe it's truly revolutionary, and it's the right thing at the
right time," John W.
Hoyt, an intensive care physician and former president of the Society of
Critical Care
Medicine, said of the eICU concept. "Some form of bedside vigilance will be
the standard in the
future. How much will be done by telemedicine and how much by the
geographic presence of a
physician is uncertain."

  Critical-care physicians are in short supply in the United States, and
the problem is
expected to get worse as the baby boom generation ages. (The majority of
ICU patients are over
age 65.) A recent study predicted that by 2020, the supply of critical-care
"specialist hours"
will be 22 percent below demand, and in 2030 it will be 35 percent short.
The nursing shortage
has also forced some hospitals to staff ICUs with less-experienced nurses
than in the past.

  About 4 million Americans are admitted to intensive care units each year,
and about 500,000
die in them. ICUs staffed exclusively by critical-care specialists have
lower mortality rates
than ones where primary care doctors or surgeons manage the patients. For
some illnesses or
conditions, mortality is three times higher in units staffed with doctors
who are not intensive
care specialists, as opposed to those staffed only by specialists. A study
published last year
estimated that about 54,000 lives could be saved if all American ICU
patients were treated only
by critical-care physicians.

   Norfolk General recently compared the experience of two of its ICUs
before and after they
were connected to the eICU. In one, six-month mortality fell by 28 percent,
and in the other,
it fell by 21 percent. When the total number of people admitted to all four
units last year is
considered, statistics suggest that about 90 people survived who previously
would have died.

  Most of the patients in the Sentara ICUs have a critical-care doctor
caring for them, but
those practitioners aren't in the units all the time, or at night.
Generally, they're lung
specialists who also have office hours and visit their ICU patients once or
twice a day. The
eICU is shut down between 7 a.m. and noon, when those doctors are most
likely to be at, or
close to, the bedside of their critically ill patients.

  At all other hours, the eICU, which is in the Interstate Industrial Park
on the
Norfolk-Virginia Beach border, is open for business. The physician and
nurse there are
constantly doing rounds, looking for problems or responding to ones noticed
by the nurses at
the patients' bedsides. In addition to making the specialist immediately
available, the VISICU
system also provides the eICU doctor instant access to a large,
custom-built database of
clinical guidelines and medical texts to help guide treatment.

   The system was designed by two critical-care physicians at Johns Hopkins
and tested in 1997
at Bayview Medical Center in Baltimore. For 16 weeks, the doctors monitored
and managed from
their homes the care of patients in a 10-bed surgical ICU. The patients'
surgical teams
retained primary responsibility for their care.

  The ICU mortality rate fell by about half, and hospital mortality by
about one-third,
according to a study published in the journal Critical Care Medicine two
years ago. Length of
stay and cost of ICU care also fell by about one-third -- outcomes with
potentially large
financial impact on hospitals.

  "It was not like we were making esoteric diagnoses in the middle of the
night. It was doing
small interventions that was really the pot of gold," said Brian A.
Rosenfeld, one of the
doctors.

  Rosenfeld and his colleague subsequently left Hopkins and founded VISICU.
Bayview hired a
full-time critical-care physician to work in the surgical ICU and is
considering buying the
updated version of the eICU, said Reuven Pasternak, vice dean of the
hospital.

  The system has obvious appeal to isolated hospitals. (The company is
finishing negotiations
with the U.S. Army, which plans to monitor ICU beds on Guam from a military
hospital in
Hawaii.) But VISICU is also marketing it to academic medical centers. The
hospitals affiliated
with Columbia and Cornell medical schools in New York recently contracted
to get eICUs.

  Somewhat counter-intuitively, gravely ill patients in intensive care are
ideal candidates to
treat from a distance. More is known about their minute-to-minute
physiological state -- and
more can be done about it -- than any other patients in the hospital.

  Vital signs -- heart rate, respiratory rate, blood pressure and
temperature -- are taken at
least every hour on ICU patients. Devices attached to their fingers
calculate the level of
oxygen in their blood. Some have sensors threaded into the heart, providing
information on its
function. Non-routine tests, such as blood acidity measurement, can be done
quickly. Virtually
all have multiple IV lines running fluids in and bladder catheters
collecting urine that comes
out.

  Grave conditions such as bloodstream infection (sepsis), internal
bleeding and respiratory
failure are usually well established before they announce themselves in
alterations of blood
pressure, heart rate and oxygenation. When such basic indicators drift
toward the abnormal,
they're often signaling a profound and dangerous new "trajectory" in a
patient's physiology.
That's why catching trends early, and addressing them quickly, is so
critical in critical-care
medicine.

  In the eICU, each patient has a main computer screen that displays the
data in ways that make
trends easy to spot. Visual alarms sound when vital signs, lab test results
and other measured
data deviate from the person's baseline (which is defined in various ways).
Drugs, allergies,
medical history and recent procedures are listed on the main page. A log
gives the date when
each intravenous line or other device was placed, reducing the chance one
will be left in
longer than necessary.

  In many ways, the data available in the eICU are in a form more easily
comprehended than
what's available at the bedside in most ICUs. There are more than numbers,
however. A movable
video camera at ceiling level in each room allows someone in the eICU to
look at the patient
and even to focus in closely enough to read the writing on bags of
intravenous fluids hanging
next to patients. (The nurse and doctor have doorbell-like noisemakers they
ring when they
"enter" a room.)

  As big a hurdle as the technology, say the VISICU designers, was
convincing doctors an eICU
wasn't a threat to their autonomy or a hazard to their patients.

  Before the eICU was opened, Sentara defined four levels of intervention
that doctors taking
care of the patients in the ICU could cede to colleagues working in the
eICU. At the most
restrictive level, the eICU staff could only monitor a patient. Even
ordering a blood test
required the primary physician's permission. At the most liberal, the eICU
could diagnose and
treat infections, shock and abnormal heart rhythms, and even order
procedures.

  When the system was first installed, about half of the 75 doctors who are
the primary
providers of care in Sentara's ICUs gave high-level authority to the eICU.
Now, 18 months
later, about 90 percent do.

  Whether ICU telemedicine will give birth to a new species of medical
mistakes remains to be
seen. Some of the lab results come into Sentara's eICU via fax and must be
typed into the
electronic record by a clerk, adding a new opportunity for human error.

  On a recent visit, two patients' emergency room reports, also transmitted
by fax, were
inadvertently stapled together. Aggarwal, the eICU doctor, briefly confused
two patients,
looking at a patient who he thought was in hypertensive crisis and seeing a
man lying placidly
in bed with bruises on his hands. He focused the camera on the IV pole and
saw no
anti-hypertensive drugs hanging.

  This time, the picture didn't fit the story. He was looking at an elderly
man who had hit a
tree on a scooter. He quickly diagnosed a paper mix-up.

  "Now it's making much more sense," he said as he moved on to the right
room.

Ken wrote:

A group of leading Doctors and international business execs formed FONEMED
in 1996 primarily to set up tele-health information networks in the
developing world. Our web site (www.fonemed.com) describes our services. We
would be pleased to share information with you and would be interested in
seeing your dissertation on this important subject.

Ken Bleakley
President and CEO
FONEMED
6008 SW 152 St
Miami, FL 33157
Tel: (786) 573 0107
Fax: (530) 325 4250
E-Mail: bleakley@fonemed.com
www.fonemed.com


Fyi,
Bob

This is a courtesy service provided by MDLinx,
where "Your Specialty is Our Specialty."

Journal: Expert Opinion in Pharmacotherapy

Headline: Tuberculosis therapy and telemedicine

Abstract: The application of telemedicine to DOT promises considerable cost and time savings

For the full abstract, visit: http://www.nplinx.com/thearts.cfm?readurl=&artid=399834&specid=33  </a>

MDLinx is the most convenient way to keep up-to-date with medical news
without spending valuable time searching for information. Registration is quick and easy. Just visit: http://mdlinx.com/registerg.cfm  or  http://www.mdlinx.com and get the most current medical news from premier medical journals.

To keep up with the latest developments in your specialty,
sign up for MDLinx's FREE daily newsletters, available at
www.NPLinx.com//index.cfm?go=register&reggo=add

Fyi,
Might be of interest
Bob

Dear Bob:

I am currently a doctoral student at Loyola University Chicago, Institute
for Health Law.  My research focuses on developing new
economic and legal models for commercial cross-border telemedicine
applications, particularly those where the recipients are
located in developing countries.  To date the vast majority of
international telemedicine networks are pilot projects, funded mostly by
private grants and government/NGO subsidies, while only a small number of
networks focus on self-sustaining commercial
applications.  I was wondering if anyone in the Telehealth forum has any
experience creating commercial telemedicine networks
involving health care facilities in developing countries.  My dissertation
is expected to be published in the U.S. in March 2003 and in
Europe in June.



I would greatly appreciate any information regarding this topic.



André C. Frieden, MS JD LLM

Tel: 312.373.1448

Cell: 312.961.5917

Loyola email: afriede@wpo.it.luc.edu

Alternate email: afrieden@safoundation.org

One of the great things about being co administrator of  the Telehealth and
E-health list serves and the assistant editor of the telehealth news
letter, is that I get to work with a lot of great people like Marlene,
Michael and Dimple.
It also gives me the chance to talk to some influential people in
telemedicne today.

I was talking with a friend today at the telemedicne program at Eastern
Carolina and she mentioned that David Balch was of taking off for a while
to care for a sick family member.

David, the director of telemedicne at Eastern Carolina is one of those rare
human beings that has influenced me in telemedicne.
See http://www.telehealth.net/interviews/balch.html for David Balch.

If you know David and Lori and Kristen, then you know they are people who
care and are committed to telemedicne.

You may want to drop him a line and let him know your concern from our
community of telehealth professionals, at BALCHDA@mail.ecu.edu.

Thanks,
Bob

Rob, I seem to miss all of these ; are they recorded? They sound so
excellent & I have a personal interest( Have you noticed?!) thx, SD

-----Original Message-----
From: Robert Glueckauf [mailto:rgluecka@HP.UFL.EDU]
Sent: Thursday, August 15, 2002 9:46 PM
To: TELEHEALTH@MAELSTROM.STJOHNS.EDU
Subject: [TH] Free Phone Conference: The Initial Visit to the Doctor for
a Dementia Work-up

Dear Colleagues:

The UF Center for Research on Telehealth & Healthcare Communications'
Alzheimer's Caregiver Support Online, AlzOnline.net, is pleased to
announce its next Expert Forum, August 22, 2002 from 12:00 TO 1:00 PM
(EST).

The Expert Forum is a monthly phone conference featuring dementia care

experts from a variety of health care and service organizations.

This week's topic is:
The Initial Visit to the Doctor for a Dementia Work-up: What to Expect

Our guest presenter:
Josepha A. Cheong, MD
Chief, Division of Geriatric Psychiatry
University of Florida, Department of Psychiatry

To reserve a space in this free telephone conference,
please e-mail AlzOnline.net at info@alzonline.net or call Mr. Jeff
Loomis toll-free 1-866-260-2466 ext 12.

Warm regards,

Rob Glueckauf

Robert L. Glueckauf, Ph.D.
Professor and Director
Center for Research on Telehealth & Healthcare Communications
Dept. of Clinical and Health Psychology
University of Florida
Tel: 352-265-0680 x4-6880
Fax: 352-265-0468
Toll-free Pager: 877-214-8491
WWW: http://www.hp.ufl.edu/chp/telehealth
             http://www.floridatelecare.com

Dear Colleagues:

The UF Center for Research on Telehealth & Healthcare Communications'
Alzheimer's Caregiver Support Online, AlzOnline.net, is pleased to
announce its next Expert Forum, August 22, 2002 from 12:00 TO 1:00 PM
(EST).

The Expert Forum is a monthly phone conference featuring dementia care

experts from a variety of health care and service organizations.

This week's topic is:
The Initial Visit to the Doctor for a Dementia Work-up: What to Expect

Our guest presenter:
Josepha A. Cheong, MD
Chief, Division of Geriatric Psychiatry
University of Florida, Department of Psychiatry

To reserve a space in this free telephone conference,
please e-mail AlzOnline.net at info@alzonline.net or call Mr. Jeff
Loomis toll-free 1-866-260-2466 ext 12.

Warm regards,

Rob Glueckauf


Robert L. Glueckauf, Ph.D.
Professor and Director
Center for Research on Telehealth & Healthcare Communications
Dept. of Clinical and Health Psychology
University of Florida
Tel: 352-265-0680 x4-6880
Fax: 352-265-0468
Toll-free Pager: 877-214-8491
WWW: http://www.hp.ufl.edu/chp/telehealth
             http://www.floridatelecare.com

Dear Telehealth Professional:

The deadline for making nominations for the Second Annual Telehealth Awards
is quickly approaching.  I encourage you to recognize your colleagues and
peers who are making a difference in the telehealth and telemedicine
industry by nominating them for a Telehealth Award. The ATSP has established
these awards to recognize provider and vendor organizations actively working
to advance excellence in the field of telehealth delivery. Nomination forms
and more information may be downloaded at
www.telehealthconference.org/awards.htm. Winners will be recognized on
September 10th at an awards ceremony during the ATSP Telehealth 2002
teleconference.  I apologize for any cross-posting of this message.


Sincerely,

Josie Henderson
ATSP Executive Director
4702 SW Scholls Ferry Rd. #400
Portland OR, USA 97225-2008
phone: 800-852-3591
       503-222-2406
fax: 503-223-7581
email: henderson@atsp.org
http://www.atsp.org

Dear Telehealth List Members,

For those of you who attending the APA's National Convention in Chicago this year,
you may be interested in attending our ~Sixth~ Annual Reunion of Telehealth and
Internet Professionals.

You and yours are cordially invited to join us for no-host refreshments & a light dinner,
accompanied by music and merriment!

Visit with old friends, put new faces to email addresses, network, and discuss your
newest interests with like-minded professionals at the cozy:

Shillelagh Room of Kitty O'Sheas
Chicago Hilton Hotel
720 South Michigan Avenue, Chicago, IL 60605
Tel: 1-312-922-4400

Date: Friday, August 23 from 8:00 - 10:00 PM
(Even if you only stay a while, you and your entourage are most welcomed!)

Please RSVP to <drm@telehealth.net>

We hope to see you there!

Barry Gordon, Ph.D. <cyberdoc@attbi.com>
Mary Gregerson <Oltowne@aol.com>
Marlene Maheu <drm@telehealth.net >
Star Vega, Ph.D. <kwikmind@aol.com>
PLEASE FORWARD THIS EMAIL TO ALL INTERESTED PARTIES AND EMAIL LISTS.

Bob Pyke wrote:

Glamour offers readers tips on emailing docsThe September issue of Glamour
magazine offers readers tips on "The Dos and Don'ts of E-Mailing your M.D." as
a "trend alert" in its "health&bodybook" section. The brief article suggests
that readers email only with quick questions or for prescription refills and
that they should expect to pay an average of $25 for questions (nothing for
refills). The article also warns of emailing from work, to avoid personal life
problems in the workplace. The article is located on page 124 of the magazine.

For those of you attending the APA Convention this year.

++++++

Attend the 2002 Practice Directorate Town Hall Breakfast in Chicago

This year's Practice Directorate Annual Town Hall Breakfast, "What's Next?
Trends, Tools and Technology in Practice," will focus on helping
practitioners keep pace in today's rapidly changing health care environment.
Meeting this challenge requires an understanding of relevant laws, health
policy, marketplace trends and access to tools that can help a practitioner
manage the growing demands and increasing complexity of professional
practice.

We sincerely hope that you will join your professional colleagues as the APA
Practice Organization launches its new practitioner portal during this Town
Hall meeting. This interactive gateway will offer APA members who pay the
Special Assessment access to a wealth of tools, information and materials
that can be tailored to individual professional interests and needs.

The program will be held at the Hilton Chicago and Towers Hotel,
International Ballroom North on Saturday, August 24, from 8am to 10:50am.
Seating is limited for this complimentary breakfast meeting, so please
register early by clicking on the link below.

We look forward to seeing you as we discuss changes on the professional
landscape and describe ways in which APA's Practice Directorate is helping
to equip practitioners.

To register for Town Hall, please click here:
http://www.apa.org/practice/th_reg.html

Dear Colleagues:

The final rules regarding modifications to the Privacy Standards are now on
display at the Office of the Federal Register. The expected publication date is
August 14.

The rules can be seen at <http://www.hhs.gov/ocr/hipaa>, along with the official
DHHS press release & fact sheet.

Questions on the rule should be directed to the HHS Office of Civil Rights at
866-627-7748. Please Take Care & Be Well.

Barry
__________________________________
Barry L. Gordon, PhD
Editor, California Psychologist
Clinical & Consulting Psychologist
mailto:cyberdoc@attbi.com
Voice: 707.769.1445
Fax: 801.340.3828

Attn: Telemedicine Professionals,

Joseph & Associates experts in Videoconferencing Technology offering
Nationwide Videoconferencing Event Services for ( Corporate Meetings,
Medical/Surgical Events and Live Telesurgeries).

Our list of clients include: Ethicon Endo Surgery, Ethicon Inc., Cordis (
Johnson & Johnson Companies), US Bariatric, Baptist Hospital, Mercy
Hospital, Montefiore Hospital, Holycross Hospital, Valley Surgical
Specialists, ect...

Please log on to our web site for more information..

Regards,

Joseph P. Marvilli
Joseph & Associates
Ph/Fax: 954-443-4480
E-mail: video33875@juno.com
Web : www.vtcconference.com

________________________________________________________________
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Juno offers FREE or PREMIUM Internet access for less!
Join Juno today!  For your FREE software, visit:
http://dl.www.juno.com/get/web/.

Fyi,
Miight be of interest?
Bob

This is a courtesy service provided by MDLinx,
where "Your Specialty is Our Specialty."

Journal: Health Data Management

Headline: College Health Center Goes Online

Abstract: Washington University in St. Louis is offering students Internet messaging through its student health center. More than 8,700 students are able to go to the health center's Web site to request an appointment, prescription renewal, lab test result or referral, or pose a brief nonmedical question. The school is offering the service using MDhub.com, a free service from National Physicians Data Source LLC, an Avon, Conn.-based vendor of health care information and services

For the full abstract, visit: http://www.nplinx.com/thearts.cfm?readurl=&artid=395230&specid=33

MDLinx is the most convenient way to keep up-to-date with medical news
without spending valuable time searching for information. Registration is quick and easy. Just visit: http://mdlinx.com/registerg.cfm  or  http://www.mdlinx.com and get the most current medical news from premier medical journals.

Fyi.
Bob
Telemedicine venture accelerator established
                           Guidant Corporation, a developer of treatments
for cardiac and vascular
                           disease, has partnered with the venture capital
firms Vanguard Ventures and
                           Fremont Ventures to establish Vesalius Ventures,
a telemedicine venture
                           accelerator. Vesalius Ventures will focus on
identifying and funding early stage
                           opportunities in the areas of telemedicine,
clinical informatics, and technology,
                           and is a seed-stage early investment venture
capital accelerator. Vesalius
                           Ventures is located in Houson, Texas.

From: Pyke, Robert
Sent: Monday, August 05, 2002 8:57 AM
To: 'repyke@iinfi.net'
Subject: Vanderbilt improves operating room efficiency linking wireless
Compaq iPAQ Pock



 http://www.hoise.com/vmw/02/articles/vmw/LV-VM-05-02-27.html

Hi Judith



You might find this of some use.



* FUTURE HEALTH BULLETIN.

The email newsletter on technology and healthcare



* ISSUE 10, JULY 2002.



Please forward this free service to colleagues

so they can subscribe by sending a blank

email to futurehealth-subscribe@headstar.com

for an HTML version

or fh-text-subscribe@headstar.com

for the plain text version.

- full details at the end.



We never pass on email addresses.

For further information, an online archive

and our privacy policy see:

http://www.headstar.com/futurehealth



NOTE: As a navigation aid to visually impaired people and others

using screen readers, all headings begin with an asterisk and end

with a full stop. Please let us know if there is anything else we
could

do to make navigation easier.





* CONTENTS: IN THIS ISSUE.



Section one: news.



Internet doctor to appeal misconduct ruling

- Harley Street practitioner to take on medical council.



Research pioneer to close in funding row.

- Scottish academic centre fails through 'lack of support'.



Mobile health record trials set to expand

- Live access to patient database for GPs.



MPs back telecare to ease bed-blocking

- Health select committee urges catch-up with US.



Universal NHS email a step closer

- all staff to receive 'addresses for life'.



News in brief: Welsh Assembly backs broadband network; Online

health advice for young people; International e-health conference.



Section two: focus on fertility treatment.

- A short-cut to eugenics? Online human sperm and egg banks add a

new twist to the ethical debates surrounding online healthcare.

Tamara Fletcher reports on the good, the free and the seamy.



Section three: analysis - telemedicine.

- Jury still out on savings: It is often taken as read that
telemedicine

creates cost savings but now doubts have been raised, says Derek

Parkinson.



[Contents ends.]





* SECTION ONE: NEWS.



* INTERNET DOCTOR TO APPEAL MISCONDUCT RULING.



A Harley Street doctor is to appeal against a General Medical

Council ruling which found him guilty of serious professional

misconduct for using an internet-based questionnaire to dispense

medical advice which "could have exploited patients' vulnerability".



Dr Malcolm Carruthers, a high-profile proponent of hormone

treatment for middle-aged men to combat the 'male menopause', was

found to have recommended weekly injections of testosterone for a

man on the basis of an online questionnaire filled in by his wife at

the still-active web site 'e-medicine' (http://www.e-medicine.co.uk).



"Before issuing this advice, you did not examine Mr X. In addition,

you did not contact his GP, study his medical records, nor verify in

any way the information supplied to you in the online questionnaire,"

the committee said. The advice issued was therefore "irresponsible".



The committee found that the internet checklist "could have

exploited patients' vulnerability or lack of medical knowledge and

aroused unfounded fears about their health." It also said the web site

should have advised patients to obtain a referral from their GP, and

should not have carried a liability disclaimer as doctors should take

responsibility for their advice.



"It has been said that in making your medical services available via

the internet, you are making them accessible to a wider range of

people. However, this does not absolve you from the duties inherent

in being a registered medical practitioner," the committee found.

Finding Carruthers guilty of serious professional misconduct, it

banned him from conducting any medical practice directly or

indirectly through a