Telemedicine and the Academic Health Center: The University of Michigan Health System Model

Shannon, Gary W.; Bashshur, Rashid L.; Kratochwill, Eric; Dewitt, Jocelyn

doi:10.1089/tmj.2005.11.530

Cited by 10 publications

(3 citation statements)

References 8 publications

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“…34,35 We have already outlined the potential clinical and public health implications of knowledge networks, but they also have significance for education and research.…”

Section: Project Echo and The Mission Of Ahcsmentioning

confidence: 99%

Academic Health Center Management of Chronic Diseases through Knowledge Networks: Project ECHO

Arora

Geppert²,

Kalishman³

et al. 2007

Academic Medicine

222

195

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The authors describe an innovative academic health center (AHC)-led program of health care delivery and clinical education for the management of complex, common, and chronic diseases in underserved areas, using hepatitis C virus (HCV) as a model. The program, based at the University of New Mexico School of Medicine, represents a paradigm shift in thinking and funding for the threefold mission of AHCs, moving from traditional fee-for-service models to public health funding of knowledge networks. This program, Project Extension for Community Health care Outcomes (ECHO), involves a partnership of academic medicine, public health offices, corrections departments, and rural community clinics dedicated to providing best practices and protocol-driven health care in rural areas. Telemedicine and Internet connections enable specialists in the program to comanage patients with complex diseases, using case-based knowledge networks and learning loops. Project ECHO partners (nurse practitioners, primary care physicians, physician assistants, and pharmacists) present HCV-positive patients during weekly two-hour telemedicine clinics using a standardized, case-based format that includes discussion of history, physical examination, test results, treatment complications, and psychiatric, medical, and substance abuse issues. In these case-based learning clinics, partners rapidly gain deep domain expertise in HCV as they collaborate with university specialists in hepatology, infectious disease, psychiatry, and substance abuse in comanaging their patients. Systematic monitoring of treatment outcomes is an integral aspect of the project. The authors believe this methodology will be generalizable to other complex and chronic conditions in a wide variety of underserved areas to improve disease outcomes, and it offers an opportunity for AHCs to enhance and expand their traditional mission of teaching, patient care, and research.

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“…34,35 We have already outlined the potential clinical and public health implications of knowledge networks, but they also have significance for education and research.…”

Section: Project Echo and The Mission Of Ahcsmentioning

confidence: 99%

Academic Health Center Management of Chronic Diseases through Knowledge Networks: Project ECHO

Arora

Geppert²,

Kalishman³

et al. 2007

Academic Medicine

222

195

View full text Add to dashboard Cite

show abstract

“…Meeting these demands and expectations will be possible only with substantial effort in research and education as part of health service delivery. Separation of funding for research and education from the delivery of patient care diminishes the opportunity for mutually enhancing integration, and for expenditure efficiencies 4 , 5 …”

mentioning

confidence: 99%

Diamantina Health Partners: integrating leadership in research, research translation, education and clinical care

Martin

Theile

Frazer

2012

Medical Journal of Australia

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Many have asked "what is the benefit of the DHP over the current situation?" We believe that the responsiveness of research to community health needs and the balance of research and teaching outcomes in academic institutions can be improved, and stronger incentives to integrate research outcomes into clinical practice can be provided. The DHP is thus set up differently to a clinical research centre. The aim of our DHP is to improve health outcomes by means of coordinated excellence in teaching, research and clinical care. Technical efficiencies and excellence in care mean that financial efficiencies will occur. Joint clinical, research and teaching initiatives are underway, and plans are being developed to teach future clinical staff the science of clinician-directed, rational use of medical resources. These include pathology, imaging services, pharmaceuticals and patient referrals, assisted by published expert guidelines. There are significant administrative and personnel issues to surmount, but planning for integration has begun, and plans for turning research outcomes into clinical care plans are already emerging.

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“…Advances in telemedicine can benefit general practice networks6 as well as academic health centres 7. Several publications have used telemedicine for home monitoring of patients with respiratory diseases,2 congestive heart failure,8 psychiatric9 10 and other chronic illnesses11 as well as geriatric patients with risk of falling 12.…”

mentioning

confidence: 99%

Respiratory applications of telemedicine

Cooper

2009

Thorax

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Telemedicine and the Academic Health Center: The University of Michigan Health System Model

Cited by 10 publications

References 8 publications

Academic Health Center Management of Chronic Diseases through Knowledge Networks: Project ECHO

Academic Health Center Management of Chronic Diseases through Knowledge Networks: Project ECHO

Diamantina Health Partners: integrating leadership in research, research translation, education and clinical care

Respiratory applications of telemedicine

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