Convene the leaders of the multiple networks providing telehealth services in the

描述（由申请人提供）：该项目将召集在多个州地区提供远程医疗服务的多个网络的技术和业务领导人，以确定挑战，研究计划，并就这些不同网络之间的服务提供互操作性达成协议。就基础设施、能力、工具、标准、互操作性规范和系统架构达成一致的能力将导致更有效地利用资源，从而提高该地区医疗保健的质量、安全性、效率和有效性。表示希望参加这一活动的网络在以下州运作：7亚利桑那州7科罗拉多7爱达荷州7蒙大拿州7内布拉斯加州7新墨西哥州7犹他州7怀俄明州此外，西北地区远程保健资源中心（NRTRC）已同意支持这一努力，并帮助传播项目成果。NRTRC覆盖阿拉斯加、爱达荷州、蒙大拿、俄勒冈州、犹他州、华盛顿和怀俄明州，拥有32个远程保健网络成员。 公共卫生相关性：远程医疗是一种快速增长的将临床医疗服务扩展到农村和边境地区的手段。远程保健网络正在发展并扩展到新的市场和领域。随着这种增长的发生，全国各地的远程医疗网络面临着互操作性和标准的问题。毫无疑问，标准和互操作性通常是技术市场发展所必需的，即使一家公司赢得了领导地位。但今天，没有一家公司在个人互联健康领域占据主导地位。例如，持续健康联盟（Continue Health Alliance）在设备和软件制造商中培养经济型行为的努力已经取得了进展，但就目前而言，专有和不同的技术和平台占据了主导地位。第一代安装的设备和应用程序不容易相互集成。1怀俄明州卫生信息组织（WyHIO）及其合作伙伴认为，远程医疗是提高农村和边境地区医疗保健质量、安全性、效率和有效性的有效机制。怀俄明州。互操作性是提供可靠和无缝的远程保健服务的关键，这一努力将为进一步加强各种远程保健网络之间的互操作性提供选择。WyHIO正在与落基山脉地区的多个远程医疗网络以及怀俄明州大学工程与应用科学学院的电气和计算机工程系合作，研究互操作性的技术和采用方面。来自AHRQ会议支持小额赠款计划的资金将使我们能够实现与AHRQ赠款目的一致的几个目标。具体而言，我们将把赠款资金用于以下方面：1。汇集来自该地区远程医疗网络的技术和运营人员，怀俄明州大学（UW）的教师和学生，以及其他关键的远程医疗利益相关者，以确定互操作性和无缝提供临床远程医疗服务的挑战; 2.就如何实现互操作性交换意见并确定优先级; 3.定义一个研究议程，为华盛顿大学，因为他们制定了一个草案，可互操作的远程医疗网络设计; 4。有了设计草案，重新召集远程医疗利益相关者，以及华盛顿大学的教师和研究生，审查互操作性设计并采纳建议; 5.利用西北区域远程保健资源中心和其他远程保健资源中心的资源，向利益攸关方和远程保健界的其他成员传播这一努力的成果。该项目的首席研究员是WyHIO执行董事Larry Biggio。Larry在技术、财务和管理方面有广泛的经验，并成功地组织和主持了类似于该项目的其他HIT和电信会议。Suresh Muknahallipatna博士将参加会议，并在怀俄明州大学领导网络互操作性设计工作。Muknahallipatna博士是怀俄明州大学工程与应用科学学院电气与计算机工程系教授。Muknahallipatna博士还将领导设计一个可互操作的远程保健网络的技术工作。工程与应用科学学院的卡梅隆·赖特（Cameron Wright）教授和杰里·哈曼（Jerry Hamann）教授将与他一起协助确定项目范围并参加项目会议。该项目预算总额为45 002美元的联邦资金。[1] Michael Gallelli，Boomer，Technology，and Health：Consumers Taking Charge，MIT Enterprise Forum Northwest，http://www.mitwa.org/sites/default/files/files/MITEF%20NW%20Boomers%20Technology%20and%20Health%20Report.pdf

DESCRIPTION (provided by applicant): This project will convene the technical and operational leaders of the multiple networks providing telehealth services in a multi-state region to identify challenges to, a research plan for, and reach agreement on interoperability of service delivery among those various networks. The ability to reach agreement on infrastructure, capabilities, tools, standards, interoperability specifications, and systems architecture will result in more efficient use of resources, allowing for improved quality, safety, efficiency, and effectiveness of healthcare in the region. Networks expressing a desire to participate in this event are operating in the following states: 7 Arizona 7 Colorado 7 Idaho 7 Montana 7 Nebraska 7 New Mexico 7 Utah 7 Wyoming Additionally, the Northwest Regional Telehealth Resource Center (NRTRC) has agreed to support the effort and help with dissemination of project results. The NRTRC covers the states of Alaska, Idaho, Montana, Oregon, Utah, Washington and Wyoming with a membership of 32 telehealth networks. PUBLIC HEALTH RELEVANCE: Telehealth is a rapidly growing means of extending clinical healthcare services to rural and frontier areas. Telehealth networks are developing and expanding into new markets and areas. As this growth occurs, telehealth networks across the nation face issues of interoperability and standards. There is no dispute that standards and interoperability are typically needed for technology markets to grow, not withstanding a single company winning a commanding leadership position. But today, no company wields dominant market power in personal connected health. Efforts by Continue Health Alliance, for instance, to foster economic-type behavior among device and software makers has made progress, but for now, proprietary and disparate technologies and platforms rule. The first generations of installed devices and applications do not easily integrate with each other.1 The Wyoming Health Information Organization (WyHIO) and its partners believe telehealth is an effective mechanism to improve the quality, safety, efficiency, and effectiveness of healthcare in rural and frontier areas. Wyoming. Interoperability is key to providing the reliable and seamless delivery of telehealth services, and this effort will provide options to further interoperability among various telehealth networks. The WyHIO is teaming with the multiple telehealth networks in the Rocky Mountain Region and the Electrical and Computer Engineering Departments of the University of Wyoming, College of Engineering and Applied Science to work on the technical and adoption aspects of interoperability. Funding from the AHRQ Small Grant Program for Conference Support would allow us to accomplish several objectives that appear consistent with the purpose of the AHRQ grant. Specifically, we would use grant funds for the following: 1. Bring together technical and operating staff from telehealth networks in the region, University of Wyoming (UW) faculty and students, and other key telehealth stakeholders to identify the challenges to interoperability and seamless delivery of clinical telemedicine services; 2. Exchange and prioritize ideas about how we accomplish interoperability; 3. Define a research agenda for the UW as they develop a draft interoperable telehealth network design; 4. With the draft design, reconvene the telehealth stakeholders, and the UW faculty and graduate students to review the interoperability design and adopt recommendations; 5. Disseminate the results of this effort to stakeholders and other members of the telehealth community using the resources of the Northwest Regional Telehealth Resource Center (NRTRC) and other Telehealth Resource Centers. The Principal Investigator for this project is the WyHIO Executive Director, Larry Biggio. Larry has extensive in technology, finance, and administration, and has successfully organized and conducted other HIT and telecommunications meetings similar to this project. Suresh Muknahallipatna, Ph.D. will participate in the conference and lead the network interoperability design efforts at the University of Wyoming. Dr. Muknahallipatna is a professor in Department of Electrical & Computer Engineering, College of Engineering and Applied Science at the University of Wyoming. Dr. Muknahallipatna will also lead the technical efforts to design an interoperable telehealth network. He will be joined by Professors Cameron Wright and Jerry Hamann, also of the College of Engineering and Applied Science, who will assist with scoping the project and participating in the project conferences. The project budget totals $45,002.00 of federal funds. 1 Michael Gallelli, Boomer, Technology, and Health: Consumers Taking Charge, MIT Enterprise Forum Northwest, http://www.mitwa.org/sites/default/files/files/MITEF%20NW%20Boomers%20Technology%20and%20Health%20Report.pdf