1. telemedicine to decrease the cost of care for very-low-birth-weight infants by increasing the efficiency of care.

    Contact: Charles Safran, M.D.

    Principal Investigator

    Beth Israel Deaconess Medical Center

    350 Longwood Avenue

    Boston, MA 02115

    (617) 732-5925

  2. Test real-time transmission of vital sign data from patients in ambulances to a hospital trauma center in Maryland. BDM Federal Inc. and the University of Maryland at Baltimore will develop an advanced mobile telemedicine testbed that will investigate the feasibility and practicality of transmitting real-time vital sign data and video images of patients from inside the ambulance to the hospital's trauma center and clinical information system via cellular communications and local area network technology. The purpose of the mobile testbed is to improve the quality and timeliness of care provided during the "golden hour" and to provide better information to the emergency room (ER) staff prior to the arrival of patients in the ER. If proven feasible, this mobile telemedicine application could be used in trauma centers throughout the United States.

    Contact: David Gagliano

    BDM Federal Inc.

    1501 BDM Way

    McLean, VA 22102

    (703) 848-6134

  3. Improve disease prevention and manage chronic illnesses in home settings in New York. Columbia University will use technology to provide information to patients to improve disease prevention activities and effectively manage chronic illnesses in the home setting. Patients will receive alerts and reminders when standards of care (immunization, diabetes management, asthma control, etc.) are not being achieved. Patients will enter data (blood pressures, glucose levels, pulmonary function test results, etc.) into an electronic medical record using applications that run on home-based personal computers connected to the national information infrastructure (NII). These patients will also be able to communicate with health care providers, review their medical records, and receive desired information that will address their specific health care concerns. The project will demonstrate techniques to safeguard the confidentiality of personal health care records that are stored and transmitted electroni-

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