1. The objective of this project is to replicate existing and developed Alaska telemedicine testbeds by modifying, interfacing, and expanding successfully deployed telemedicine technologies and to evaluate the impact of these technologies on the health care system in rural Alaska for cost, quality of care, and access to care by rural Native Alaskans where and when it is needed.

    Contact: Frederick W. Pearce, Ph.D.

    University of Alaska Anchorage

    Applied Science Laboratory

    3211 Providence Drive

    Anchorage, AK 99508

    (907) 786-4183

  2. Use teledermatology to improve the ability of primary care physicians to recognize and treat skin cancers and other skin conditions in Oregon. This extension of an NLM contract at the Oregon Health Sciences University in Portland, Oregon, will expand the range of technologies used to provide remote dermatologic diagnosis and will collect and analyze data on teledermatology's impact on the quality and cost of health care.

    Contact: Douglas A. Perednia, M.D.

    Oregon Health Sciences University

    3181 SW Sam Jackson Park Road

    Portland, OR 97201

    (503) 494-6846

  3. Improve the quality and efficiency of patient care by providing physicians with rapid access to important clinical information in a single, easy-to-use workstation environment in Pennsylvania. An extension of an NLM contact at the University of Pittsburgh will evaluate the clinical utility of a multimedia clinical information system at the University of Pittsburgh's Cancer Institute. Currently, the system can acquire, compress, store, retrieve, display, and manipulate many kinds of clinical images, including radiographs, CT scans, nuclear medicine studies, gastrointestinal endoscopy images, EKGs, and microscopic pathology. These images are linked, in real-time, with a wide range of clinical reports stored in the University of Pittsburgh Medical Center's electronic medical record system. The project will study the effect of integrated access to clinical images and textual patient data on the length of time required to diagnose cancer and on the management of cancer treatment.

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