1 All Hands All Hands TeleDentistry TeleDentistry Forum Forum Teresa A. Dolan, DDS, MPH Teresa A. Dolan, DDS, MPH Professor and Dean Professor and Dean What is the “ What is the “TeleDentistry TeleDentistry Grant?” Grant?” Brief History Brief History Grant Objectives Grant Objectives TeleDentistry TeleDentistry: Improving Access to Dental Care : Improving Access to Dental Care 90% of low 90% of low- income Floridians have NO income Floridians have NO access to dental care* access to dental care* UFCD Clinics: 80,000 patient visits UFCD Clinics: 80,000 patient visits annually; 11,400 visits for children living annually; 11,400 visits for children living at or below 200% of poverty at or below 200% of poverty TeleDentistry TeleDentistry can expand access through can expand access through educational and clinical outreach educational and clinical outreach *Department of Health *Department of Health-Public Health Dental Program Public Health Dental Program
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All Hands All Hands TeleDentistryTeleDentistry ForumForum
Teresa A. Dolan, DDS, MPHTeresa A. Dolan, DDS, MPHProfessor and DeanProfessor and Dean
What is the “What is the “TeleDentistryTeleDentistry Grant?”Grant?”
TeleDentistryTeleDentistry: Improving Access to Dental Care: Improving Access to Dental Care
90% of low90% of low--income Floridians have NO income Floridians have NO access to dental care*access to dental care*
UFCD Clinics: 80,000 patient visits UFCD Clinics: 80,000 patient visits annually; 11,400 visits for children living annually; 11,400 visits for children living at or below 200% of povertyat or below 200% of poverty
TeleDentistryTeleDentistry can expand access through can expand access through educational and clinical outreacheducational and clinical outreach
*Department of Health*Department of Health--Public Health Dental ProgramPublic Health Dental Program
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UFCD Statewide Network for Community Oral HealthUFCD Statewide Network for Community Oral Health
Gainesville
St. Petersburg
Hialeah
Jacksonville
Apopka
Hillsborough CC
UFCD UFCD Videoconferencing Videoconferencing
NetworkNetwork
TeleDentistryTeleDentistry includes the includes the addition of Digital Radiography addition of Digital Radiography to improve patient care to improve patient care
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TeleDentistryTeleDentistry Grant ObjectivesGrant Objectives
Improve IT infrastructure to:Improve IT infrastructure to:Expand distance learning Expand distance learning capabilities (live interactive and capabilities (live interactive and webweb--based)based)Implement digital radiographyImplement digital radiographyDevelop and evaluate clinical Develop and evaluate clinical consultations using technologyconsultations using technology
Office of Information Office of Information SystemsSystems
Godfrey Godfrey OvwighoOvwigho, Ph.D., Ph.D.Director, Information SystemsDirector, Information Systems
Why IS Staff Reorganization?Why IS Staff Reorganization?
TT EE AA MM SSTT = together= togetherEE = everyone= everyoneAA = achieves= achievesMM = maximum= maximumSS = success= success
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I. S. Infrastructure I. S. Infrastructure -- ServersServers
Email Email –– GroupWise 6.5 GroupWise 6.5 –– Server Server storage increased by 70%storage increased by 70%File & Print (NetWare 6.5) 120% File & Print (NetWare 6.5) 120% storage increase.storage increase.Quick Recovery Quick Recovery –– MedicorMedicor MiPACSMiPACSactivation. Storage will increase up activation. Storage will increase up to 1000%to 1000%Web Server storage: 50%Web Server storage: 50%UPS: 30KVaUPS: 30KVaA/C: 5 tons.A/C: 5 tons.
I. S. Infrastructure I. S. Infrastructure --TelecommunicationsTelecommunications
JAX will remain at DS3 (45 JAX will remain at DS3 (45 mps).mps).Hialeah: Full T1 (1.5 mps)Hialeah: Full T1 (1.5 mps)St. Pete: Full T1 (1.5 mps)St. Pete: Full T1 (1.5 mps)Apopka: Full T1 (1.5 mps)Apopka: Full T1 (1.5 mps)HCC: Full T1 (1.5 mps)HCC: Full T1 (1.5 mps)Internet2 & Internet2 & FloridaLamdaRailFloridaLamdaRail
I S MilestonesI S Milestones
Chaotic
Reactive
Proactive
Service
Value
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Distance Learning/Web Distance Learning/Web Based TechnologiesBased Technologies
Boyd E. RobinsonBoyd E. RobinsonDirectorDirector--Community Based ProgramsCommunity Based Programs
Goal #1: Expand and Evaluate Goal #1: Expand and Evaluate Video TeleconferencingVideo Teleconferencing
Goal #2: Develop Web Goal #2: Develop Web Based TechnologiesBased Technologies
““Case of the Month”Case of the Month”Develop educational site for Develop educational site for dental patients with common, dental patients with common, chronic, or difficult treatmentchronic, or difficult treatmentAid in the development of Aid in the development of “Virtual Study Groups”“Virtual Study Groups”
Digital RadiographyDigital Radiography
Jeff Loomis, MHAJeff Loomis, MHAAssociate DirectorAssociate Director--UF Center for TelehealthUF Center for Telehealth
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Why Digital Radiography?Why Digital Radiography?
EIP EIP –– Electronic Image ProcessingElectronic Image ProcessingDo more and see moreDo more and see more
Archiving & DurabilityArchiving & DurabilityPrint, rePrint, re--print, and never loseprint, and never lose
Increased EfficiencyIncreased EfficiencyTake more xTake more x--rays…fasterrays…faster
Decreased OverheadDecreased OverheadNo more film or chemicals to No more film or chemicals to purchasepurchase
Slide taken from Air Techniques presentation
Technology ConsiderationsTechnology ConsiderationsPhosphor Storage Plates (PSP) vs. Direct DigitalPhosphor Storage Plates (PSP) vs. Direct Digital
Equipment durabilityEquipment durabilityPlates are similar to Plates are similar to regular filmregular filmWider selection of PSP Wider selection of PSP sizessizesInitial cost vs. Initial cost vs. replacement costsreplacement costs
MedicorMedicor ImagingImaging
Improved processingImproved processingAnalysis toolsAnalysis toolsClinical software Clinical software integrationintegrationIntegrates with Integrates with telehealth hardwaretelehealth hardware
Teledentistry is not a single form of technology, Teledentistry is not a single form of technology, but part of the wider process of healthcare but part of the wider process of healthcare delivery.delivery.Any new form of technology should be rigorously Any new form of technology should be rigorously evaluated in terms of improving health outcomes evaluated in terms of improving health outcomes and reducing costs.and reducing costs.
Assemble and share information Assemble and share information concerning the origin, concerning the origin, implementation, and outcomes of the implementation, and outcomes of the teledentistry initiative.teledentistry initiative.
Months 1 Months 1 -- 66Identify appropriate measures to assess the Identify appropriate measures to assess the project.project.
Determine how the project’s outcomes will be Determine how the project’s outcomes will be assessed.assessed.
Satisfaction with web and video based Satisfaction with web and video based instruction and telemedicine consultation instruction and telemedicine consultation servicesservices
Determine how the project’s success will be Determine how the project’s success will be assessed.assessed.
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Where are we now?Where are we now?
UFCD Needs Assessment developed and UFCD Needs Assessment developed and administered via Eadministered via E--mail and on paper.mail and on paper.Survey instruments developed.Survey instruments developed.
Case of the MonthCase of the MonthDistance Learning via Video ConferencingDistance Learning via Video Conferencing
IRB approvalIRB approval
University of Florida College of Dentistry Needs Assessment:Teledentistry - December 2004
9. What component of the proposed UFCD teledentistry program are you most likely to use?
Check all that apply.Live interactive videoconferencingLive demonstrations of various dental proceduresOnline “Case of the Month” to test your clinical skills and
earn CE creditDental Study Clubs using live video conferencing and web-
based instructionWeb based Educational ExperiencesRemote Clinical ConsultationUse of Digital Radiography
Survey Instrument: Distance Survey Instrument: Distance Learning via Video ConferencingLearning via Video Conferencing
Participant satisfaction and expectationsParticipant satisfaction and expectations
Picture and sound qualityPicture and sound quality
Benefits and limitations of videoconferencingBenefits and limitations of videoconferencing
Knowledge gained from the course Knowledge gained from the course
Applicability and benefit to the participant’s Applicability and benefit to the participant’s practice practice
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Survey Instrument: Case of the MonthSurvey Instrument: Case of the Month
Participant expectationsParticipant expectationsParticipant satisfaction with content and Web Participant satisfaction with content and Web formatformatBenefits and limitations of online formatBenefits and limitations of online formatOnline picture qualityOnline picture qualityKnowledge gained from Case of the Month and Knowledge gained from Case of the Month and usefulness in participant’s practiceusefulness in participant’s practiceClinical confidence about topicClinical confidence about topic
What’s Next????What’s Next????
Develop survey instruments for Develop survey instruments for Clinical Consultation and Digital Clinical Consultation and Digital Radiography.Radiography.
Case of the Month Randomized TrialCase of the Month Randomized Trial
Data Collection and AnalysisData Collection and Analysis
Proof of effectiveness for Proof of effectiveness for future funding opportunitiesfuture funding opportunities