Telehealth Recommended Room Setup Host Room: No sunlight 32” – 38” monitor HD Camera Lighting so the image looks natural – use warmer lights, defused Sound proofing Recessed workstation for note taking or laptop Sound system – good speakers Ability to move remote camera to follow patient. Room should have neutral colors. Keyboard and mouse should be located so they’re not picked up by microphone. Watch out for fan noises. Ability to zoom in to examine the PT’s pupils to help determine if the patient is under the influence. Light outside of room or other indicator that treatment is being performed. Camera with auto-face detection for movements. Patient Room: No sunlight 32” – 38” monitor HD Camera Lighting so the image looks natural – use warmer lights, defused Sound proofing Table so they have a place to rest hands and belongings, but also have a space so the entire patient’s body can be observed for involuntary movements. Comfortable chair(s) Sound system – good speakers Room – neutral colors. Fan noises should be kept to a minimum. Camera with auto-face detection for movements.

Site Survey – Example Checklist Room size Transmission Performance – 384+ KBS is best. Peripheral Devices Document and Sharing Security Data Equipment Who supports remote end. Equipment support contracts Power – EM and UPS Does equipment support encryption – if so, which standards How will scheduling rooms be handled. Testing Shared room? Setup and privacy issues. Backup when there are issues (desktop/laptop setup for interim solution.) Training of staff to interact appropriately IP to connect with Protocol for initialing call: OUCOM or Remote site Support contacts Equipment Type. Backup Equipment

Parking Lot for Issues and ideas Additional Issues to be resolved: How much zoom should the camera have – there is a suggestion that it should be sufficient to check the patient’s eyes to assess if they are under the influence. Type of peripherals needed – document sharing, Single or dual monitors If dual, what is on each screen. How many people on each end. Procedure for scheduling Is there a need for recording Is there a need to play back of video for training purposes, for example.

Resources Notes: Google Search: polycom psychiatric telemedicine http://www.polycom.com/global/documents/whitepapers/telepsychiatry.pdf http://www.psych.org/Departments/HSF/UnderservedClearinghouse/Linkeddocuments/telepsychiatry.aspx http://www.tmhguide.org/ http://www.polycom.com/products/telepresence_video/telepresence_solutions/personal_telepresence/hdx4000.html PolyCom Room Systems http://www.polycom.com/products/telepresence_video/video_conference_systems/room_systems/index.html Face detection and camera motion http://www.polycom.com/products/telepresence_video/accessories/hdx_accessories/eagleeye_director.html Sound Proofing http://www.controlnoise.com/ http://www.ehow.com/how_15992_soundproof-room.html General Space Design http://www.nefsis.com/Best-Video-Conferencing-Software/video-conference-room-design.html http://alt.ndus.edu/ALTWEBSITE/DocFiles/room.pdf http://avcc.karen.net.nz/tutorials/room-design http://www.engineeringharmonics.com/archive-papers/lighting_for_AV.pdf?q=papers/lighting_for_AV.pdf.htm Lighting Solution http://presentation.navitar.com/pages/product_information/hi_lite/overview.cfm http://www.brightlines.com/SeriesONE/index.htm Signage – Room in use http://www.apcosigns.com/infolock.asp http://www.officesigncompany.com/conference-room-signs.aspx http://www.lasermet.com/room-information-signs.php http://www.juddpro.com/products/medical-lights-signs/room-in-use-light-sign.php JC Reference on Telemedicine PDF]  Final Revisions to Telemedicine Standards - Joint Commission ... www.jcrinc.com/common/PDFs/fpdfs/pubs/pdfs/.../JCP-01-12-S5.pdf

6 5 3 1 8 2 7 4 Sample Room Layout Room Features Bathroom Area Make sure camera and monitor are adjustable to ensure the person will be looking directly at the monitor/camera instead of up or down. Sound Proofing Comfortable chair that is adjustable and quite Light or signage on door to indicate conference in session. Table with recessed computer mounting Neutral and lighter colors to brighten the room, but not to add a color cast. Door bell for access. Need to ensure that no PHI or other extraneous items are visible to the viewer. Silent Ventilation – cool room. Add light blocking shades or window 6 5 3 1 8 Bathroom Area 2 7 4

Room #1: _______________ Room Features Dimensions Sound Lighting (window locations) Furniture Placement Power Ventilation Bathroom Area Bathroom Area

Room #2: _______________ Room Features Dimensions Sound Lighting (window locations) Furniture Placement Power Ventilation Bathroom Area Bathroom Area

Room #3: _______________ Room Features Dimensions Sound Lighting (window locations) Furniture Placement Power Ventilation Bathroom Area Bathroom Area

Room #4: Conference Room Room Features Dimensions Sound Lighting (window locations) Furniture Placement Power Ventilation