1. Telehealth Needs Assessment Report June 2007 Presented by Kandi Thomas/Telehealth Assistant

2. Telehealth Needs Assessment Report June 2007 Although there is still apprehension about the quality of interaction in distance education and telemedicine, the use of Telehealth continues to grow. The usage within the Medical Center has increased in the past two years. BryanLGH continues to lead in usage within the Nebraska State Telehealth Network (NSTN).

3. BryanLGH Internal Statistics for 2005 & 2006

4. BryanLGH Internal Statistics for 2005 & 2006

5. 1stQuarter Statistics for: Nebraska Statewide Telehealth Network 2007

6. 1stQuarter Statistics for: Nebraska Statewide Telehealth Network 2007

7. Projected Utilization Telehealth Needs Assessment Report June 2007 LifePointe currently provides several services that would benefit from Telehealth Video Conferencing including; 1. Medical Nutrition therapy consultation provided to Heartland Health Alliance (HHA) sites. 2. Case reviews between physicians and clinical program staff: East campus, West campus and LifePointe. 3. Annual or biannual HHA Diabetes Initiative meetings. 4. Cardiac and pulmonary rehab provided off site, Wellness programs, Nutrition programs, and Chronic Disease Management.

8. Facility Assessment LifePointe uses two rooms for education classes. These rooms are already wired to the BryanLGH network, which would enable them to have a point to point connection to the NSTN through the BryanLGH Accord Bridge. LifePointe currently has no videoconferencing equipment of any kind. There are currently no conference phones at LifePointe, so distance meetings and education programs are currently unavailable. Prior to the move to LifePointe, the food preparation programs were broadcast to the state network. The main conference room is set up to function as a full High Definition video conferencing room, with 4 HD monitors and wired for network connection. The 2 nd camera in that room is not currently HD. Several other education programs that have moved to LifePointe were also broadcast to the network. It would be beneficial to the organization to reestablish these services to the state network and make LifePointe programs available to rural health care facilities in the state. Telehealth Needs Assessment Report June 2007

9. Network Connection Telehealth Needs Assessment Report June 2007 With the current system configuration at LifePointe. LifePointe would only be able to access the state network by a granted request through the BryanLGH MCU.

10. Recommendations The vision of LifePointe is cutting edge. High Definition (HD) videoconferencing would be a perfect extension of that ideal. There are several HD products. LifeSize is among the best and one of the most affordable. I would recommend a mobile unit that could be wheeled between the two conference rooms. An additional HD camera may also need to be purchased for the main conference room. Another added feature of the LifeSize product is the built- in Telephone conference. This product would successfully meet the current education, administrative, and consultation needs at LifePointe. It would also allow more rural health care facilities in the state to take advantage of the educational opportunities. I would also recommend purchasing at least one or desktop video conferencing unit (s) for physicians to utilize from their home or office. This would enable more flexibility for physicians and allow meetings to occur with the physician “virtually” in the room. Telehealth Needs Assessment Report June 2007