National rollout of a web based telemedicine stroke care service

REACH 2.0

David C Hess, Sandeep J. Agate

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Stroke care in the US and in the world is fragmented and mostly unavailable in rural areas. The primary reason for poor stroke care is the lack of neurological expertise in rural hospitals. While existing point-to-point telemedicine systems work in some cases, there is an overwhelming need to remove the geographic penalty associated with acute stroke care and make it readily available in rural, suburban and urban hospitals. REACHMDConsult, Inc. has leveraged ubiquitous tools and communications infrastructure to allow 100% web based remote diagnosis and evaluation of acute ischemic stroke and other acute medical conditions. This service is called Remote Evaluation of Acute isCHemic stroke (REACH). Existing telemedicine and telestroke systems primarily focus on a camera to allow remote neurologists to examine and diagnose stroke patients. REACH is typically deployed in a hub and spoke network of hospital and provides integrated 2-way audio video capabilities as well, but also allows neurologists to use database powered decision support algorithms and tools to complete a web based stroke consultation. Neurologists use an intuitive, AJAX powered web user interface to fill out standardized NIH Stroke Scale scores, follow-up items, contraindications and consult comments. The consultation is documented in a real-time, database powered consult report in which can be printed, saved or accessed at any time.

Original languageEnglish (US)
Title of host publicationProceedings of the 3rd IASTED International Conference on Telehealth, Telehealth 2007
Pages188-192
Number of pages5
StatePublished - Dec 1 2007
Event3rd IASTED International Conference on Telehealth, Telehealth 2007 - Montreal, QC, Canada
Duration: May 30 2007Jun 1 2007

Other

Other3rd IASTED International Conference on Telehealth, Telehealth 2007
CountryCanada
CityMontreal, QC
Period5/30/076/1/07

Fingerprint

Telemedicine
stroke
Stroke
evaluation
User interfaces
Rural Hospitals
Cameras
Communication
Referral and Consultation
Databases
Urban Hospitals
user interface
penalty
communications
rural area
expertise
video
infrastructure
lack

Keywords

  • Critical care
  • Neurology
  • Stroke care
  • Stroke management
  • Telemedicine
  • Telestroke

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics
  • Health(social science)
  • Health Professions(all)

Cite this

Hess, D. C., & Agate, S. J. (2007). National rollout of a web based telemedicine stroke care service: REACH 2.0. In Proceedings of the 3rd IASTED International Conference on Telehealth, Telehealth 2007 (pp. 188-192)

National rollout of a web based telemedicine stroke care service : REACH 2.0. / Hess, David C; Agate, Sandeep J.

Proceedings of the 3rd IASTED International Conference on Telehealth, Telehealth 2007. 2007. p. 188-192.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Hess, DC & Agate, SJ 2007, National rollout of a web based telemedicine stroke care service: REACH 2.0. in Proceedings of the 3rd IASTED International Conference on Telehealth, Telehealth 2007. pp. 188-192, 3rd IASTED International Conference on Telehealth, Telehealth 2007, Montreal, QC, Canada, 5/30/07.
Hess DC, Agate SJ. National rollout of a web based telemedicine stroke care service: REACH 2.0. In Proceedings of the 3rd IASTED International Conference on Telehealth, Telehealth 2007. 2007. p. 188-192
Hess, David C ; Agate, Sandeep J. / National rollout of a web based telemedicine stroke care service : REACH 2.0. Proceedings of the 3rd IASTED International Conference on Telehealth, Telehealth 2007. 2007. pp. 188-192
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