Best Practice

The Health-e-Access Telemedicine Program

State/Jurisdiction: New York
Setting: Clinical Virtual
Population: Children
Topic Area: Access to Quality Healthcare Safe and Connected Communities Telehealth
NPMs: NPM 11: Medical Home NPM 15: Adequate Insurance

The Health-E-Access Program, a telehealth network, is designed to increase access to healthcare for children, improve the economic stability of inner city families, and improve early education for underserved children. Health-E-Access connects an ill child and a Telehealth assistant located at a childcare center, with a physician or nurse practitioner, located at Golisano Children's Hospital, through a broadband digital communication link. Teleconferencing cameras allow real-time, face-to-face interaction. Basic examination tools such as endoscopes for ear, nose and throat exams, a stethoscope for heart and lung exams, and an all-purpose camera that allows high quality still images for skin and eye problems, are located at the child care centers. The Health-e-Access Telemedicine Model is guided by the concept of the medical home. The approach to sustainability is based on a model of organizational architecture that recognizes three key drivers: incentives, decision rights, and performance evaluation. Guidelines for care within the Health-e-Access Telemedicine Model detail expectations for certified telehealth assistants at child sites and for telemedicine clinicians in primary care practices.

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Implementation Handout

Golisando Children's Hospital
Kenneth McConnochie

Practice Website