{"title":"Seahawk project [telemedicine and teleradiology]","authors":"J. Peake","doi":"10.1109/MTOL.1995.504536","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504536","url":null,"abstract":"Seahawk superimposes the opportunity for telemedicine and teleradiology on the medical community of the US Northwest. Seahawk represents the congressional intent to support this technology. They demonstrated this intent by appropriating around about ten million dollars in the 1994 Defense Appropriations bill. Four hundred thousand dollars has gone to communications infrastructure. With this they are connecting into the US West Sonet Ring that traverses the Puget Sound area and gives access to the high bandwidth needed for telemedicine and teleradiology. Six and half million dollars is going to procure equipment and install it. That money, even though this is a 1994 appropriation, has only become available in December of 1994 and one has only this year to spend it. And what is one going to get with that? There is the Medical Diagnostic Imaging Support (MDIS) system and the connections between Madigan and University of Washington. The author discusses linking organizations with the ability to translate digital images across all of those institutions. Madigan will become a truly digitized hospital. There will be a jukebox with archiving capability, but it will be a technology that can move images back and forth across these installations.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125920615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reengineering of medical departments through the Defense Performance Review","authors":"J. Evans, M. Mekshes","doi":"10.1109/MTOL.1995.504540","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504540","url":null,"abstract":"In order to successfully reengineer an organization, James Champy postulates that first one must address the organization's management approach by answering these four questions: \"What is this business for?\" \"What kind of culture do we want?\" \"How do we do we do our work?\" and fourth, \"What kind of people do we want to work with?\" These kinds of questions suggest also the concepts Peter Drucker discusses in many of his writings. The present author's address describes the Medical Defense Performance Review (MDPR) initiative using the framework of these four questions to show how we are trying to live up to the management portion of reengineering.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121988639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital free marketplace [telemedicine]","authors":"J. C. Edwards","doi":"10.1109/MTOL.1995.504531","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504531","url":null,"abstract":"The author discusses some of the larger implications of what is being done in the Department of Defense (DOD). To do that, one needs to look at some of the issues at the federal government level. There is discussion on how the American society is going to achieve the goals of health care reform. These goals are to improve access and reduce costs, while improving quality. Telemedicine potentially offers a way to achieve these three seemingly mutually exclusive objectives. Telemedicine is so new, that the government and the American society are still trying to determine exactly what the government's role in this should be. And when the author says government, the author means government with a big \"G\"; this is beyond the purview of the DOD. One of the big questions being asked is, \"Who is going to pay for what?\" There is a great deal of money that needs to be going into building the national information infrastructure and providing all of the services that one would like to have. There is a tremendous amount of investment needed within people's homes. The real impact of telemedicine will occur when one can get into people's homes and keep them healthy. But who decides what services are going to be available, and what kinds of investments are going to be made? The author gives a perception of how some of these questions might be addressed as society moves forward. The author thinks that one is going to see new kinds of marketplaces emerging. As a result, organizations are going to change, and one will need to change one's thinking about how one manages those organizations.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126171737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"National Porum on Military Telemedicine","authors":"G. R. Sullivan","doi":"10.1109/MTOL.1995.504533","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504533","url":null,"abstract":"","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130357694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Telemedicine in the Nordic countries: diffusion and technology assessment","authors":"S. Olsson","doi":"10.1109/MTOL.1995.504538","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504538","url":null,"abstract":"Telemedicine is a general term and can be defined as \"medicine at distance\": which in practice very often means \"medical communications via telemedia\". Telemedicine refers to a wide range of specific applications usually named after a particular discipline, e.g., teledermatology, telepsychiatry, teleradiology, telecardiology, telesurgery, telepathology, telelogopedics, teleeducation, and teletraining. The Nordic countries is the common name for Denmark, Finland, Iceland, Norway, and Sweden.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122472060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Badler, J. Clarke, M. Hollick, E. Kokkevis, Dimitris N. Metaxas, R. Bindiganavale, B. Webber, D. Chi, N. Foster, O. Ogunyemi, J. Kaye
{"title":"MediSim: simulated medical corpsmen and casualties for medical forces planning and training","authors":"N. Badler, J. Clarke, M. Hollick, E. Kokkevis, Dimitris N. Metaxas, R. Bindiganavale, B. Webber, D. Chi, N. Foster, O. Ogunyemi, J. Kaye","doi":"10.1109/MTOL.1995.504523","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504523","url":null,"abstract":"The MediSim system extends virtual environments (both local and network) to represent simulated medical personnel interacting with simulated casualties. Our technology fosters dual-use applications involving planning, training, and evaluation of both medical corpsmen and civilian EMTs. Behaviors and behavioral control are being developed for the medical corpsmen that will enable their actions on the digital battlefield to conform to both military practice and medical protocols. From situationally-appropriate injury models, a set of physical and behavioral manifestations in a simulated casualty will be determined and portrayed on a three-dimensional body.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130024364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DoD communications support to telemedicine","authors":"A. Valletta","doi":"10.1109/MTOL.1995.504532","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504532","url":null,"abstract":"The DoD's job is to design a robust, scalable telecommunications network for the future that can meet all requirements and not have separate stovepipe uninteroperable networks that one has had in the past. So, this technology spans a lot of the functional areas. The author considers telemedicine as one of the leading edges that will help one get there. The Defense Information System, Draft RFP will be out in June 1995. Final RFP in January of 1996. Services to be turned on very shortly thereafter, within 6 or 8 months. It will provide the worldwide communications infrastructure that users are looking for. The DoD will migrate all of the existing initiatives that people have from FTS-2000, whatever they are using, publish switch networks to this new capability. The DoD will do all of the interfaces that users are looking for, and they will provide a capability for facilitating for the future technology as it emerges, with a lot of technology insertion capabilities.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126829094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Project RavenCare in Alaska: initial implementation","authors":"W. Tohme, J. Collmann, S. Mun, D.J. Vastola","doi":"10.1109/MTOL.1995.504551","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504551","url":null,"abstract":"Project RavenCare is an initiative designed to provide sustained routine clinical telemedicine/teleradiology support for a village clinic in Hoonah, Alaska and Mt. Edgecumbe Hospital in Sitka. The village clinic is linked to the regional hospital and this hospital is in turn linked to Georgetown University Medical Center (GUMC) through the NASA-ACTS (Advanced Communication Technology Satellite). Project RavenCare is a joint project between the Department of Radiology at GUMC and the Southeast Alaska Regional Health Corporation (SEARHC) in Sitka. Regional physicians in Hoonah lack support in providing relatively routine care in areas such as radiology and pathology. This project will address the existing communication problem between the village health clinics and the hospital as well as the lack of subspecialty support for hospital-based physicians in Sitka.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115430456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ENT surgical simulator project","authors":"C. Edmond, D. Sluis","doi":"10.1109/MTOL.1995.504527","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504527","url":null,"abstract":"This paper outlines the proposal, approved by The United States Army Medical Research and Material Command, to develop and implement an ENT surgical simulator. The proposed research aims to develop and evaluate a minimally invasive prototype surgical simulator to establish real time fidelity requirements for tactile feedback and computer image synthesis. The project will enhance Graduate Medical Education programs, as well as quality of care and patient oriented risk management. The prototype will be used to evaluate surgical training requirements. As such, the project will contribute to improved readiness of medical personnel. Upon validation of concept and requirements, applicable technology can be extended to training for battlefield trauma care. The project is an important step in the technological evolution of surgical simulation in the virtual reality training environment.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116183979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Freedman, D. Steller, R. Zuurbier, J. Hogge, R. Katial, H. Jafroudi, Y.C. Wu, S. Lo, S. Mun
{"title":"Digital mammography: current technology","authors":"M. Freedman, D. Steller, R. Zuurbier, J. Hogge, R. Katial, H. Jafroudi, Y.C. Wu, S. Lo, S. Mun","doi":"10.1109/MTOL.1995.504529","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504529","url":null,"abstract":"Direct digital mammography (DDM) is currently undergoing clinical trial in the United States. The likely outcome of the current clinical trials is that DDM will be found to have appropriate diagnostic accuracy for clinical use for both screening and diagnostic use. Telemammography and the electronic storage of breast images will be shown to be feasible. Computer readable images will be found to help the further implementation of computer assisted breast cancer detection and in the classification of lesions in the breast that could be cancer into benign and malignant categories. Over the next five years new machine and software developments will show that DDM has diagnostic advantages over conventional screen film mammography, especially when coupled with computer aided detection and classification.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125149929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}