Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) project: technical implementation.
The Columbia University Informatics for Diabetes Education and Telemedicine IDEATel) project is a four-year demonstration project funded by the Centers for Medicare and Medicaid Services with the overall goal of evaluating the feasibility, acceptability, effectiveness, and cost-effectiveness of telemedicine. The focal point of the intervention is the home telemedicine unit (HTU), which provides four functions: synchronous videoconferencing over standard telephone lines, electronic transmission for fingerstick glucose and blood pressure readings, secure Web-based messaging and clinical data review, and access to Web-based educational materials. The HTU must be usable by elderly patients with no prior computer experience. Providing these functions through the HTU requires tight integration of six components: the HTU itself, case management software, a clinical information system, Web-based educational material, data security, and networking and telecommunications. These six components were integrated through a variety of interfaces, providing a system that works well for patients and providers. With more than 400 HTUs installed, IDEATel has demonstrated the feasibility of large-scale home telemedicine.
Starren
Justin
J
Columbia University, New York, New York, USA.
Hripcsak
George
G
Sengupta
Soumitra
S
Abbruscato
C R
CR
Knudson
Paul E
PE
Weinstock
Ruth S
RS
Shea
Steven
S
D019090:Case Management; D016494:Computer Security; D003199:Computer Systems; D003658:Decision Making, Computer-Assisted; D003920:Diabetes Mellitus / Q000628:therapy; D006751:Hospital Information Systems / Q000458:organization & administration; D006801:Humans; D020407:Internet; D009519:New York City; D010353:Patient Education as Topic; D012984:Software; D013685:Telecommunications; D017216:Telemedicine / Q000458:organization & administration; D014495:Universities