<div dir="ltr"><div class="gmail_default" style="font-size:large">Good Morning,</div><div class="gmail_default" style="font-size:large"><br></div><div class="gmail_default" style="font-size:large">This is the latest edition of NRTRC's newsletter. Note that the feature article is about Legacy's Tele-baby program.  Great program and nice article.  Legacy is a TAO member, and we are proud of their innovative work!</div>
<div class="gmail_default" style="font-size:large"><br></div><div class="gmail_default" style="font-size:large">Cathy</div><br><div class="gmail_quote">---------- Forwarded message ----------<br>From: <b class="gmail_sendername">Martha Nikides</b> <span dir="ltr"><<a href="mailto:martha@nrtrc.org">martha@nrtrc.org</a>></span><br>
Date: Mon, Jun 3, 2013 at 5:29 AM<br>Subject: NRTRC News & Views Newsletter May 2013<br>To: <a href="mailto:csbritain@gmail.com">csbritain@gmail.com</a><br><br><br><div><table cellpadding="0" cellspacing="0" width="100%" bgcolor="#000000" style="background-color:#000000">
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        <strong><span style="font-size:18px"><span style="font-family:times new roman,times,serif">My 2 Cents Worth</span></span></strong></p>
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        <font color="#ba4444">By Bob Wolverton, NRTRC Program Director</font></p>
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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="color:#333333"><font>Howdy! It’s been a busy month! I’ve been on the road, making visits to our Board members and a lot of other people interested in </font></span>Telehealth. The conversations have been informative and interesting.</span></span></p>

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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px"><font color="#0000ff"><span style="color:#333333">WASHINGTON</span></font></span></span></p>
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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px"><font color="#0000ff"><span style="color:#333333">So far, I’ve visited both Nancy Vorhees and Cara Towle in Washington. Cara took me to Seattle Children’s Hospital to meet with a number of Telemedicine folks at SCH and at the University of Washington, arranged several meetings with</span></font></span></span></p>

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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px"><font color="#0000ff"><span style="color:#333333">the Medical School staff and gave me the chance to sit in on a Project ECHO meeting. Great! Nancy invited me to a Northwest Telehealth staff meeting, gave me some time with a number of INHS folks and shared a lot of her time, helping me understand what’s going on in her area.</span></font></span></span></p>

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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px"><font color="#0000ff"><span style="color:#333333">IDAHO</span></font></span></span></p>
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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px"><font color="#0000ff"><span style="color:#333333">In Idaho, Tom Hauer in Coeur d’Alene set up several meetings with folks who will be super partners for NRTRC. We have</span></font></span></span></p>

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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px"><font color="#0000ff"><span style="color:#333333">a great synergy developing in northern Idaho. And, not to be outdone, Neill Piland squired me around Pocatello, fed me a lot of good food and arranged some very productive meetings as well with tele-pharmacy and network folks. All those Idaho contacts have been active since the meeting and great </span></font>things are in the works (more when we have something nailed down!).</span></span></p>

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        <font face="'times new roman', times, serif" size="4"><b>AHRQ Launches Regional Partnership Development Initiative to Promote Comparative Effectiveness Research </b></font></p>
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        <font color="#ba4444">By Catherine Brita</font>i<span style="color:#ba4444">n, Staff Writer</span></p>
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        <span style="font-size:12px">   </span></p>
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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif">The Federal Agency for Healthcare Research and Quality (AHRQ) recently launched efforts to promote comparative effectiveness research (CER), a type of patient- centered outcomes research, in patient and professional communities in all 50 states, Washington, D.C., and the U.S.</span></span></p>

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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif">territories. AHRQ has established five Regional Partnership Development Offices that are cultivating sustainable partnerships with hospitals and health systems, patient advocacy organizations, businesses, and other groups that serve clinicians, consumers, and policymakers. You’re invited to learn more about CER and to partner with AHRQ by using and encouraging others to use free CER reports and materials, which support efforts to improve the quality of health care</span></span></p>

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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif">in communities.</span></span></p>
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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif"><strong>What is comparative effectiveness research?</strong> </span></span></p>
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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif">Comparative effectiveness research provides information that helps clinicians and patients work together to treat an illness or condition. CER compares drugs, medical devices, tests, surgeries, or ways to deliver health care. The research findings don’t tell clinicians how to practice medicine or which treatment is best, but they provide evidence-based information on the effectiveness and risks of different treatments. </span></span></p>

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        <font face="'times new roman', times, serif" size="4"><b>Montana Legislates Telemedicine Reimbursement</b></font></p>
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        <font color="#ba4444">From the ATA Telemedicine State Policy Center</font></p>
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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px">Montana became the nineteenth state to sign into law requirements for private insurers to cover healthcare services provided via telemedicine comparable to that of in-person services.</span></span></p>

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        <span style="font-family:trebuchet ms,helvetica,sans-serif"><span style="font-size:12px">The Montana legislation was introduced earlier this year by Senator Edward Buttrey (R-13) and received overwhelming bipartisan support in both the House and Senate. The law mandates coverage under private health insurance plans and defines telemedicine as the use of real-time interactive audio, video, or other telecommunications technology, including store-and-forward-technology, used by a health care provider or health care facility to deliver health care services at a site other than the site where the patient is located.</span></span></p>

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        <font face="'times new roman', times, serif" size="4"><b>Telemedicine for Neonatal Resuscitation: An Innovative Use of Technology</b></font></p>
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        <span style="color:#ba4444">By Pat Scheans and Lauren Rose, Guest Writers    </span></p>
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        <span style="font-size:12px"><span style="font-family:arial,helvetica,sans-serif"> <span style="font-family:trebuchet ms,helvetica,sans-serif">M</span></span><span style="font-family:trebuchet ms,helvetica,sans-serif">aintaining high levels of readiness for neonatal resuscitation in community, low-risk maternity hospitals is challenging. Extensive neonatal resuscitation is needed at approximately one percent of deliveries, with care during these high-risk, low-volume events being guided by the American Academy of Pediatrics/American Heart Association Neonatal Resuscitation Program (NRP). Use of this algorithm is a community standard, but training is often only required every two years (AAP/AHA, 2010). Consequently, few nurses or clinicians receive enough exposure to these critical patient events, either in training, or in practice, to become proficient at timely implementation of the algorithm and the advanced procedures such as chest compressions, umbilical vein intravenous access, and endotracheal intubation. In one study, the average Neonatal Resuscitation Index (knowledge) score was low (69%). Many skills needed for full resuscitation are not performed very often, not even yearly, and low levels of comfort with skills needed for full resuscitation are reported by the staff and resuscitation team members (Jukkala and Henly, 2009).</span></span></p>

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        <span style="font-size:12px"><span style="font-family:trebuchet ms,helvetica,sans-serif">Telemedicine for neonatal resuscitation can address this problem by providing the addition of a remote, expert NRP leader in the form of a NICU-based neonatal nurse practitioner (NNP) or neonatologist via telemedicine technology. This paper provides an overview of this innovative health information technology application: augmenting the effectiveness of the low-risk maternity center team involved in resuscitation of newborns with a remote leader in a tertiary care center.</span></span></p>

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        <font face="'times new roman', times, serif" size="4"><b>2014 Telemedicine Conference </b></font></p>
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        <span style="color:#ba4444">By Sara Rivera, Social Media Specialist</span>   </p>
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        <span style="font-size:12px">Planning has already begun for next year's conference!  The Telehealth Alliance of Oregon has invited us to hold our third annual conference at the Benson Hotel in beautiful downtown Portland on March 24-26.</span></p>

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        <span style="font-size:12px">The announcement of our conference theme and the call for presentations will be available soon.  All the latest information on the conference can be found on our website: <a href="http://click.icptrack.com/icp/relay.php?r=21101625&msgid=360151&act=80QA&c=1118106&destination=http%3A%2F%2Fwww.nrtrcconference.com" style target="_blank">www.nrtrcconference.com</a> </span></p>

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        <span style="font-size:13px"><span style="font-family:times new roman,times,serif"><strong>Feedback</strong></span></span></p>
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        We always love to hear from our readers, so please let us know how we are doing by emailing Cathy Britain at <a href="mailto:csbritain@gmail.com" target="_blank">csbritain@gmail.com</a>.  </p>
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</div><br><br clear="all"><div><br></div>-- <br><div>Catherine S. Britain, Project Director</div>
<div>Telehealth Alliance of Oregon<br><a href="mailto:csbritain@gmail.com" target="_blank">csbritain@gmail.com</a><br>541-910-7366</div>
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