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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi- would we be permitted to share this on our Legacy website?<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Thanks-<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Pat<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Pat Scheans, MSN, NNP-BC<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Clinical Support for Neonatal Care<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Legacy Health<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Portland, OR<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="mailto:pscheans@lhs.org"><span style='color:blue'>pscheans@lhs.org</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(503) 413-4432 Office<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(503) 970-8829 Cell<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><a name="_MailEndCompose"><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></a></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> tao-bounces@listsmart.osl.state.or.us [mailto:tao-bounces@listsmart.osl.state.or.us] <b>On Behalf Of </b>Catherine Britain<br><b>Sent:</b> Tuesday, June 04, 2013 8:32 AM<br><b>To:</b> tao@listsmart.osl.state.or.us<br><b>Subject:</b> [TAO] Fwd: NRTRC News & Views Newsletter May 2013<o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><div><div><p class=MsoNormal><span style='font-size:18.0pt'>Good Morning,<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:18.0pt'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-size:18.0pt'>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!<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:18.0pt'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-size:18.0pt'>Cathy<o:p></o:p></span></p></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal style='margin-bottom:12.0pt'>---------- Forwarded message ----------<br>From: <b>Martha Nikides</b> <<a href="mailto:martha@nrtrc.org">martha@nrtrc.org</a>><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><o:p></o:p></p><div><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;background:black;border-right:transparent;border-bottom:transparent;border-top:transparent;border-left:transparent'><tr><td style='padding:0in 0in 0in 0in;border-right:transparent;border-bottom:transparent;border-left:transparent'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600 style='width:6.25in;background:black'><tr><td style='padding:15.0pt 0in 15.0pt 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600 style='width:6.25in;word-wrap:break-word'><tr><td style='background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-right:transparent;border-bottom:transparent;border-left:transparent'><tr><td valign=top style='background:white;padding:0in 0in 0in 0in'><div><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td style='border:none;border-top:solid white 1.0pt;padding:0in 0in 0in 0in'><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><img border=0 id="_x0000_i1025" src="http://files.icontact.com/templates/v2/BoldNewsTwoColumnBlack/im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;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif";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><span style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Helvetica","sans-serif";color:#2B3591'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif";color:#333333'>IDAHO</span><span style='font-size:9.0pt;font-family:"Helvetica","sans-serif";color:#2B3591'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif";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><span style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif";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><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>things are in the works (more when we have something nailed down!).</span><span style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'><a href="http://click.icptrack.com/icp/relay.php?r=21101625&msgid=360151&act=80QA&c=1118106&destination=http%3A%2F%2Fwww.nrtrc.org%2Fwp-content%2Fuploads%2FMy_2_Cents_May2013.pdf" target="_blank"><span style='font-size:9.0pt;text-decoration:none'><img border=0 width=240 height=60 id="_x0000_i1030" src="http://staticapp.icpsc.com/icp/loadimage.php/mogile/1118106/892c775368c2791237a245247896abc6/image/jpeg"></span></a><o:p></o:p></span></p><p align=center style='margin:0in;margin-bottom:.0001pt;text-align:center'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p></td></tr></table></div></td></tr></table></td><td width="50%" valign=top style='width:50.0%;background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td valign=top style='background:white;padding:0in 37.5pt 0in 0in'><div style='border:none #C2D9E7 1.0pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;word-wrap:break-word'><tr><td style='padding:15.0pt 0in 7.5pt 7.5pt'><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><img border=0 width=240 height=153 id="_x0000_i1031" src="http://staticapp.icpsc.com/icp/loadimage.php/mogile/1118106/631573d77bc9e529ca0924c3b40e1d4b/image/jpeg"><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:13.5pt;font-family:"Times","serif"'>AHRQ Launches Regional Partnership Development Initiative to Promote Comparative Effectiveness Research </span></b><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif";color:#BA4444'>By Catherine Brita</span><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'>i<span style='color:#BA4444'>n, Staff Writer</span><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>   </span><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","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 style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","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 style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>in communities.</span><span style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><strong><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>What is comparative effectiveness research?</span></strong><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'> </span><span style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","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 style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'><a href="http://click.icptrack.com/icp/relay.php?r=21101625&msgid=360151&act=80QA&c=1118106&destination=http%3A%2F%2Fwww.nrtrc.org%2Fwp-content%2Fuploads%2FAHRQ.pdf" target="_blank"><span style='text-decoration:none'><img border=0 width=240 height=60 id="_x0000_i1032" src="http://staticapp.icpsc.com/icp/loadimage.php/mogile/1118106/892c775368c2791237a245247896abc6/image/jpeg"></span></a><o:p></o:p></span></p></td></tr></table></div><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td style='padding:0in 0in 0in 0in'><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><img border=0 width=250 height=193 id="_x0000_i1033" src="http://staticapp.icpsc.com/icp/loadimage.php/mogile/1118106/5add83500f44f263b6c49e94d211f7f1/image/jpeg"><o:p></o:p></span></p></td></tr></table></td></tr></table></td></tr></table></td></tr><tr><td style='background:white;padding:0in 0in 0in 0in;border-bottom-color:transparent;border-top-color:transparent;border-left-color:transparent;border-right-color:transparent'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td valign=top style='padding:7.5pt 37.5pt 7.5pt 37.5pt'><div style='border:none #C2D9E7 1.0pt;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;word-wrap:break-word'><tr><td style='padding:7.5pt 0in 7.5pt 0in'><p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:13.5pt;font-family:"Times","serif"'>Montana Legislates Telemedicine Reimbursement</span></b><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif";color:#BA4444'>From the ATA Telemedicine State Policy Center</span><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>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 style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>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 style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><a href="http://click.icptrack.com/icp/relay.php?r=21101625&msgid=360151&act=80QA&c=1118106&destination=http%3A%2F%2Fwww.nrtrc.org%2Fwp-content%2Fuploads%2FMontana_Legislates.pdf" target="_blank"></a></span><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f">
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</v:shape><![endif]--><![if !vml]><a href="http://click.icptrack.com/icp/relay.php?r=21101625&msgid=360151&act=80QA&c=1118106&destination=http%3A%2F%2Fwww.nrtrc.org%2Fwp-content%2Fuploads%2FMontana_Legislates.pdf" target=""_blank""><img border=0 width=228 height=57 src="http://staticapp.icpsc.com/icp/loadimage.php/mogile/1118106/892c775368c2791237a245247896abc6/image/jpeg" align=right v:shapes="_x0000_s1026"></a><![endif]><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><a href="http://click.icptrack.com/icp/relay.php?r=21101625&msgid=360151&act=80QA&c=1118106&destination=http%3A%2F%2Fwww.nrtrc.org%2Fwp-content%2Fuploads%2FMontana_Legislates.pdf" target="_blank"></a></span><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'> <o:p></o:p></span></p><p align=right style='margin:0in;margin-bottom:.0001pt;text-align:right'><span style='font-size:8.0pt;font-family:"Times","serif"'> <o:p></o:p></span></p><div><p class=MsoNormal><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'> <o:p></o:p></span></p></div></td></tr></table></div><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%'><tr><td style='border:none;border-top:solid #999999 1.0pt;padding:15.0pt 0in 7.5pt 0in'><p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:13.5pt;font-family:"Times","serif"'>Telemedicine for Neonatal Resuscitation: An Innovative Use of Technology</span></b><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif";color:#BA4444'>By Pat Scheans and Lauren Rose, Guest Writers    </span><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'> <o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Arial","sans-serif"'> </span><span style='font-size:9.0pt;font-family:"Trebuchet MS","sans-serif"'>M</span><span style='font-size:9.0pt;font-family:"Trebuchet MS","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 style='font-size:8.5pt;font-family:"Trebuchet MS","sans-serif"'><o:p></o:p></span></p><p style='margin:0in;margin-bottom:.0001pt'><span style='font-size:9.0pt;font-family:"Trebuchet MS","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 style='font-size:8.0pt;font-family:"Times","serif"'><o:p></o:p></span></p><p align=right style='margin:0in;margin-bottom:.0001pt;text-align:right'><span style='font-size:8.0pt;font-family:"Times","serif"'><a href="http://click.icptrack.com/icp/relay.php?r=2110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