Telemedicine

What is Telemedicine?

The service links specialists at St. Alexius with health care providers and their patients in rural communities using two-way "live" television. Specialists can conduct face-to-face consultations using the interactive video network to examine, diagnose and plan care. This can eliminate the need for the patient to travel to Bismarck for a consultation. This service offers routine and emergency medical and mental health consultaions, 24 hours a day, 7 days a week.

What are the Benefits?

  • Keeps patients in their own communities for health care
  • Provides specialty care services to rural areas
  • Improves patient and family involvement in their own care
  • Strengthens the rural economy by keeping the flow of financial resources in the local communities
  • Continuity of patien care is enhanced when the patient, primary care physician, specialist, and family are involved during the consultation.

Telemedicine services include:

  • Dermatology
  • Neurology
  • Surgery
  • Emergency Medicine
  • Pediatrics
  • Plastic Surgery
  • Ear, Nose and Throat
  • Cardiothoracic Surgery
  • Obstetrics/Gynecology
  • Psychiatry and Mental Health Services
  • Orthopedics
  • Neurosurgery
  • Radiology
  • Wound Care Management
  • And many more

Telemedicine and Great Plains Clinic

In 2002 the top 5 areas of clinical utilization throughout the whole telecommunications network were: speech therapy, psychiatry, nephrology, cardiac surgery, and burn care.

In 2002 Great Plains Clinic had 12 consults:

6 - Nephrology
4 - Cardiology
1 - Psychology
1 - Plural effusion, fluid build-up

In 2003, January - February, we have already had 7 consults:

3 - Burn Care
2 - Psychology
1 - Cardiology
1 - Post Plastic Surgery, decuibular repair

New items in Telemedicine

  • We are going through a process of upgrading equipment. We hope to get rid of the older equipment and replace it with more portable systems.
  • We are working with Medcenter One and the ND State Health Department to develop programs that would link networks in case we would need an emergency public health response to bio-terrism or other public health emergencies.

Benefits of Rural Telemedicine Programs

  • Keep patients in their own communities for health care when feasible.
  • Provide specialty care services to rural areas.
  • More efficient use of medical resources which may lessen amount of travel time for specialists and patients.
  • The on-site primary care provider receives quick, efficiently guided consults.
  • Primary care providers frin that treatment of subseuent patients with similar presenting symptoms can be handled with more efficiency and less need for specialist input.
  • Improve patient and family involvement in their own care.
  • Reduced physician isolation in rural areas.
  • Increased financial viability of rural medical facilities.
  • Strengthen the rural economy by keeping the flow of financial resources in the local communities.
  • Continuity of patient care is enhanced when the patient, primary care physician, specialist, and family are all involved during the consultation. If patient requires transfer to a tertiary facility, they have already met the physician who will be caring for them, thus offering reassurance to the patient.
  • Strengthen the relationships between rural facilities and St. Alexius Medical Center, which may also increase the referral base for St. Alexius and associated physicians.