VisualShare - communicate with pictures - software solutions for image sharing and collaboration. VisualShare builds applications for organizations that need to share images, conduct reviews and document results.

TeleCAM™

Teleconsultation in Child Abuse Medicine

Project Case Study

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Client

The Center for Safe and Healthy Families at Intermountain Primary Children’s Medical Center (IPCMC) wanted a consultation system to serve the investigative and medical needs of abused children located in geographically distant clinics. Each clinic is required to perform medical assessments to diagnose and treat the physical aftereffects of abuse, and also document forensic evidence necessary for child protection and possible prosecution. IPCMC also needed to collect case material and for training and education, quality assurance and reporting.

Business Need

As the only children’s hospital with a tertiary care trauma center in the Intermountain West, Utah’s Intermountain Primary Children’s Medical Center (IPCMC), within the Intermountain Health Care (IHC) system, annually receives and reviews about 1000 child abuse cases submitted from geographically remote locations.

The value of software applications that meet the remote communication and collaboration needs of rural providers and their patients is considerable. TeleCAM provides this value by overcoming the typical barriers of user adoption and workflow efficiency through delivery of a specialty driven experience and single-copy centralized image sharing and collaboration.

Specifically, TeleCAM had to fulfill the following requirements:

• Deliver a Pediatric child abuse prevention workflow,
• Provide image attachment, sharing and collaboration as part of the consultation record,
• Establish a process for content management, including access control, case auditing and review,
• Allow Web-based, anywhere clinical consultation in real time from multiple locations,
• Generate reports, email notification of cases pending review and billing codes to aid in reimbursement.

Challenges

• Acquiring domain expertise to determine accurate workflow representation
• Interfacing between multiple layers that make up the system (Presentation, Data, Business),
• Deployment within a large healthcare facility.

Solution

The existing process of child abuse detection and prevention can be improved by providing clinicians and practitioners with secure case communication and collaboration tools. These tools must fulfill the need to create and submit child abuse cases for expert consultation, integrate clinical coding standards (e.g, ICD-9, CPT), obtain images form multiple sources (e.g., clinical photos, radiographs, histology), preserve archive quality images with non-destructive visual identifiers and protect all information from unauthorized access. Due to the complexity of the project, VisualShare managed the solution requirements and delivery in stages:

• Clear articulation of the client’s needs and requirements over a period of six months
• Phased prototype development and system testing,
• Extensive usability testing with select groups of child abuse medical providers

Benefits

• Creation of a Pediatric child abuse specific consultation record
• Remote web-based, anywhere access and real-time visual dialog that speeds up the referral process,
• HIPAA Compliant (Secure and Private),
• Child abuse workflow supports the examiner-consultant collaboration,
• Built-in checks to ensure valid information for reducing misdiagnosis,
• Multiple image upload and annotation features,
• Electronic reporting and email notifiers of pending cases queued for review,
• Child abuse case material managed and stored in a database for medical reference, training and education.

For more information call us at 1-800-939-8073

TeleCAM Product Page

© Copyright VisualShare 2006

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Teleconsulting in Child Abuse Medicine (TeleCAM™) is a superior and more efficient way for geographically isolated medical providers to collaboratively access, contribute to and share child abuse case material.

TeleCAM Interface for child abuse diagnosis

TeleCAM™ provides the following Key Features:

• Remote Web-based Access and Real-time Visual Dialog
• HIPAA Compliant (Secure and Private)
• Child Abuse Workflow
• Multiple Image Upload and Annotation
• Electronic Reporting and Email Notifiers
• Case Material Managed and Stored in a Database

TeleCAM™ Workflow designed for child abuse diagnosis

How it Works

1. A practitioner at a remote location securely logs into TeleCAM™, creates consultation record, uploads images and patient data.
2. Once the consultation record is created TeleCAM™ sends out alerts to other participants notifying them of a pending case review.
3. A medical specialist with specialized training logs into the system, reviews the case, provides expert diagnosis and closes the case.
4. Remote location has the option to provide additional input.
5. A report is generated with final diagnosis and conclusions.

TeleCAM Child Abuse Workflow

TeleCAM™ A system to expedite sound diagnosis based on images and clinical expertise

TeleCAM system architecture

The TeleCAM™ architectural diagram illustrates the collaboration exchange of imaging and patient record data along with the multi-user collaborative session.

This approach provides for a comprehensive medical assessment and illustrates the importance and reuse of the clinical case information for collaborative, team-based delivery of healthcare.

TeleCAM™ is a HIPAA compliant and provides a secure, complete, image-rich collaboration system that does not compromise data quality, patient care or privacy.

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