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Journal of the American Medical Informatics Association 5:441-447 (1998)
© 1998 American Medical Informatics Association


Implementation Brief

Arizona Telemedicine Program

Implementing a Statewide Health CareNetwork

Kevin M. McNeill, PhD, Ronald S. Weinstein, MD and Michael J. Holcomb

Affiliation of the authors: Arizona Health Sciences Center, University of Arizona, Tucson, Arizona.

Correspondence and reprints: Kevin M. McNeill, PhD, P.O. Box 245067, Department of Radiology, Arizona Health Sciences Center, Tucson, AZ 85724-5067. e-mail: <kevin{at}radiology.arizona.edu>.

Abstract The Arizona Telemedicine Program was established in July 1996 by the Arizona state legislature. The organizational center for the program is the Arizona Health Sciences Center in Tucson. Key goals for the program include increased access to specialty services for rural, underserved populations; development of cost-effective telemedicine services; and expansion of opportunities for education of health professionals in rural areas. The program provides several levels of services based on both store-and-forward and real-time interactive applications. The telecommunication infrastructure is provided by two methods: The first is a private asynchronous transfer mode network established and operated by program personnel. The second is dial-up access via the public switched telephone network. After an extensive period of organization and vendor evaluations, most of the private network was implemented between June and December 1997. This paper describes experiences establishing the asynchronous transfer mode network.




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Copyright © 1998 by the American Medical Informatics Association.