Projects

The following projects are underway for 2018-2019.

  • Analyzing Data from the Evidence-Based Telehealth Network Grant Program (EB TNGP) Grantees and Preparing Manuscripts to Further the Evidence Base for Tele-ED
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2018
    Anticipated completion date: August 2019
    • The primary purpose of this project will be to analyze data using the revised Tele-Emergency Performance Assessment Reporting Tool (T-PART) from the Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) grantees on all their tele-ED cases and a matched sample of non-tele-ED records to conduct comparative effectiveness analysis to help establish the evidence base for tele-ED.

  • Launching Data Collection on a Common Set of Measures for the School-Based TNGP Evaluation
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2018
    Anticipated completion date: August 2019
    • The primary purpose of this project will be to launch data collection from SB-TNGP grantees using an EXCEL-based data collection tool, to perform regular quality checks and data management activities, and to begin descriptive statistical analysis.

  • Understanding Trends in Telehealth Use: An All-Payer Analysis in Maine
    Lead researcher: Andrew F. Coburn, PhD
    207-780-4435, andrew.coburn@maine.edu
    Project funded: September 2018
    Anticipated completion date: August 2019
    • This project's primary purpose is to use Maine’s All-Payer Claims Database (APCD) and key informant interviews to develop a descriptive overview of telehealth use in Maine, examining how telehealth use has changed over time (2008-2017) among rural and urban patients and providers and whether there are discernable patterns in those changes by telehealth modality, payer, provider type, diagnosis, and service.

  • Establishing a Common Set of Measures for Tele-Behavioral Health and Tele-Substance Abuse
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2018
    Anticipated completion date: August 2019
    • The primary purpose of this project will be to establish data collection protocols and tools for use in a cross-grantee evaluation of the Evidence-Based Tele-Behavioral Health Network Program (EB THNP).

These were 2017-2018 projects.

  • Collecting and analyzing data from the Evidence-Based Telehealth Network Grant Program (EB TNGP) grantees using the revised Tele-Emergency Performance Assessment Report Tool (T-PART)
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2017
    Anticipated completion date: August 2018
    • The primary purpose of this project will be to collect and analyze data from the EB TNGP grantees using the revised T-PART on all their tele-ED cases and a matched sample of non-tele-ED cases to conduct comparative effectiveness analysis to help establish the evidence base for tele-ED.

  • Establishing data collection protocols on a common set of measures for the School-Based Telehealth Network Grant Program (SB TNGP) evaluation
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2017
    Anticipated completion date: August 2018
    • RTRC will work cooperatively with FORHP to establish data collection protocols and tools on a set of measures that could be used for cross-grantee evaluation of the SB TNGP.

  • Rates of telemental health use among rural Medicaid enrollees: Associations with telehealth policy and mental health access
    Lead researcher: Andrew F. Coburn, PhD
    207-780-4435, andrew.coburn@maine.edu
    Project funded: September 2017
    Anticipated completion date: August 2018
    • This study will examine telemental health use among rural and urban Medicaid beneficiaries with mental illness. Primary study goals will be: 1) to compare rates and patterns of telemental health use among rural and urban enrollees; 2) to assess how rural telemental health use rates are associated with state-level Medicaid telehealth policies; and 3) to determine the extent to which telemental health provides acces to care for rural beneficiaries who do not receive mental health services through other means.

  • Identify Measures for Use with Tele-Behavioral Health
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2017
    Anticipated completion date: August 2018
    • RTRC will identify a set of measures that could be used to evaluate of tele-behavioral health services.  

These were 2016-2017 projects.

  • Collecting and analyzing data on a uniform set of measures from the Evidence-Based Telehealth Network Grant Program grantees
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2016
    Anticipated completion date: August 2017
    • The primary purpose of this project will be to routinely collect and analyze data on a uniform set of measures reported by the EB TNGP grantees to help establish the evidence base for tele-ED.

  • Provide guidance on measures for the School-Based Telehealth Network Grant Program evaluation
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2016
    Anticipated completion date: August 2017
    • RTRC will work cooperatively with FORHP to provide guidance on a set of measures that could be used for a cross-grantee evaluation of the SB TNGP. A secondary goal is to identify lessons learned from this effort that could be useful in designing future TNGP cooperative agreements.

  • Use of telehealth services among rural Medicaid enrollees: A baseline inventory
    Lead researcher: Andrew F. Coburn, PhD
    207-780-4435, andrew.coburn@maine.edu
    Project funded: September 2016
    Anticipated completion date: August 2017
    • This project uses data from the Medicaid Analytic Extract (MAX) for 2011 to create a 50-state, baseline inventory of telehealth services provided to Medicaid enrollees in rural and urban settings. The project will provide important information on the feasibility of using MAX data to study the effects of Medicaid telehealth policies on rural telehealth use and on the accessibility and quality of care delivered to rural Medicaid populations.

  • Telestroke adoption, cost, and quality in hospitals in North Carolina
    Lead researcher: Christopher M. Shea, PhD, MA, MPA
    919-966-1938, chris.shea@unc.edu
    Project funded: September 2016
    Anticipated completion date: August 2017
    • This project will examine hospitals in North Carolina to: 1) identify all hospitals serving as a telestroke originating site and summarize their structure, market, and community caracteristics; 2) compare these structural, market, and community characteristics to hospitals that do not provide telestroke; and 3) within a sample of telestroke originating sites, examine the influence of telestroke program characteristics and process measures on quality measures and costs, using a combination of secondary and primary data.

These were 2015-2016 projects.

  • Designing a study for collection of uniform measures by the Evidence-Based Telehealth Network Grant Program grantees
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2015
    Anticipated completion date: August 2016
    • FORHP is currently funding six grantees through the Evidence-Based Telehealth Network Grant Program (EB TNGP) to implement and evaluate tele-emergency services in rural areas. The purpose of this project is to design study concepts whereby the EB TNGP grantees will be able to collect data on a uniform set of measures to help establish the evidence base for tele-emergency.

  • Launch of a study for collection of uniform measures by the Evidence-Based Telehealth Network Grant Program grantees
    Lead researcher: Marcia M. Ward, PhD
    319-384-3815, marcia-m-ward@uiowa.edu
    Project funded: September 2015
    Anticipated completion date: August 2016
    • Once study concepts are vetted, protocols will be developed and this project will launch a study where the EB TNGP grantees begin to collect data on a uniform set of measures to help establish the evidence base for tele-ED.

  • The impact of emergency telemedicine on timeliness, process of care, and clinical outcomes in rural North Dakota trauma care
    Lead researcher: Nicholas M. Mohr, MD, MS
    319-353-6360, nicholas-mohr@uiowa.edu
    Project funded: September 2015
    Anticipated completion date: August 2016
    • This project is a comparative effectiveness study of North Dakota trauma patients to measure the impact of telemedicine-enabled emergency care between 2008-2014 on: 1) time to arrival at definitive care; 2) diagnostic imaging performed in rural hospitals; 3) probability of transfer to tertiary trauma center; and 4) survival. This research will measure the effectiveness of telemedicine to influence rural trauma care in a real-world application, and will provide data for a subsequent cost-effectiveness study.

  • Use of telehealth services among rural Medicaid enrollees: A baseline inventory
    Lead researcher: Andrew F. Coburn, PhD
    207-780-4435, andrew.coburn@maine.edu
    Project funded: September 2015
    Anticipated completion date: August 2016
    • This project uses data from the Medicaid Analytic Extract (MAX) for 2011 to create a 50-state, baseline inventory of telehealth services provided to Medicaid enrollees in rural and urban settings. The project will provide important information on the feasibility of using MAX data to study the effects of Medicaid telehealth policies on rural telehealth use and on the accessibility and quality of care delivered to rural Medicaid populations.