PLANNING COMMITTEE MEMBERSHIP
COMMITTEE'S BEGINNINGS: AN IDEA WHOSE TIME HAD COME
MISSION STATEMENT
GOALS
ACKNOWLEDGEMENTS





Telehealth & Telemedicine:
Taking Distance Out of Caring

California Telehealth/Telemedicine Coordination Project
November 1996

1996 Chair
MICHAEL J. SMITH
DxNET, LLC
1995 Chair
THOMAS S. NESBITT, M.D.
University of California Davis Medical Center
Vice Chair
HILARY ROSS
University of California San Francisco - Fresno
Executive Director
CATHERINE QUINN
California Health Collaborative
Project Manager
BRUCE MILLIS
Consultant

PLANNING COMMITTEE MEMBERS

RONALD L. ARENSON, M.D.
University of California - San Francisco
WILLIAM J. HALVERSON,
MBA, MScNE
Pacific Bell
MELVIN H. NUTIG, M.D.
Cedars-Sinai
Medical Center
DIXON ARNETT
Department of Aging
GANIM HANNA
Loma Linda Medical Center
JEAN OHL
Health Care Financing Administration
SHARON AVERY
California Healthcare Association
RODNEY HAWKINS
Stanford Health Services
JEFF RIDEOUT, M.D.
Blue Cross of California
MIKE BALL
California Health Information Association
PAULA J. HENNING
Department of Health Services
BARRY ROSS
California Telephone Association
EDWARD C. BLAND
Colusa Community Hospital
MILLIE HUGHES-FULFORD
University of California San Francisco
LESLIE A. SANDBERG
Pacific Bell
SHERI COURTEMANCHE
California Endowment
KAY JAIN
Sprint Communications Corporation
ROBERT A. SHAKMAN, M.D.
Consultant
JAMES A. CROUCH
California Rural Indian Health Board
FRED JOHNSON
Office of Statewide Health Planning and Development
ANNA-LISA SILVESTRE
Kaiser-Permanente
- North
JILL DEUSER
Kaiser Permanente - North
JANA D. KATZ
University of California Davis Medical Center
LINDA SIMONE
Department of General Services
GWENDOLYN DOEBBERT
Department of Health Services
PAUL KREIS, M.D.
Department of Corrections
MICHAEL SOUZA
Health Care Financing Administration
RICHARD DORSEY, M.D.
Riverside County Department of Mental Health
JANET E. LARSON
Sacramento Public Library
CHRIS STANTON, M.D.
Feather River Physicians
ELVA DREISBACH, M.D.
Maxicare
DOUG LAUE
Medical Board of California
RICHARD J. STECKEL, M.D.
University of California - Los Angeles School of Medicine
J. CARI ELLIOTT-GRADISON
California Health Collaborative
HARRY MANGALAM, PH.D.
University of California Irvine
LAWRENCE C. STEWART
VA Medical Center - San Francisco
HAINES ELY, M.D.
California Medical Association
DONAVAN (DON) MERCK
Department of Education
HEIDI STOVALL
Redwood Community Health Coalition
JAN FIFE
Mark Twain St. Joseph's Hospital
DAN MILEY
PictureTel, Inc.
T.G.G. WILSON, Ph.D., M.D.
Department of Health Services
FREDERICK GEORGE, III, M.D.
University of Southern California
NAOMI MORSE
Office of Senator Mike Thompson
V. GALE WINTING
University of California - Los Angeles School of Public Health
BERYL GLITZ
Louise Darling Biomedical Library
JAMES R. NELSON, M.D.
Scripps Health
ROBERT WOODWARD
CyberOptions, Inc.
COREY WRIGHT
Vienna Convalescent Hospital

COMMITTEES BEGINNINGS: AN IDEA WHOSE TIME HAD COME

In late 1994, a small group of health care providers and health association representatives met to discuss the growing use of telemedicine and ways in which they could help expand its use to benefit all Californians, especially those living in rural and urban medically underserved areas. That discussion spawned the idea of establishing a forum through which key stakeholder groups in the field of telemedicine could be brought together to support the emergence of telehealth and telemedicine technologies in California. It was hoped that, through such a forum, many of the pitfalls experienced by projects in other states could be avoided.

Thomas S. Nesbitt, M.P.H., M.D., Director of Telemedicine Research and Education, UC Davis Medical Center, Department of Family Practice, served as the initial "visionary." The California Health Collaborative, a nonprofit affiliate of the Hospital Council of Northern and Central California, took the lead in convening an initial planning committee for the project, the Sierra Health Foundation provided funding for a retreat to begin the strategic planning process and later a grant for the establishment of the California Telehealth/Telemedicine Coordination Project (The Project). Other Foundations, the public sector and private entities have also contributed financially to The Project.

Following the retreat, a broadly-based Planning Committee was established to provide direction and guidance to The Project. The Planning Committee membership includes a mix of interests from the health care community representing university medical centers; community hospitals; public health, research and planning institutions; state and federal governments; libraries; prisons; clinics; payers; physicians, educators, associations, private foundations, and vendors.

The vision of The Project is to see that the most efficient and effective telehealth/telemedicine network system(s) possible are developed and coordinated throughout the state of California providing optimal health education opportunities and medical care for all of California's citizens.

The officers and members of the Planning Committee know that this vision can be realized through careful planning, statewide collaboration of efforts, and rational implementation and deployment of telehealth/telemedicine applications. To this end, the following Mission Statement and Goals were developed as guides:

Mission Statement

The mission of the California Telehealth/Telemedicine Coordination Project Planning Committee is to support the emergence of telehealth/telemedicine networks to benefit Californians.

Goals

Honoring this mission, the California Telehealth/Telemedicine Project Planning Committee made a commitment to the following goals:

I. To create an environment which will facilitate Telehealth/Telemedicine programs.

II. To assess the current environment and needs for Telehealth/Telemedicine networks in California.

III. To produce, promote and distribute a report for Telehealth/Telemedicine network development in California.

In partial fulfillment of its goals, this report is prepared and provided to Californians to assist them in understanding the opportunities and challenges of telehealth and telemedicine and in creating networks to address their health education and care needs.

ACKNOWLEDGEMENTS

The members of the California Telehealth/Telemedicine Coordination Project (The Project) express their thanks to the individuals and organizations that made this report possible.

First and foremost, The Project is indebted to the California Health Collaborative for its significant role in the California Telehealth/Telemedicine Coordination Project. The Collaborative was instrumental in convening the initial planning committee, helping create the Projects parameters, seeking out funding sources, and managing the logistical details required to keep The Project running smoothly.

The Project gratefully recognizes its financial contributors, without whom this Project would still be just a good idea. They include: Sierra Health Foundation, The James Irvine Foundation, Blue Cross of California, Office of Statewide Health Planning and Development, and PictureTel.

The Project is greatly appreciative of the Chairmen of the Project; Michael J. Smith, DxNET, LLC. and Thomas S. Nesbitt, M.D., UC Davis Medical Center for leading a diverse Planning Committee from the health care community, government and the public and private sector. This report was developed with considerable input from the committee and The Project thanks them for the time, energy, and resources they devoted to this effort.

Particular thanks go to those committee members who invested significant time and energy to the review, writing and critiquing of the report to ensure its relevancy and accuracy: Melvin Nutig, M.D., Cedars-Sinai Medical Center; Stephen K. Phillips, ESQ., Latham and Watkins; Janet Larsen, Sacramento Public Library; Rob Woodward, CyberOptions, Inc.; and Dixon Arnett, California Department of Aging. Naomi Morse, Office of Senator Mike Thompson and Doug Laue, Medical Board of California are commended for helping craft legislation that supports the growth of telemedicine in California.

Special recognition is given to Bruce B. Millis for his expertise in health policy with particular expertise in telemedicine. As Project Manager he provided strong leadership for the overall project and was tireless in his efforts in writing, editing and organizing this report.

Charles F. Turcan is acknowledged for facilitating the Planning Committees strategic planning process.

Thank you to Margaret Shea for her assistance in compiling and editing the final report. Thanks go to Julie Martin who thoughtfully designed the cover for the report, Liz Brase who coordinated office services, and Syndi Matuszewicz who provided secretarial support.

The Sierra Health Foundation staff are greatly appreciated for meeting coordination. A special thanks to Pacific Bell for printing this report.