HEALTH--TELEMEDICINE INCREASES ------------------------------------------------------------ Telemedicine -- a new leading edge healthcare telecommunications technology -- is coming to Nova Scotia as a pilot project to improve healthcare services to residents outside the Metro area. Using advanced telecommunications technology, Telemedicine will give residents of Nova Scotia greater access to healthcare services from specialists. Patients will be able to receive immediate high-level, on-site healthcare without having to leave their community. The Telemedicine pilot is the Department of Health's newest health reform initiative to increase community-based healthcare services outside the Metro area. It is a new, efficient and cost-effective telecommunications system with the capability to deliver healthcare services 24 hours per day, seven days a week. A unique component to Telemedicine is its capability to provide rural physicians with greater access to interactive continuing medical education. The pilot project will concentrate on radiology (X-ray) applications although Telemedicine can be applied to many other specialties. "Telemedicine is a tremendous addition to this government's health reform plan," said Health Minister Ron Stewart. "The Telemedicine pilot project we implement will be one of the most comprehensive in Canada. It will include interactive audio and visual capabilities as well as providing a resource for continuing medical education." Telemedicine employs computer-based telecommunications technology to transmit medical data and video images between physicians at two or more locations. It also has interactive audio capabilities. Telemedicine transfers information between the remote site -- facilities with limited medical resources -- and the specialist consulting site -- facilities with greater medical resources. It can be integrated into existing computer systems and telephone line infrastructures. Guysborough, Sheet Harbour and North Sydney are the remote sites for the Telemedicine pilot project. The specialist consulting site will be the Queen Elizabeth II Health Sciences Centre. Dalhousie University and Cape Breton Regional Hospital will participate in the continuing medical education part of the project. A key feature of Telemedicine is a teleradiology application, or the transmission of x-rays from a remote site. The prompt interpretation of x-rays will be possible. In emergency cases, for example, physicians can forward x-rays to the referring centre prior to the patient's arrival to improve patient care. Primary care physicians using Telemedicine will have easy access to specialists without the patients having to travel to other healthcare facilities. Videoconferencing will be used to consult with a specialist and retrieve up-to-date patient information. Video photos of a patient can be taken and transmitted for discussion as well as facsimiles. Information about the patient can be recorded for future reference and review. The Telemedicine pilot project will work in conjunction with the physician recruitment program already under way to help retain physicians in rural areas. It opens new opportunities for professional interaction, consultation and backup support. With Telemedicine, all physicians have equal access to continuing medical education regardless of where they are practicing and where the instructor is based. The tender for the Telemedicine pilot project was awarded to TecKnowledge Healthcare Systems Inc. -- a Nova Scotia based healthcare technology consulting firm. The total amount of the tender is approximately $480,000. "We are very pleased with the opportunity to demonstrate how Telemedicine can benefit Nova Scotians," said Dorothy Spence, vice president, business and marketing, TecKnowledge Healthcare Systems Inc. "Its diverse applications will help to ensure everyone has equal access to quality healthcare services." The Nova Scotia Department of Health and TecKnowledge will work in partnership with MT&T, Dalhousie University, Cape Breton Regional Hospital, the QE II Radiology group and the Medical Society of Nova Scotia to effectively implement the Telemedicine pilot project. -30- Contact: Sue McKeage 902-424-3581 NOTE TO EDITORS: Backgrounder available by calling 1-800-670-4357 or 902-424-4492. trp Nov. 01, 1995