ATA 2007 Final Program

ATA 2007 Final Program American Telemedicine Association 12th Annual International Meeting and Trade Show 13-15 May 2007 Nashville Tennessee USA The world s largest scientific meeting and trade show focusing exclusively on telemedicine

Table of Contents SPONSORED BY: The University of South Florida College of Medicine. USF provides Continuing Education Credits for ATA 2007, including CME, CLE, APA and Nursing Contact Hours. IN COOPERATION WITH: United States Army Medical Research & Materiel Command (USAMRMC) Telemedicine & Advanced Technology Research Center (TATRC) Office for the Advancement of Telehealth (OAT) DHHS Health Resources and Services Administration Appalachian Regional Commission Telemedicine / Telehealth Programs UPMC Innovative Medical and Information Technologies (IMITs) Center Mobile Health Clinics Network (MHCN) Continua Health Alliance ANNUAL MEETING PROGRAM CHAIR Elizabeth A. Krupinski, PhD Assistant Director, Program Evaluation University of Arizona Department of Radiology Research Tucson, AZ About ATA 4 2007 Federal Policy Priorities 6 Telemedicine Standards & Guidelines Initiative 8 ATA Institutional & Sustaining Members 9 ATA Corporate Members 10 ATA Peer Review & Awards Committees 11 ATA 2007 Corporate Supporters 12 General Information 13 Schedule at a Glance 16 Detailed Schedule 17 Partners in Telemedicine 25 Continuing Education Certificate Courses 27 Special Interest Group and Chapter Activities 32 Presentation Index by Subject Area 35 Guide To Roundtables 36 Roundtables 37 Concurrent Panel Tracks 39 Concurrent Panels 40 Poster Presentations 58 Continuing Education Credits 64 ATA 2007 Trade Show 66 ATA 2007 Exhibitors 67 ATA 2007 Buyer s Guide 70 Exhibitor Profiles 75 Gaylord Opryland Floor Plan 106 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 3

About ATA Promoting the Use of Telemedicine & Telehealth for Consumers Worldwide The American Telemedicine Association is the leading international resource and advocate promoting access to medical care for consumers and health professionals via telecommunications technology. ATA seeks to bring together groups from traditional medicine, academic medical centers, technology and telecommunications companies, e-health, medical societies, government and others to overcome barriers to the advancement of telemedicine through the professional, ethical and equitable improvement in health care delivery. Established in 1993 as a non-profit organization and headquartered in Washington, DC, membership in the Association is open to individuals, companies and other organizations with an interest in promoting the deployment of telemedicine throughout the world. ATA is governed by a Board of Directors elected by the Association s membership. American Telemedicine Association 1100 Connecticut Avenue, NW, Suite 540 Washington, DC 20036 Phone: 202.223.3333 Fax: 202.223.2787 E-mail: info@americantelemed.org ATA BOARD OF DIRECTORS PRESIDENT Richard S. Bakalar, MD Chief Medical Officer Global Innovation Team IBM Healthcare and Life Sciences (HCLS) Rockville, MD PRESIDENT-ELECT Hon S. Pak, LTC MC USA Director Advanced Information Technology Group (AITG); U.S. Army Medical Research and Materiel Command, Telemedicine & Advanced Technology Research Center (TATRC) Fort Detrick, MD VICE-PRESIDENT Elizabeth A. Krupinski, PhD Assistant Director Program Evaluation, University of Arizona, Department of Radiology Research Tucson, AZ SECRETARY Neal I. Neuberger, CISSP President Health Tech Strategies, LLC McLean, VA TREASURER Scott Simmons, MS Assistant Director ECU Telemedicine Center Greenville, NC IMMEDIATE PAST PRESIDENT Thelma McClosky Armstrong Director Eastern Montana Telemedicine Network Billings, MT BOARD MEMBERS Dale Alverson, MD Medical Director Center for Telehealth, University of New Mexico Health Sciences Albuquerque, NM Nina M. Antoniotti, RN, MBA, PhD Program Manager, Marshfield Clinic TeleHealth Network Marshfield Clinic Marshfield, WI Oscar Boultinghouse, MD Associate Director and Chief Medical Officer UTMB Electronic Health Network Galveston, TX Karen Edison, MD Associate Professor & Chair of Dermatology, University of Missouri Health Care Dermatology Department Columbia, MO David G. Ellis, MD, FACEP Assistant Professor, Clinical Emergency Medicine University at Buffalo School of Medicine/ Biomedical Sciences Director, Telemedicine Services, University of Buffalo, Erie County Medical Center, Department of Emergency Medicine Buffalo, NY William England, PhD, JD, PE Vice President Universal Service Administrative Company, Rural Health Care Division Washington, DC Pramod Gaur, PhD Consultant Viterion TeleHealthcare Tarrytown, NY Barbara Johnston, MSN Sacramento, CA ATA STAFF Jana L. Lindsey, RN, CMC Telemedicine Coordinator Shriners Hospitals for Children, Honolulu Honolulu, HI Dena Puskin, ScD Director Office for the Advancement of Telehealth, Health Resources and Services Administration Rockville, MD Mark VanderWerf President AMD Telehealth, Inc. Lowell, MA Jonathan D. Linkous Executive Director Alice J. Watland Deputy Executive Director Jordana Bernard Senior Program Director Jennifer R. Martin Director of Public Policy Amy Durkin Manager, Meetings & Exhibits Nilajah O. Alonzo Office Manager Benjamin R. Forstag Membership and Web Manager Meeting Logistics Partners: Conference & Logistics Consultants (C&LC), Brede Exposition Services, Projection Presentation Technology, Concept Marketing, Executive Events, Bussolati Associates, A Lasting Impression, AllHealth Public Relations, Cronin Photography, Torque Interactive, Trakker Technologies 4 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

AMERICAN TELEMEDICINE ASSOCIATION 2007 Federal Policy Priorities Telemedicine: Bringing medical care to people when and where they need it. Federal policy should be changed to allow consumers, patients and health care institutions to realize the benefits of telemedicine. Expand Medicare Reimbursement for Medical Services Congress should extend Medicare reimbursement for remote medical and health services for a) all remaining institutions eligible to participate in Medicare but not currently eligible to be reimbursed for telemedicine/telehealth services; b) all remaining medical services currently covered under the CPT procedure codes but not eligible to be reimbursed when provided via telemedicine/telehealth; and c) medical services that are provided using store-and-forward technology. Congress and CMS should encourage the use of home telehealth as a recognized and reimbursable component in the provision of home care under Medicare s Prospective Payment System (PPS), and should provide reimbursement for the costs of deploying devices and related technology. Medicare should change its reimbursement rules to allow existing patients to have vital signs monitored remotely instead of traveling to the provider s office. Expand Support for Universal Services and Encourage Interconnections of Remote Healthcare Networks All carriers of telecommunications services, regardless of mode of delivery, should contribute to the Federal Universal Service Fund. The current rural health program should be reworked to simplify the application and administrative process and should support the deployment of wireless networks within all eligible health facilities as a cost-effective approach to expand access to broadband services to the desktop of each physician and nurse. Any such changes should protect the support being provided to current approved facilities. Federal support of network bridging between and among the 200 telemedicine networks that exist in the U.S. will serve as an important component in expanding healthcare services, improving medical education and collaboration, and functioning as a foundation for the development of reach-back networks. Promote Health Information Technology Programs and their Coordination with Telemedicine Legislation that provides financial support for increased utilization of interoperable information services and technologies by healthcare institutions, especially the development and implementation of system-wide electronic records, must continue to be introduced and realized. Networks already established for the delivery of remote healthcare should be used to facilitate the development of regional technology applications. Resolve Legal Barriers to Telemedicine Congress and the administration should work through such groups as the National Governors Association (NGA), National Conference of State Legislatures (NCSL) and Federation of State Medical Boards (FSMB) to craft an interstate agreement that will encourage medical licensure cooperation among states; facilitate the exchange of information regarding investigations and adverse actions among states; promote compliance with laws governing the practice of medicine in each state; and invest states with the authority to hold physicians accountable for meeting all state practice laws. The Secretary should develop financial assistance to encour- 6 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

AMERICAN TELEMEDICINE ASSOCIATION 2007 Federal Policy Priorities Telemedicine: Bringing medical care to people when and where they need it. age the development of the accord and financial and regulatory incentives that would be made available for each state that adopts the agreement. The efforts of the National Council of State Boards of Nursing (NCSBN) to implement a nationwide set of mutual recognition laws within an interstate compact for the practice of nursing using telemedicine also should be supported. State requirements to mandate payments for telemedicine services should be accompanied with requirements that insurance carriers provide malpractice coverage for those same services, and no federal or state laws should prohibit the ability of telemedicine programs to provide prescription drugs to patients. Institutionalize the Use of Telemedicine for Emergency Preparedness and Response Public policy should support the use of telemedicine to help prepare and respond to large emergencies, whether caused by natural disaster or terrorist act. Such telecommunications connections can provide instant access to resources at the nation s tertiary care medical centers regardless of location. Federal emergency management regulations should be amended to integrate the practice of telemedicine within Federal Disaster Medical Assistance Teams. Support Federal Programs and Initiatives that Advance the Deployment of Telemedicine Technology and Services The advancement of programs and technologies that improve patient outcomes, add efficiency to health systems, and help to alleviate the disparity in health care resources can be accomplished through leveraging appropriate public resources supporting telemedicine. Full funding for such programs is vital as the nation s health care system copes with a crisis of cost and quality. ATA POLICY COMMITTEE CHAIR Nina Antoniotti, PhD, RN, MBA Program Director, Marshfield Clinic TeleHealth Network, Marshfield, WI ATA INDUSTRY COUNCIL POLICY REPRESENTATIVE Alan Daley Government Affairs Director, Verizon, Washington, DC Doris Barta, MHA Development Coordinator, St. Vincent Healthcare Foundation, Billings, MT Sam Burgiss, PhD Professor, Department of Radiology, University of Tennessee Graduate School of Medicine, Knoxville, TN Susan Dimmick, PhD Project Manager, Oak Ridge Associated Universities (ORAU) Oak Ridge Institute for Science and Education (ORISE), Oak Ridge; Adjunct Associate Professor University of Tennessee Health Science Center, Telemedicine Evaluation, Memphis, TN Ron Emerson, RN, BSN Director, Healthcare Markets, Polycom, Manchester, ME Pramod Gaur, PhD Consultant, Viterion TeleHealthcare, Tarrytown, NY Barbara Johnston, MSN Sacramento, CA Jana Lindsey, RN, CMC Telemedicine Coordinator, Shriners Hospital for Children, Honolulu, Honolulu, HI Neal Neuberger, CISSP President, Health Tech Strategies, LLC, McLean, VA Karen Rheuban, MD Professor of Pediatrics (Pediatric Cardiology), Associate Dean for Continuing Medical Education and Medical Director of the University of Virginia Office of Telemedicine, University of Virginia Health System, Charlottesville, VA Stuart Speedie, PhD Professor of Health Informatics, Director of Education Informatics, and Director of the Health Informatics Graduate Program, University of Minnesota Medical School, Minneapolis, MN Joseph Ternullo, JD, CPA Associate Director, Partners Center for Connected Health, Vice President, Continua Health Alliance, Boston, MA Nancy Vorhees, RN, MSN Chief Operating Officer, Northwest Health Partners, Inland Northwest Health Services, Spokane, WA A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 7

AMERICAN TELEMEDICINE ASSOCIATION Telemedicine Standards & Guidelines Initiative Telemedicine practice guidelines, standards and quality assurance programs improve patient care and safety and accelerate the adoption of uniform practices in the delivery of remote medical care. ATA is working in partnership with the National Institute of Standards and Technology (NIST) to develop standards and guidelines and to establish quality assurance measures for the delivery of healthcare using telecommunications technology. ATA s Standards and Guidelines Committee sets overall policy for the initiative and is developing a set of common terms and definitions as well as an overall framework and work plan to be followed by work groups to develop standards and guidelines in specialty areas. The Initiative includes two components: Development of standards and guidelines for specific practice areas including technical, clinical and administrative aspects, and Education, training and recognition to provide assurance that guidelines are understood and are being incorporated into healthcare practices. Work groups are composed of experts from clinical institutions, the private sector, government and other related stakeholder organizations. Representation from members of ATA s Special Interest Groups, relevant medical societies, technology groups and the international community is critical to the success of this effort. Diabetic Retinopathy Practice Guidelines for telemedicine have already been developed and published. Currently, a Teledermatology Work Group is partnering with members of the American Academy of Dermatology and others to develop a set of standards and guidelines for this specialty area. ATA s initiative will lead to certification, credentialing and other quality assurance measures so that payers, consumers and regulators will recognize telemedicine s full potential to expand access to care and reduce costs while delivering high-quality care to people everywhere. To learn more about the ATA Standards and Guidelines Initiative and how you can become involved, please contact ATA. American Telemedicine Association 1100 Connecticut Ave NW, Suite 540 Washington, DC, 20036 202-223-3333 www.americantelemed.org ATA STANDARDS AND GUIDELINES COMMITTEE Chair: Hon S. Pak, LTC MC USA Director Advanced Information Technology Group (AITG); U.S. Army Medical Research and Materiel Command Telemedicine & Advanced Technology Research Center (TATRC) Fort Detrick, MD, Nina Antoniotti, RN, MBA, PhD Program Manager Marshfield Clinic TeleHealth Marshfield Clinic Marshfield, WI Richard S. Bakalar, MD Chief Medical Officer Global Innovation Team Healthcare and Life Sciences (HCLS) IBM Corporation Rockville, MD David Brennan, MSBE Research Engineer National Rehabilitation Hospital Washington, DC Lisa Carnahan Supervisory Computer Scientist National Institute of Standards and Technology Gaithersburg, MD Jerry Cavallerano, PhD, OD Staff Optometrist Assistant to the Director Joslin Diabetes Center, Beetham Eye Institute Boston, MA Brian Grady, MD Psychiatrist Sheppard Pratt Hospital Baltimore, MD Tom Hirota, DO Chief, Dermatology Services Madigan Army Medical Center Fort Lewis, WA Elizabeth Krupinski, PhD Assistant Director Program Evaluation University of Arizona Department of Radiology - Research Tucson, AZ Lynne S. Rosenthal Computer Scientist National Institute of Standards and Technology Gaithersburg, MD Scott Simmons, MS Assistant Director ECU Telemedicine Center Greenville, NC Sue Slater, BSN, RN Vice President National Administrator Sears Methodist Retirement System Abilene, TX Lou Theurer Administrator Burn Telemedicine Program University of Utah Health Sciences Center Salt Lake City, UT Jill Winters, PhD, RN Associate Professor Marquette University College of Nursing Milwaukee, WI 8 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

ATA Institutional & Sustaining Members Cutting edge organizations providing healthcare through telecommunications technology Institutional Members Alaska Federal Health Care Partnership Anchorage, AK Alaska Federal Healthcare Access Network (AFHCAN) Anchorage, AK All Children s Health System St. Petersburg, FL Arizona Telemedicine Program Tucson, AZ Avera Health Sioux Falls, SD Avera McKennan Hospital and University Sioux Falls, SD Center for Connected Health Boston, MA CERMUSA at Saint Francis University Loretto, PA Children's National Medical Center Washington, DC Children s Rehabilitative Services Phoenix, AZ East Carolina University Telemedicine Center Greenville, NC Fletcher Allen Healthcare Burlington, VT Hospice of Marion County Ocala, FL Hospital Universitario UANL Monterrey, Mexico Inland Northwest Health Services Spokane, WA Institute of Rural Health Pocatello, ID INTEGRIS Rural Telemedicine Oklahoma City, OK Jewish Home & Hospital New York, NY Joslin Diabetes Center Boston, MA Lehigh Valley Hospital & Health Network Allentown, PA Loma Linda University Medical Center Loma Linda, CA Los Angeles County Sheriff s Department Los Angeles, CA Maine Telemedicine Services Lubec, ME Maricopa Integrated Health System Phoenix, AZ Nantucket Cottage Hospital Nantucket, MA National Institute of Standards & Technology (NIST) Gaithersburg, MD National Library of Medicine at NIH Bethesda, MD National Rehabilitation Hospital Washington, DC National Council of State Boards of Nursing (NCSBN) Chicago, IL NORTH Network Toronto, ON Oklahoma State University Telemedicine Tulsa, OK Pacific TeleHealth & Technology, HUI Tripler AMC, HI Phoenix Area Indian Health Service Phoenix, AZ San Carlos Healthcare System Aguadilla, PR Sangre de Cristo Community Health Partnership Sante Fe, NM Shriners Hospitals for Children Tampa, FL Southern Illinois University School of Medicine Springfield, IL Sutter Health, Sacramento Sierra Region Sacramento, CA Texas Tech University Health Sciences Center Lubbock, TX Tuba City Regional Health Care Tuba City, AZ UC Davis Health System Sacramento, CA University Health Network Toronto, ON University of Kansas Medical Center Kansas City, KS University of Miami Telemedicine Program Miami, FL University of Michigan Health System Ann Arbor, MI University of Mississippi Medical Center Jackson, MS University of Missouri Healthcare Telehealth Network Columbia, MO University of Tennessee Health Science Center Memphis, TN University of Texas Medical Branch Galveston, TX University of Virginia Charlottesville, VA US Army Medical Research & Materiel Command (USAMRMC), the Telemedicine & Advanced Technology Research Center (TATRC) Fort Detrick, MD US Army Tropic Regions Test Center Yuma, AZ ViaHealth / Rochester General Hospital Rochester, NY Virginia Commonwealth University Health System Richmond, VA Visiting Nurse Association of Southwestern Indiana Evansville, IN VNA Healthcare Partners of Ohio Cleveland, OH Wyoming Department of Health Cheyenne, WY Sustaining Members Rashid Bashshur, PhD Director of Telemedicine, University of Michigan Health System Ann Arbor, MI Anne E. Burdick, MD, MPH Director, Telemedicine Program University of Miami Miller School of Medicine Miami, FL Cynthia Campbell CEO, Nobitas San Diego, CA Linda Powell TeleDerm Solutions, Inc. Midland, TX Michael S. Taylor Director, Marketing VIASYS Clinical Services Yorba Linda, CA Canon Medical Systems Irvine, CA A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 9

ATA Corporate Members Making a strategic investment in the future of the telemedicine industry President s Circle Members (Industry Council) A&D Medical AMD Telehealth AMD Telemedicine American TeleCare AT&T Chorus Call Clinidata Delphi Medical Systems Girling Health Care GlobalMedia Group Health Hero Network Honeywell HomMed IBM Healthcare & Life Sciences imetrikus InforMedix Intel Corporation LifeWatch Holdings McKesson Corporation Medweb MOTOHEALTH/Motorola Philips Consumer Healthcare Solutions PhoneDOCTORx Polycom Providea Second Opinion Software Secure Medical Sony Medical Systems Spectrum Industries TANDBERG TouchNetworks VBrick Systems Verizon ViTel Net Viterion TeleHealthcare Webex Communications WebVMC Corporate Members Apollo Telemedicine ARINC Healthcare Solutions BearingPoint Canon USA Centura Health at Home Computerized Screening, Inc. Critical Signals Technologies cybermdx Cybernet Systems Corporation EyeTel Imaging Genesis Rehabilitation Services HCC imdsoft, Inc. INRange Systems Interactive Solutions InTouch Health LifeSize Communications MedNovations Medtronic MedVision Mintz Levin Cohn Ferris Glovsky & Popeo, PC Patient Care Technologies Precision Diagnostic Services SCOTTY Group Secure Telemedicine LLC SHL Telemedicine Stryker TeleMedDox Telemedicine Society of Japan TelmedCo Solutions Virtual Healthcare Solutions Visual Pathways Your Choice Living 10 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

ATA Peer Review & Awards Committees Peer Review Committee Program Chair: Elizabeth Krupinski, PhD University of Arizona Tucson, AZ Committee Members: Nina Antoniotti, RN, MBA, PhD Marshfield Clinic TeleHealth Marshfield, WI Gail Barker, PhD, MBA University of Arizona Tucson, AZ Rashid Bashshur, PhD University of Michigan Ann Arbor, MI John Bocachica, MD Alaska Federal Health Care Access Network Anchorage, AK David Brennan, MBE National Rehabilitation Hospital Washington, DC Jerry Cavallerano, PhD, OD Joslin Diabetes Center, Beetham Eye Institute Boston, MA Rhonda Chetney, MS, RN Sentara Home Care Services Chesapeake, VA Sally Davis Marquette General Health System Marquette, MI Susan Dimmick, PhD Oak Ridge Associated Universities University of Tennessee Oak Ridge, TN Bruce Dunn, MD Veterans Health Administration Milwaukee, WI Richard Evans Utah Telehealth Network Salt Lake City, UT Brian Grady, MD Sheppard Pratt Hospital Baltimore, MD Tom Hirota, DO Madigan Army Medical Center Fort Lewis, WA Jim Katzenstein, PhD Healthspan International Foundation Mission Viejo, CA Rita Kobb, MS, MN, GNP-BC Veterans Health Administration Lake City, FL Eva Lai, PhD USAMRMC TATRC Fort Detrick, MD Corinna Lathan, PhD, PE AnthroTronix, Inc. Silver Spring, MD Mary Lawrence, MD, MPH University of Minnesota Minneapolis, MN Helen Li, MD University of Texas Galveston, TX Marie Mann, MPS-HSA, BSN, RN ViTelCare McLean, VA Thelma McClosky Armstrong Eastern Montana Telemedicine Network Billings, MT Douglas McClure, MIM Partners Center for Connected Health Boston, MA Gerry Moses, PhD University of Maryland Medical School Baltimore, MD Eve Lynn Nelson, PhD University of Kansas Medical Center Kansas City, KS Lorraine Pellegrino, RN, MHA UC Davis Health System Sacramento, CA Deborah Peters, MS Northwest Research & Education Institute Billings, MT COL Ronald Poropatich USAMRMC TATRC Fort Detrick, MD Jose Salinas, PhD US Army Institute of Surgical Research Fort Sam Houston, TX Jay Shore, MD, MPH University of Colorado Health Sciences Center Aurora, CO Scott Simmons, MS East Carolina University Greenville, NC ATA 2007 Mid-year Meeting RIO ALL-SUITE HOTEL & CASINO September 17 & 18, 2007 Stuart Speedie, PhD University of Minnesota Minneapolis, MN Deborah Sutherland, PhD University of South Florida Tampa, FL Matthew T.S. Tennant, MD University of Alberta Edmonton, Alberta, Canada Deborah Theodoros, PhD University of Queensland Brisbane, Queensland, Australia Carolyn Turvey, PhD University of Iowa Iowa City, IA Pamela Whitten, PhD Michigan State University East Lansing, MI John Winston USAMRMC TATRC Fort Detrick, MD Jill Winters, PhD, RN Marquette University Milwaukee, WI Yan Xiao, MD University of Maryland Baltimore, MD Presidents Awards Committee Chair Thelma McClosky Armstrong Eastern Montana Telemedicine Network Billings, MT Edward M. Brown, MD The Ontario Telemedicine Network Toronto, Ontario Pramod Gaur, PhD Viterion TeleHealthcare Tarrytown, NY Bernard Harris, Jr, MD, MBA Vesalius Ventures Houston, TX Steve Normandin AMD Telemedicine North Chelmsford, MA Scott Simmons, MS ECU Telemedicine Center Greenville, NC A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 11

ATA 2007 Corporate Supporters Bronze Silver Gold Platinum 12 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

ATA 2007 General Information ATA 2007 Meeting Locations ATA registration, sessions and trade show are located at the Gaylord Opryland Resort. ATA 2007 Hotels Gaylord Opryland Resort 2802 Opryland Drive Nashville, TN 37214 Phone: 615-889-1000 Guest Fax: 615-871-7741 Radisson Hotel at Opryland 2401 Music Valley Drive Nashville, TN 37214 Phone: 615-889-0800 Guest Fax: 615-889-6328 Transportation Radisson Hotel at Opryland & Complimentary Gaylord Complex Shuttle Service The Gaylord Complex Shuttle travels between the Gaylord Opryland, the Radisson Hotel, and Opry Mills. The Gaylord Complex Shuttle is complimentary for overnight hotel guests. The Radisson Hotel is a 5-10 minute walk from the Gaylord Opryland Resort. Monday Saturday, 10:30am - 9pm Sunday, 11:30am - 7pm Continuous Loop Schedule Service: 30 minutes past the hour & on the hour Departs Radisson for Gaylord Opryland Cascades Canopy 35 & 5 minutes past the hour Departs Gaylord Opryland Cascades Canopy for Magnolia Canopy 40 & 10 minutes past the hour Departs Gaylord Opryland Magnolia Canopy for Opry Mills Food Court 45 & 15 minutes past the hour Departs Opry Mills Food Court for Cascades Canopy 50 & 20 minutes past the hour Departs Gaylord Opryland Cascades Canopy for Magnolia Canopy Visit ATA CENTRAL Booth 1401 55 & 25 minutes past the hour Departs Gaylord Opryland Magnolia Canopy for the Radisson Wildhorse Saloon & Downtown District Shuttle Shuttle service between Gaylord Opryland, Radisson Hotel, Ryman Auditorium, Country Music Hall of Fame, and Wildhorse Saloon. Tickets may be purchased at the Concierge Desks or Front Desks in the Magnolia and Cascades lobbies: $14 per person, round trip; $25 per person for unlimited 3-day pass. Sunday Thursday, 10am 11:35pm Friday & Saturday, 10am - 1:35am 55 minutes past the hour Departs Radisson for Gaylord Opryland Cascades Canopy On the hour Departs Cascades Canopy for Magnolia Canopy 5 minutes past the hour Departs Magnolia Canopy for Ryman Auditorium 25 minutes past the hour Departs Ryman Auditorium for Country Music Hall of Fame 30 minutes past the hour Departs Country Music Hall of Fame for Wildhorse Saloon 35 minutes past the hour Departs Wildhorse Saloon for Radisson Hotel Grand Ole Opry Shuttle Complimentary shuttle service is offered between the Gaylord Opryland (Cascades & Magnolia Canopy) & Radisson Hotels and the Grand Ole Opry. Shuttles run directly from each hotel to the Grand Ole Opry, beginning one hour before show times. Return service to the hotels begins immediately after each show ends. ATA Registration Delta Lobby B, Level 2, Gaylord Opryland Resort Saturday, May 12 7am 6pm Sunday, May 13 7am 6pm Monday, May 14 7am 6pm Tuesday, May 15 7am 6pm ATA 2007 Bags Courtesy of Polycom ATA Board of Directors and Staff Offices The ATA Staff Office and Board of Directors Office are located in Bayou CD, Mezzanine, of the Gaylord Opryland Resort. ATA SIG & Chapter Area Visit the SIG and Chapter Area to learn more about the activities of ATA s Member groups. SIGs and Chapters are important driving forces within the Association, so take the time to stop and pick up information on how to become involved. Located in Delta Lobby B, Level 2. A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 13

ATA 2007 General Information ATA Trade Show Hours Ryman Exhibit Hall B Sunday, May 13 5:30pm - 7:30pm Monday, May 14 10:30am 6:00pm (closed 2:45pm 4:30pm during the Plenary Session) Tuesday, May 15 9:45am 2:30pm Meeting Proceedings Abstracts - ATA 2007 session abstracts are published separately in the Telemedicine and e-health Journal. Attendees and ATA Members receive a copy of this Journal which will also be available online after the meeting on the Members-only section of the ATA website. Plenary Sessions Available on ATA Web Site Made Possible by Chorus Call Videocasts of ATA 2007 Plenary Sessions will be available for viewing following the meeting on the ATA web site at www.americantelemed.org. ATA 2007 Attendee List Courtesy of WebVMC Speaker Handouts Speakers have been asked to provide 100 handouts for distribution at ATA 2007. If you are unable to obtain handouts from a session, materials that are provided to ATA for the audio-visual networked system will be available on the ATA web site following the Annual Meeting. Ikon Business Center, Gaylord Opryland Resort The Ikon Business Center has an excellent Hands Free Ship-It-Home Service. Participants can also receive faxes at 615-871-7741. Additional services include: workstations with Internet access, fax services, office and packing supplies, and digital copying and finishing services. The Ikon Business Center is conveniently located within ATA s meeting space, adjacent to Presidential Ballroom C&D, Level 2; open 7 days a week, 7:00am 9:00pm; phone: 615-458-2660; fax: 615-871-7741, email: twesterman@gaylordhotels.com. Cyber Lounge Made Possible by Providea Email access is available free of charge at ATA Central located in Booth 1401 on the ATA Trade Show floor, Ryman Exhibit Hall B. Messages A message board is located in the ATA Registration, Delta Lobby B, Level 2, of the Gaylord Opryland. During business hours, urgent phone calls should be directed to the ATA Staff Office in Bayou CD, Mezzanine, phone: 615-458-0807. Emergencies In case of an emergency, please contact the Gaylord Opryland s Security Department at ext. 1700 on any house phone. House phones are located throughout the Gaylord Opryland. You can also reach Security by calling 615-405-0881. The Emergency Dispatch Desk will send an officer to the reported location within the hotel. Speaker Ready Room The Speaker Ready Room is located in Governor s Chamber C, Level 2. All speakers should report well in advance of their scheduled session to download power point presentations onto the ATA Audio-Visual Networked System. Any other AV questions should also be directed there. Employment Center Career opportunities will be listed on ATA s Job Board, located in the Exhibit Hall at ATA Central, Booth 1401. Some organizations may be conducting on-site interviews in Nashville. Please visit the Job Board for additional information. If you are an employer and are interested in posting a job at the ATA Annual Meeting, you may do so at no charge. Resumes may also be posted. If you wish to post a job on ATA s online career center, please go to http://www.americantelemed.org/news/job.htm or contact Ben Forstag at bforstag@americantelemed.org, 202-223-3333. Press Room The ATA Press Room, Governor s Chamber C, Level 2, is available for working media with formal ATA media credentials. Media liaisons representing exhibiting companies may deliver media kits to the Press Room during Press Room hours. Non-commercial press announcements approved by ATA may also be distributed through the Press Room. Press Room Hours Sunday, May 13: Noon 7:30pm Monday, May 14: 8am 5pm Tuesday, May 15: 8am 5pm 14 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

ATA 2007 General Information Ad Hoc Meeting Rooms Available to ATA Members ATA Members may reserve meeting rooms for ad hoc meetings during the week. The meeting rooms can accommodate groups up to 80 and are pre-set with various seating arrangements. Requests to reserve an ad hoc meeting room should be made at the ATA Staff Office, Bayou CD, Mezzanine. All meetings are subject to approval by ATA. Certificates of Attendance Attendees who require a Certificate of Attendance for the ATA 2007 Annual Meeting can request a form at the ATA Registration Desk, Delta Lobby B, Level 2. Tourist Information The Gaylord Opryland Resort s Concierge Desk is available to help you plan your leisure hours during ATA 2007. The Concierge Desk is located in the Cascades Lobby. Baggage Check For your convenience, baggage check is available in the ATA Registration area Monday and Tuesday from 7am 6pm. Items may be checked for $2 each. ATA is not responsible for lost, stolen or damaged items. Name Badges Provided by Health Hero Network Annual Meeting attendees must wear their name badges to all official Annual Meeting functions. Your name badge is your passport to all Annual Meeting events and is included in your registration packet. No admittance to educational programs, plenary sessions, social events or any food and beverage functions will be allowed without the proper badge. If you lose your badge, please proceed to the ATA Registration Desk for a replacement. Cell Phones, Beepers and Other Electronic Devices Please be courteous to presenters and fellow attendees. ATA requests that you turn off or silence your cell phone, beeper and other electronic devices while in educational and plenary sessions. ATA Annual Meeting Floor Plan For your convenience, a floor plan is included at the back of the Final Program, page 106. Restaurant Reservations Restaurant reservations for dinner within the Gaylord Opryland Resort can be difficult to come by at times. It is recommended that reservations are made well in advance. There are also many restaurants within Opry Mills. The Gaylord Complex Shuttle travels between the Gaylord Opryland, the Radisson Hotel, and Opry Mills, and is complimentary to all Gaylord Opryland and Radisson Hotel guests. Please see the Gaylord Complex Shuttle Service hours of operation listed on page 13. Shuttle service to the Nashville Downtown District is also available. Shuttle hours and costs are listed on page 13. ATA Annual Networking Dinner Made Possible by IBM Healthcare & Life Sciences Tuesday, May 15, 6:30pm 10:00pm Gaylord Delta Atrium A full night of entertainment with dancing and dining is on tap for this popular event right on site at the Gaylord in the hotel s spectacular atrium. This dress down evening of relaxation with your colleagues will feature traditional southern Tennessee eats and live Nashville entertainment. One ticket is provided complimentary with a Full registration. Additional tickets are available at ATA Registration for $85 each. Children 16 & younger are free. Living Healthy at ATA 2007 Made Possible by Interactive Medical Developments ATA is committed to supporting healthy living habits of our attendees! We re serving heart-healthy, diet-conscious choices at the ATA Annual Meeting. Take advantage of early morning opportunities to get your day off to a great start - we ll even throw in a free bottle of water! Talk the Talk, Walk the Walk 6:00am Monday, May 14 & Tuesday, May 15 Delta Portico Rise & Shine! Join IMD representative and all-around athlete Jeff Kidder and your colleagues for a brisk morning walk or run around the Gaylord grounds. Take the opportunity to meet some new contacts and network. Sunrise Yoga 6:00am Monday, May 14 & Tuesday, May 15 Delta Portico Looking for a more gentle and serene start to the day? Thirty minutes of gentle yoga is the ticket for you. Join ATA Deputy Executive Director, Alice Watland, RYT, a certified yoga instructor, for an enlightening morning stretch. (No yoga mats necessary) A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 15

> ATA 2007 Schedule at a Glance Wednesday, May 16 Continua Health Alliance 9:00am 12:00pm Saturday, May 12 Sunday, May 13 Monday, May 14 6:00am 6:30am Living Healthy Run/Walk/ Yoga Group Activities Tuesday, May 15 6:00am 6:30am Living Healthy Run/Walk/ Yoga Group Activities 7:00am 6:00pm Registration 7:00am 6:00pm Registration 7:00am 6:00pm Registration 7:00am 6:00pm Registration 8:00am 5:00pm Exhibit Hall Set-up 8:00am 2:30pm Exhibit Hall Set-up 7:30am 9:00am SIG Forums 7:30am 9:00am SIG Forums 8:00am 6:00pm TATRC Meeting 9:00am-3:00pm OAT Grantee Meeting 9:00am-11:00am Appalachian Regional Commission 8:30am 4:00pm Mobile Health Clinics Forum 8:00am 3:00pm UPMC IMITs Symposium 8:00am 9:00am Exhibitor Business Meeting Breakfast 8:30am 4:30pm Mobile Health Clinics Forum 9:00am 10:30am Roundtables 8:30am 11:30am Mobile Health Clinics Forum 9:15am 9:45am Concurrents 12:00pm 3:00pm Third Annual Mobile Health Clinics Forum Pre-Forum Intensive Training Course 2:00pm 5:30pm ATA Board of Directors Meeting 6:30pm Grand Ole Opry 8:00am 11:30am Morning Courses 8:00am 4:00pm Full Day Courses 9:00am 12:00pm Industry Council Meeting Circle Members Only 11:30am 12:30pm Lunch Comedian Matt Wokas 12:30pm 4:00pm Afternoon Courses 2:00pm 3:00pm International Reception 4:15pm 5:30pm Opening Plenary Keynote: Jack La Lanne 5:30pm 7:30pm Opening Reception Exhibit Hall 10:30am 11:15am Coffee Break in Exhibit Hall 10:30am 3:00pm Exhibit Hall and Posters Open 11:15am 12:00pm Concurrents 12:15pm 12:45pm Concurrents 12:45pm 2:00pm Lunch Exhibit Hall 1:00pm 2:00pm ATALACC 2:00pm 2:45pm Concurrents 3:00pm 4:30pm Monday Plenary Kenneth Bird Lecture TATRC Keynote ATA Awards (Exhibit Hall Closed) 4:30pm 6:00pm Poster Reception Exhibit Hall Optional Evening Events 9:45am 10:45am Coffee Break in Exhibit Hall 9:45am 2:30pm Exhibit Hall and Posters Open 10:45am 11:45am Concurrents 11:45am 12:45pm Lunch in Exhibit Hall 12:45pm 1:45pm Concurrents 1:45pm 2:30pm Coffee Break in Exhibit Hall 2:15pm 3:15pm PICATA 2:30pm 3:30pm Concurrents 3:45pm 4:45pm Concurrents 5:00pm 6:30pm Closing Plenary & Reception 6:30pm Closing Networking Dinner Gaylord Delta Atrium 16 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

ATA 2007 Detailed Schedule Saturday, May 12 & Sunday, May 13 SATURDAY, MAY 12th 7:00am 6:00pm Registration Delta Lobby B, Level 2 8:00am - 5:00pm 12:00pm - 3:00pm 2:00pm - 5:30pm 6:30pm 7:00am 6:00pm 8:00am 2:30pm Exhibit Hall Set Up PARTNERS IN TELEMEDICINE MEETINGS 9:00am - 3:00pm Office for the Advancement of Telehealth Grantee Meeting Third Annual Mobile Health Clinics Forum Pre-Forum Intensive Training Course ATA Board of Directors Meeting Grand Ole Opry (Optional event; complimentary shuttle transportation provided by the Gaylord Hotel. For shuttle info, see General Information, Transportation, page 13. Registration Exhibit Hall Set Up Ryman Exhibit Hall B 8:30am - 6:00pm Army Telemedicine Partnerships in 2007 Governor s Ballroom A, Level 2 Meeting Medical Challenges in a Changing World Separate Registration Required Topic: HOSPITAL OF THE FUTURE Bayou E, Delta Mezzanine 9:00am - 11:00am Appalachian Regional Comm. Telemedicine/Telehealth Programs Governor s Ballroom C, Level 2 Canal C, Mezzanine Separate Registration Required 9:00am - 1:30pm Teledermatology Standards & Guidelines Working Group Governor s Chambers A, Level 2 12:00pm - 2:00pm Policy Committee Meeting Governor s Ballroom C, Level 2 SUNDAY, MAY 13th PARTNERS IN TELEMEDICINE MEETINGS Presidential Boardroom A, Mezzanine Check with Box Office for Ticket Availability Delta Lobby B Ryman Exhibit Hall B 8:00am - 3:00pm 8:30am 4:00pm 8:00am - 4:00pm 4th Annual UPMC Innovative Medical and Information Technologies (IMITs) Center Symposium Third Annual Mobile Health Clinics Forum Outreach & Collaboration: Shaping the Future of Mobile Healthcare ATA 2007 PRE-MEETING COURSES Full Day Courses Bayou E, Mezzanine Separate Registration Required Canal A&B, Mezzanine Separate Registration Required Separate Registration Required Current Issues and Practice in Telemental Health Telemedicine 101: An Introduction to Telemedicine and Telehealth Legal & Regulatory Issues in Telehealth Innovations in Remote Chronic Care and Wellness Vanderbilt University Medical Center, National Center for Emergency Preparedness (transportation provided to registered participants. See page 27.) Delta Ballroom C, Level 2 Delta Ballroom D, Level 2 Canal E, Mezzanine A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 17

ATA 2007 Detailed Schedule Sunday, May 13 8:00am - 11:30am 9:00am 12:00pm Morning Courses (Separate Registration Required) Telehealth Business & Strategic Planning Interactive Workshop Introduction to Telemedicine Networks Telehealth Nursing: Foundations and Future Directions ATA Industry Council Meeting (Circle Members Only) Governor s Ballroom A, Level 2 Governor s Ballroom B, Level 2 Governor s Ballroom C, Level 2 Presidential Boardroom A, Mezzanine 11:30am - 12:30pm Special Sunday Lunch with Comedian Matt Wokas Hosted by the Home Telehealth & Remote Montoring SIG and Intel Corporation (Free to all Sunday course attendees. Lunch available for purchase.) Delta Lobby A, Level 2 > 12:30pm - 4:00pm Afternoon Courses (Separate Registration Required) Telehealth Business Sustainability Human Factors in Telemedicine Telemedicine for Trauma, Emergency Medical Services and Disaster Management Getting the Right Technology for Your Telehealth Program Governor s Ballroom A, Level 2 Governor s Ballroom B, Level 2 Governor s Ballroom C, Level 2 Canal D, Mezzanine 12:00pm - 1:30pm Telemedicine & e-health Journal Editorial Board Lunch Governor s Chamber B, Level 2 2:00pm - 3:00pm International Attendee Reception OPENING PLENARY Delta Lobby A 4:15pm - 5:30pm Delta Ballroom A, Level 2 Opening Remarks Richard S. Bakalar, MD President, American Telemedicine Association; Chief Medical Officer, Global Innovation Team; IBM Corporation, Healthcare and Life Sciences (HCLS), Rockville, MD ATA 2007 Meeting Overview Elizabeth A. Krupinski, PhD Assistant Director, Program Evaluation, University of Arizona Department of Radiology - Research, Tucson, AZ Opening Plenary Keynote Made Possible by Body Incorporated Jack La Lanne Jack La Lanne, often called the Godfather of Fitness, is a mover, shaker, and motivator. Jack is a pioneer who opened the first modern health spa in the United States in 1936, and in 1951 brought exercise to TV. Jack has joined forces with the ehealth and remote wellness industry through Body Incorporated and its elite team of corporate trainers, taking his potent directives to the business community. > > > 18 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG

ATA 2007 Detailed Schedule Sunday, May 13 & Monday, May 14 5:30pm - 7:30pm MONDAY, MAY 14th 6:00am-6:30am 7:00am 6:00pm Registration Delta Lobby B, Level 2 7:00am - 10:30am 7:30am - 9:00am Business & Finance Home Telehealth & Remote Monitoring Human Factors International Telemental Health PARTNERS IN TELEMEDICINE MEETING 8:30am 4:30pm 8:00am 9:00am 9:00am - 10:00am OPENING RECEPTION & ATA 2007 TRADE SHOW Made Possible by TANDBERG See and handle more products related to telemedicine than at any other meeting in the world. The ATA 2007 Trade Show will feature over 150 exhibitors offering more than 500 products and services. Living Healthy at ATA Walk, run, yoga with your colleagues (see page 15 for information) Poster Presentations Set-Up Special Interest Group Continental Breakfast SIG Forums convene either Monday or Tuesday morning Emergency Preparedness & Response Third Annual Mobile Health Clinics Forum Outreach & Collaboration: Shaping the Future of Mobile Healthcare (Separate Registration Required) Exhibitor Business Meeting Breakfast Hosted by the Exhibitor Advisory Committee (EAC) Human Factors Research Forum (See page 32 for details) Ryman Exhibit Hall B Delta Portico Ryman Exhibit Hall B Delta Ballroom B, Level 2 Delta Ballroom D, Level 2 Delta Ballroom C, Level 2 Governor s Ballroom C, Level 2 Governor s Ballroom B, Level 2 Governor s Ballroom A, Level 2 Canal AB, Mezzanine Ryman Exhibit Hall B, ATA Central, Booth 1401 Canal D, Mezzanine 9:00am - 10:30am Roundtable Sessions Delta Ballroom A, Level 2 (See page 36 for detailed information) 10:00am - 12:00pm Shriners Hospitals Meeting Governor s Chambers A 10:30am - 6:00pm (Closed 2:45pm - 4:30pm for Plenary Session) 10:30am - 11:15am Trade Show & Posters Open Coffee Break in Exhibit Hall Made Possible by Health Management Technology Ryman Exhibit Hall B Ryman Exhibit Hall B A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG 19

ATA 2007 Detailed Schedule Monday, May 14 11:00am 1:00pm Telemental Health SIG Working Group Governor s Chamber B, Level 2 11:15am - 12:00pm 12:00pm - 1:00pm 12:15pm - 12:45pm 12:45pm - 2:00pm Concurrent Sessions ATA Latin American & Caribbean Chapter Online Course Working Group Concurrent Sessions Luncheon in Exhibit Hall Made Possible by Philips Consumer Healthcare Solutions For detailed concurrent session information, see page 40. Canal D, Mezzanine For detailed concurrent session information, see page 40. Ryman Exhibit Hall B 1:00pm - 2:00pm 2:00pm - 2:45pm 3:00pm - 4:30pm (Exhibit Hall closed) ATA Latin American & Caribbean Chapter Meeting Concurrent Sessions MONDAY PLENARY Presiding Richard S. Bakalar, MD President, American Telemedicine Association; Chief Medical Officer, Global Innovation Team, IBM Healthcare and Life Sciences (HCLS), Rockville, MD Kenneth Bird Lecture Jonathan B. Perlin, MD, PhD, MSHA, FACP Chief Medical Officer & Senior Vice President, Quality HCA, Inc., Nashville, TN Military Medicine Accelerating the Digitization of Healthcare COL Jonathan Jaffin Commander, U.S. Army Medical Research and Materiel Command Fort Detrick, MD Presentation of the MRMC Thurman Award Sponsored by USAMRMC Canal D, Mezzanine For detailed concurrent session information, see page 40. Delta Ballroom A, Level 2 > > > American Sign Language via Video Remote Interpreting (VRI) Made Possible for this Plenary by TANDBERG 20 A T A 2007 G A YLORD OPRYLAND, NASHVILLE WWW.AMERICANTELEMED.ORG