Given by Wojtek Furmanski,Ed Lipson at SUNY HSC TeleMedicine Conference OnCenter on May 6 1996. Foils prepared May 6 1996
Abstract * Foil Index for this file
See also color IMAGE
We illustrate in detail CareWeb -- which is a collaboration between NPAC, Syracuse School District and SU School of Nursing to develop a prototype for a K-12 School Nursing Collaboration and Information System |
Sections are: The CareWeb Architecture |
The CareWeb Project itself with Purpose and Partners |
Overview of Student Health Record |
The Distributed Medical Intelligence Component of Project |
A typical child visit to Nurse's Office Scenario |
This table of Contents Abstract
Presented at |
TeleMedicine Reality and Virtual Reality II |
May 5-7 OnCenter at Syracuse NY |
Ed Lipson, Wojtek Furmanski |
NPAC |
Syracuse University |
111 College Place |
Syracuse NY 13244-4100 |
We illustrate in detail CareWeb -- which is a collaboration between NPAC, Syracuse School District and SU School of Nursing to develop a prototype for a K-12 School Nursing Collaboration and Information System |
Sections are: The CareWeb Architecture |
The CareWeb Project itself with Purpose and Partners |
Overview of Student Health Record |
The Distributed Medical Intelligence Component of Project |
A typical child visit to Nurse's Office Scenario |
Careweb Poster from May 96 Meetings |
Overview of CareWeb Architecture and Function |
For May 96 Meetings and later Presentations |
Care Web is a school-based healthcare program that uses pervasive Web technologies to provide affordable, universal community services in the context of telemedicine. The four partners of the collaboration are represented in the project logo. |
The system architecture follows the three-component Bridge paradigm that connects `points of needs' (school nurses) with `points of expertise' (pediatricians) via an intelligent switchboard (bridge) that facilitates triage operation by nurse practitioners. |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
The pilot project focuses on deployment of a prototype CareWeb system in selected schools within the Syracuse City School District. |
The CareWeb HyperWorld consists of a set of linked Worlds (such as Schools or Student Records), offering customized home pages for CareWeb personnel and customers. |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
The Nurse World offers convenient access to the electronic student-record database and the associated educational, training, electronic consulting, and collaboratory resources. |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
Each student page offers secure, flexible, and interactive access to the individual components of the medical record, stored togetherwith all other CareWeb Worlds in a distributed relational database management system. |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
meeting the needs of children with limited access to healthcare resources |
empowering school nurses to effectively manage children's health on a continual basis |
offering interactive and current health-education resources for school nurses, nurse practitioners, nursing students, school children, and parents |
One Level Down from NPAC CareWeb HomePage |
providing the school district with database resources allowing statistical analysis |
integrating primary care of school children with systems of managed care |
linking healthcare to available social services that address issues of home environment and other factors influencing children's health |
establishing and maintaining strict confidentiality and data security |
Syracuse City School District |
College of Nursing at Syracuse University |
Northeast Parallel Architectures Center (NPAC) at Syracuse University |
Department of Pediatrics at State University of New York Health Science Center at Syracuse |
One Level Down from NPAC CareWeb HomePage |
community database including Web pages for schools, nurses, nurse practitioners, students, parents, and teachers |
student health record database |
information support for computerized decision making |
educational resources |
access to World Wide Web resources |
One Level Down from NPAC CareWeb HomePage |
One Level Down from NPAC CareWeb HomePage |
based on Distributed Medical Intelligence scheme of the Institute for Interventional Informatics |
"care portals" (school nurse office) |
"bridge" (intelligent switchboard at College of Nursing and NPAC) |
"expert stations" (nurse practitioners and pediatricians) |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
Netscape 2 Web browser |
Oracle database |
WOW/OWA (Oracle Web Agent) Internet gateway |
PL/SQL dynamic Web page generation |
multiframe Java/JavaScript graphical user interface |
hierarchical navigation model on top of relational database |
One Level Down from NPAC CareWeb HomePage |
One Level Down from NPAC CareWeb HomePage |
student visits school nurse's office complaining of sore throat |
school nurse, using CareWeb technology, conducts focused assessment for sore throat |
information is shared with nurse practitioner at bridge site who then asks school nurse to obtain throat culture |
assessment data, medical diagnosis, and treatment plan are recorded in student electronic health record |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
uses pervasive, revolutionary Web technologies |
includes video conferencing capability |
allows video interface for medical instruments such as otoscopes |
includes interface capability for devices for disabled individuals (communication, wheelchair control, computer control, virtual reality, etc.) including mainstreamed students |
enables rapid prototyping and deployment |
offers reusable, scalable, and extensible technologies |
offers improved health outcomes at lower cost |
rapid progress of this project is based on excellent collaboration among nursing and medical faculty, scientists, and technologists |
CareWeb pages that contribute to the electronic patient record database |
Base Information - biographical data & emergency information |
Immunization Record - student immunization status |
Developmental Screenings - interim history & anticipatory guidance relative to well child care |
Physical Screenings - physical examination findings |
Progress Note - date, chief complaint, assessment, diagnosis, & treatment plan |
Medication Record - medications ordered and administered at school |
Visit Log - summary of acute health visits and resolution |
Growth Chart - graphic represenation of physical growth patterns |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
CareWeb pages offer heathcare information for student nurses, |
school nurses, nurse practitioners, parents, and school children |
Assessment - assessment formats to assist school nurses conduct focused assessments for pediatric health problems |
Parent Education - parent information sheets for common childhood health problems |
Medication Fact Sheets - parent oriented fact sheets for commonly used pediatric medications |
Differential Diagnosis - nurse practitioner resources to assist in differential diagnosis process for common childhood health problems |
Management Algorithms - physician and nurse practitioner agreed upon approaches to managing pediatric health problems |
School Nurse Education - educational resources to increase nurses' knowledge of common childhood health problems |
Child Education -computer assisted, interactive methods to facilitate children's understanding of health problems |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
CareWeb pages involved in a typical school child-nurse visit |
and nurse practitioner/physician interactive consultation |
School Child - presents to school nurse with complaint of sore throat. |
School Nurse - accesses child's electronic health record |
Visit Log - school nurse records "reason for visit" |
Assessment - school nurse completes assessment process for sore throat |
Interactive Consult - school nurse and nurse practitioner consult regarding assessment findings |
Nurse Practitioner - nurse practitioner completes diagnosis and treatment plan sections of the progress note |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |
From CareWeb Collaboration NPAC-SU School of Nursing-SUNY HSC-Syracuse City School District |
NPAC Team led by Wojtek Furmanski-Ed Lipson-Roman Markowski |