From edlipson@ace.npac.syr.edu Thu Jun 27 09:40:58 1996
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To: sierradave@mail.telis.org
cc: jguo@npac.syr.edu, furm@npac.syr.edu, edlipson@npac.syr.edu,
        gcf@npac.syr.edu
Subject: Re: Patient Records project 
In-reply-to: Your message of "Wed, 26 Jun 1996 16:47:56 PDT."
             <2.2.32.19960626234756.00679b40@telis.org> 
Date: Wed, 26 Jun 1996 23:14:40 -0400
From: Jiangang Guo <jguo@npac.syr.edu>
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Dear Mr. Bloch:

Please check our web site at http://www.npac.syr.edu/projects/careweb/
>From there on the left frame of the web page, you can click on the items
which you are interested in. Especially, check the following 2 items:
NPAC demos and Prototypes. We MAY send you the username/password if you
need.  

We will give you more information on the project soon. Please feel free
to contact us at any time.

Best Wishes!

Jiangang Guo


====================================================================

Date: Wed, 26 Jun 1996 16:47:56 -0700
To: jguo@npac.syr.edu
From: sierradave@mail.telis.org
Subject: Patient Records project
Content-Type: text/plain; charset="us-ascii"

Dear Mr. Guo:

I discovered your Web site at a very opportune time.

I am presently involved in a "Telemedicine Readiness Survey" of providers
in
the isolated rural areas of northeastern California. The survey is part of
a
state grant to the Northern Sierra Rural Health Network, a new organization
of health providers in Nevada, Sierra, Plumas and Lassen Counties.

One of the questions I am asking at each facility (clinics, hospitals and
county health departments) is how they see themselves sharing patient data
with other facilities. At present, patient records are printed out, copied
and mailed between facilities. The direct transfer of this data between
computers is hampered by the proprietary file structures used by different
software. The potential of creating a common structure and viewing system
as
demonstrated on your Web site has generated very positive and excited
comments.

The main concerns, as you can imagine, center around (1) patient
confidentiality (although these providers and administrators realize the
major difficulties maintaining security of files under the current paper
system, and (2) the political and "public impression" problem of a central
"Big Brother" repository of all their health data. At any rate, your Web
site has been an excellent catalyst for discussing these issues, and
bringing the "what if's" of the future to the present.

I would very much like to get more information on this project--where it's
going, what the objectives might be, whether it is applicable to Intranet
as
well as Internet use...more questions than I can list here. If you could
provide me with a source for more information, or could fax or Email me
some
details on the project, I would very much appreciate it. I will be
including
references to your project in our report back to the California Department
of Health Services, Primary Care & Rural Health Systems Branch, as well as
to the California Telehealth & Telemedicine Project at UC-Davis, so any
additional information would be very helpful.

Please feel free to contact me via Email, fax (916-862-0510) or phone
(916-862-1390). My office is at home, so you may call anytime between 8:30
AM and 9:00 PM Pacific Time. My postal address is: Dave Bloch, P.O. Box
338,
Sierra City, CA 96125-0338.

Thanks very much, and best of luck on the project!

Sincerely,
Dave Bloch