rehabilitation engineering center on telerehabilitation - … · 2011-08-11 · rehabilitation...
TRANSCRIPT
4/27/10
1
Dept. of Rehabilitation Science and Technology
Rehabilitation Engineering Center on Telerehabilitation David Brienza, Ph.D.
School of Health and Rehabilitation Sciences Department of Rehabilitation Science and Technology
Dept. of Rehabilitation Science and Technology
NIDRR Priority Statement
• Contribute to the continuing development of telerehabilitation infrastructure and architecture
• Conduct research and development projects on technologies that can be used to deliver telerehabilitation services
23 November 2009
4/27/10
2
Dept. of Rehabilitation Science and Technology
NIDRR Priority Statement (cont.)
• Address the barriers to successful telerehabilitation to individuals who have limited access to rehabilitation services
• Participate in the development of telerehabilitation standards
23 November 2009
Dept. of Rehabilitation Science and Technology
NIDRR Priority Statement (cont.)
• Contribute, by means of research and development, to the use of telerehabilitation on a larger scale
23 November 2009
4/27/10
3
Dept. of Rehabilitation Science and Technology
Team of Investigators (SHRS) • Department of Rehabilitation Science and Technology
– David Brienza, Michael McCue, Katherine Seelman, Michael Pramuka, Richard Simpson, Mary Jo Geyer, Ashli Molinero, Andy Jinks, John Colterllaro, Roger Little
• Health Information Management – Bambang Parmanto, Sajeesh Kumar
• Communication Science and Disorders – Ellen Cohn
23 November 2009
Dept. of Rehabilitation Science and Technology
Team of Investigators (Pitt/UPMC) • Dept. of Physical Medicine and Rehabilitation
– Brad Dicianno
• School of Nursing – Becky Faett
• University Library System – Tim Deliyannides
• University of Pittsburgh Medical Center – Larry Wechsler, Suzanne Paone
23 November 2009
4/27/10
4
Dept. of Rehabilitation Science and Technology
Team of Investigators (external) • Georgia Institute of Technology
• Koester Performance Research
• American Association of People with Disabilities
13 October 2009 Rehabilitation Engineering Research Centers Update to the SHRS Board of Visitors
Dept. of Rehabilitation Science and Technology
Why Pitt?
• Develop and demonstrate infrastructure to overcome one of the most important barriers to implementation
23 November 2009
4/27/10
5
Dept. of Rehabilitation Science and Technology
Why Pitt?
• Some rehabilitation applications delivered in the “natural” environment are more effective
• Telerehabilitation technology and methodologies enable rehab in the natural environment
23 November 2009
Dept. of Rehabilitation Science and Technology
RERC on TR Activities
• Informatics Infrastructure Core
• Focus Areas – Cognitive and vocational rehabilitation
– Prevention and management of secondary conditions
– Communication technology assessment and training
– Capacity Building
23 November 2009
4/27/10
6
Dept. of Rehabilitation Science and Technology
Infrastructure Core
23 November 2009
Dept. of Rehabilitation Science and Technology
Need for TR Infrastructure
23 November 2009
4/27/10
7
Dept. of Rehabilitation Science and Technology
Clinician inRemote AreaConsumer
Consumer Portal Clinical Hub
CommunicationsHub
Store and ForwardModule
Telerehabilitation PortalElectricHealthRecord
Clinician
SocialNetworking
Consumers
ConsumerSide
ClinicianSide
SynchronousCommunication
AsynchronousCommunication
SmartphoneTechnologies
MobileClinician
Videoconferencing(VISYT)
Dept. of Rehabilitation Science and Technology
Clinician inRemote AreaConsumer
Consumer Portal Clinical Hub
CommunicationsHub
Store and ForwardModule
Telerehabilitation PortalElectricHealthRecord
Clinician
SocialNetworking
Consumers
SynchronousCommunication
AsynchronousCommunication
ConsumerSide
ClinicianSide
SmartphoneTechnologies
MobileClinician
Videoconferencing(VISYT)
Injuryor
Disability
CommunityIntegration,vocational rehab, etc.
Healthmaintenanceand diseaseprevention
Clinic-basedrehab
Remoteclinic
teleconsult
Home-basedtelerehab
23 November 2009
4/27/10
8
Dept. of Rehabilitation Science and Technology
Cognitive and vocational rehab
• Reliability and validity of a remote neuropsychological assessment protocol
• Mobile telerehabilitation applications for cognitive and vocational rehabilitation
• Determining the efficacy of a mobile telerehabilitation portal for delivery of cognitive and vocational rehabilitation
23 November 2009
Dept. of Rehabilitation Science and Technology
Remote Neuropsych Assessment
23 November 2009
4/27/10
9
Dept. of Rehabilitation Science and Technology
Prevention and management of secondary conditions • A telerehabilitation-enhanced wellness
program in spina bifida
• Telerehabilitation for self-management of chronic edema/lymphedema in individuals with mobility limitations
23 November 2009
Dept. of Rehabilitation Science and Technology
Spina Bifida Wellness Program
13 October 2009 Rehabilitation Engineering Research Centers Update to the SHRS Board of Visitors 23 November 2009
4/27/10
10
Dept. of Rehabilitation Science and Technology
Self Management of Lymphedema
23 November 2009
Dept. of Rehabilitation Science and Technology
Communication technology assessment and training
• Development of telerehabilitation tools for communications technology
• Evaluation of remote AAC service delivery
• Evaluation of remote computer access service delivery
23 November 2009
4/27/10
11
Dept. of Rehabilitation Science and Technology
Development of TR tools for communication: IDA
WWWServer-side Database
ConsumersClient-side Interface for Consumer:
tests
PractitionerClient-side Interface for Practitioner:
23 November 2009
Dept. of Rehabilitation Science and Technology
Remote AAC computer access service delivery • Determine if individuals can obtain
appropriate prescriptions for AAC and computer access technology through the use of a TR system
• Comparison in-person to remote clinic/home
23 November 2009
4/27/10
12
Dept. of Rehabilitation Science and Technology
Capacity Building
23 November 2009
Dept. of Rehabilitation Science and Technology
Technology implementation projects
• Workplace ergonomics assessments – SHRS, OT; Boston University
• Telestroke Program – UPMC enterprise-wide system
• Cognitive skills enhancement program – Hiram G. Andrews Center, Johnstown, PA
23 November 2009
4/27/10
13
Dept. of Rehabilitation Science and Technology
Technology implementation projects
• Autism service, education, research and training – Hiram G. Andrews Center, Johnstown, PA
• International rehab service learning – Mount St. Mary’s College, CA; Mexico
• Networked wheelchair – Korean National Rehab Center, Seoul South Korea
23 November 2009
Dept. of Rehabilitation Science and Technology
Outcomes measures and Uniform data set for TR
Telerehab Focus Area
Research and Development
TechnologyImplementation Projects (TIPs)
TIPs 1: Workplace Ergonomics and Arthritis
TIPs 2: Enterprise-wide integration with UPMC
TIPs 3: CSEP
TIPs 4: ASERT
TIPs 5: Telerehab Service Learning with Mexico
TIPs 6: Networked Wheelchair
Other Future Projects
TelerehabilitationInformatics
Infrastructure
Development of OutcomesMeasure and Uniform Data Sets
© University of Pittsburgh 2009 all rights reserved
102 3 4 5 6 7 8 9 10 11 12
UniformTelerehabOutcomesDatabase
23 November 2009
4/27/10
14
Dept. of Rehabilitation Science and Technology
Telerehabilitate! • Develop a Web-based infrastructure that will support a
comprehensive US directory of TR services with self-registration features in a monitored, accessible environment.
• Explore cost-effective strategies to introduce interactivity among consumers and service providers to the site and assess their effectiveness.
• Establish a comprehensive and searchable directory of TR policy (state licensing boards; national professional associations, etc.).
• Identify the most effective consumer-based strategies to populate a diverse, national website and facilitate the sharing of knowledge between experienced and novice TR users.
23 November 2009
Dept. of Rehabilitation Science and Technology
13 October 2009 Rehabilitation Engineering Research Centers Update to the SHRS Board of Visitors 23 November 2009
4/27/10
15
Dept. of Rehabilitation Science and Technology
Site visit questions/comments
• Research projects are not ground- breaking or cutting edge
• Device innovation is secondary to capacity building
23 November 2009