ATA - American Telemedicine Association

Chair Nina M. Antoniotti, PhD, RN, MBA Program Manager, Marshfield Clinic TeleHealth Marshfield Clinic Marshfield, WI Phone: 715-389-3694 Email: antoniotti.nina@marshfieldclinic.org	Vice Chair Anne Burdick, MD, MPH Associate Dean for Telemedicine and Clinical Outreach Professor of Dermatology Director, Leprosy Program University of Miami Miller School of Medicine Miami, FL Phone: 305-243-3780 Email: aburdick@med.miami.edu

Committee Members

Richard S. Bakalar, MD Chief Medical Officer IBM Corporation Global Healthcare - Provider Segment Healthcare and Life Sciences (HCLS) Industry Lone Tree, CO Phone: 301-803-2974 Email: bakalar@us.ibm.com Lisa Carnahan, PhD Supervisory Computer Scientist National Institute of Standards and Technology Gaithersburg, MD Phone: 301-975-3362 Email: lisa.carnahan@nist.gov Brian Grady, MD Director, TeleMental Health University of Maryland Baltimore, MD Phone: 410-706-4730 Email: grady@telepsychiatrist.com Elizabeth Krupinski, PhD Assistant Director, Program Evaluation University of Arizona Department of Radiology - Research Tucson, AZ Phone: 520-626-4498 Email: krupinski@radiology.arizona.edu Lynne S. Rosenthal, PhD Computer Scientist National Institute of Standards and Technology Gaithersburg, MD Phone: 301-975-3353 Email: lsr@nist.gov Lou Theurer Grant Administrator Burn Telemedicine Program University of Utah Health Sciences Center Salt Lake City, UT Phone: 801-581-3595 Email: lou.theurer@hsc.utah.edu	David Brennan, MSBE Research Engineer National Rehabilitation Hospital Washington, DC Phone 202-877-1963 Email: david.m.brennan@medstar.net Jerry Cavallerano, PhD, OD Staff Optometrist Assistant to the Director Joslin Diabetes Center Beetham Eye Institute Boston, MA Phone: 617-732-2554 Email: jerry.cavallerano@joslin.harvard.edu Tom Hirota, DO Chief, Dermatology Services Madigan Army Medical Center Fort Lewis, WA Phone: 253-968-1365 email: thomas.k.hirota@us.army.mil Hon S. Pak, LTC MC USA Director, Advanced Information Technology Group (AITG) US Army Medical Research and Materiel Command Telemedicine & Advanced Research Center (TATRC) Fort Detrick, MD Phone: 301-619-7938 Email: pak@tatrc.org Scott Simmons, MS Director of Telemedicine University of Miami’s Miller School of Medicine Miami, Florida Phone: 305-242-8252 Email: ssimmons@med.miami.edu Jill Winters, PhD, RN Associate Professor Marquette University College of Nursing Milwaukee, WI Phone: 414-288-3848 Email: jill.winters@marquette.edu

Practice Guidelines for Teledermatology
(December 14, 2007)
These guidelines, generated by the ATA Teledermatology Working Group, have undergone a thorough consensus and rigorous review, with final approval by the ATA Board of Directors. These guidelines are designed to aid in the development and practice of coherent, effective, safe and sustainable teledermatology practices.

Framework Document for Telemedicine Standards
(November 20, 2007)
This document establishes the basic structure for establishing new telemedicine standards and guidelines.

American Telemedicine Association Telehealth Practice Recommendations for Diabetic Retinopathy
(May 2004)
A roadmap of technical standards, clinical guidelines and administrative procedures. Prepared by the American Telemedicine Association, Ocular Telehealth Special Interest Group, and the National Institute of Standards and Technology Working Group

The Telemental Health and Telenursing SIGs are forming Working Groups (WG) to develop standards and guidelines. If you are interested in participating, please contact Brian Grady at bgrady@psych.umaryland.edu for the Telemental Health (WG) or Cindy Leenknecht at cindy.leenknecht@svh-mt.org for the Telenursing (WG).

Policy and Guidance for ATA Standards, Guidelines and Quality Assurance Initiatives
(November 20, 2007)

Request Form for ATA Standards and Guidelines Initiatives
(November 20, 2007)

Instructions for Completing Standards and Guidelines Request Form
(November 20, 2007)

ATA Conflict of Interest Policy and Disclosure Form
(November 20, 2007)

Telehomecare Clinical Guidelines
(October 17, 2002)
Clinical Guidelines for Telepathology
(May 20, 1999)
American College of Radiology Standard for Teleradiology
The standard is located on the ACR web site as a pdf file under "Standards".
American Academy of Dermatology Association Position Statement on Telemedicine
(May 22, 2004)
American Psychiatric Association's Resource Document On Telepsychiatry Via Videoconferencing
(July 1998)
American Psychological Association's Statement On Services By Telephone
(November 5, 1997)

AMA Guidelines for Physician-Patient Electronic Communications
(December 6, 2004)
Medem's eRisk Guidelines for Physician-Patient Online Communications
(January 2007)

X12N is the dominant standard for electronic commerce. The American National Standards Institute Accredited Standards Committee X12 (ASC X12) selected X12N as the standard for electronic data interchange (EDI) used in administrative and financial health care transactions (excluding retail pharmacy transactions) in compliance with the Health Insurance Portability and Accountability Act of 1996. Used for external financial transactions, financial coverage verification and insurance transactions and claims.

DICOM (Digital Imaging and Communications in Medicine) is the industry standard for transferral of radiologic images and other medical information between computers.

HL7 is a standard for the electronic interchange of clinical, financial and administrative information among independent health care oriented computer systems; e.g., hospital information systems, clinical laboratory systems, enterprise systems and pharmacy systems.

H.320 encompasses a set of standards for narrow band visual telephone systems and terminal equipment, commonly used in interactive live video applications for telemedicine. Developed by the International Telecommunications Union (ITU) H.320 specifies technical requirements for narrow band visual telephone systems and terminal equipment, typically for videoconferencing and videophone services. It describes a generic system configuration consisting of a number of elements, definition of communication modes and terminal types, call control arrangements, terminal aspects and interworking requirements. The full standards are available for purchase from ITU at http://www.itu.int/itudoc/itu-t/rec/h/h320.html.

The Association for the Advancement of Medical Instrumentation has a standards program consists of over 100 technical committees and working groups that produce Standards, Recommended Practices and Technical Information Reports for many medical devices. Information about the program and standards that have been created are available at http://www.aami.org/standards/index.html.

Logical Observations: Identifiers, Names, Codes (LOINC) is a coding system for the electronic exchange of laboratory test results and other observations. LOINC development involved a public-private partnership comprised of several federal agencies, academia, and the vendor community. This model can be applied to other standards setting domains.
Unified Medical Language System (UMLS) Metathesaurus is a long term research and development project of the National Library of Medicine (NLM) that began in 1986. This project develops and distributes multi-purpose, electronic "Knowledge Sources" and associated lexical programs. System developers can use the UMLS products to enhance their applications -- in systems focused on patient data, digital libraries, Web and bibliographic retrieval, natural language processing, and decision support. Researchers will find the UMLS products useful in investigating knowledge representation and retrieval questions.
IHTSDO oversees the strategic direction and scientific maintenance of the Systematized Nomenclature of Medicine, better known as SNOMED®.

National Institute of Standards and Technology (NIST)
The National Institute of Standards and Technology is a federal technology agency that develops and promotes measurement, standards, and technology.

Guidelines for the Surgical Practice of Telemedicine
by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES)
(October 1999)
FDA Guidances Related to Telemedicine
Information within the Food and Drug Administration related to their approval and review of telemedicine including medical imaging, software, telemetry and other subjects.

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