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Psychiatry in Samoa.

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Community Mental Health Services↗

Medicare program; peer review organizations; revised scopes of work for Maryland; New Jersey; the Virgin Islands; and Guam, American Samoa, the Northern Mariana Islands, and the Trust Territory of the Pacific Islands--HCFA.

This notice describes requirements for the third Scope of Work for Utilization and Quality Control Peer Review Organizations (PROs). Specifically, this notice: (a) Identifies the requirements of the third Scopes of Work in Maryland and the Virgin Islands; (b) Recognizes the continuing requirements of the Scope of Work currently in effect in the PRO area of Guam/American Samoa/Northern Mariana Islands/the Trust Territory of the Pacific; and (c) Announces a change in the Scope of Work in effect in New Jersey. This notice also implements section 4091(b)(1) of the Omnibus Budget Reconciliation Act of 1987 (Pub. L. 100-203), which requires us to publish a new policy or procedure adopted by the Secretary that affects substantially the performance of contract obligations at least 30 days before the date the policy or procedure is to be used. It also implements other provisions of Pub. L. 100-203, as well as requirements of the Omnibus Budget Reconciliation Act of 1986.

Centers for Medicare and Medicaid Services, U.S.↗

Suicide in Samoa.

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Adolescent↗

HIV/AIDS in Samoa.

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Acquired Immunodeficiency Syndrome↗

Telerehabilitation consultations for clients with neurologic diagnoses: cases from rural Minnesota and American Samoa.

Telerehabilitation is the provision of rehabilitation services at a distance using electronic information and communication technologies. This paper describes two clinical programs that utilize videoconferencing to provide rehabilitation specialist consultations to individuals living in remote areas. Needs assessments for the two areas revealed that local clinicians were interested in access to specialty consultation. Administrative processes and a data collection tool were developed for these programs. High speed videoconferencing that allows for real-time audio and video interaction was used. Each consultation includes the patient, the local caregivers and specialists from our facilities interacting via videoconferencing. A total of 117 telerehabilitation encounters have been completed. All consultations resulted in changes to the plan of care. Clinicians who participated in the projects consistently rated the clinical effectiveness of teleconsults as good or excellent. Thirty-eight consultations have been neurologic in nature. Of that set, 25 of the visits were initial assessments, and thirteen were follow-up visits. Two case studies of individuals with neurologic diagnoses are presented. Recommendations to others who are providing rehabilitation services via telehealth technologies are included. The authors conclude that the care of individuals with neurologic issues can be augmented and supported via specialty consultation using telehealth technology.

Adolescent↗