Maine aims to lead on telehealth front

The Maine Seacoast Mission operates a telemedicine program serving three islands.

Maine healthcare providers launched their first official telehealth summit on Tuesday with a message to the rest of the country: The first state to see the sun rise each day also aims to be one of the leaders in this rapidly growing healthcare delivery philosophy.

“Telemedicine really does promise to improve and enhance the health of all of us,” said Charles Dwyer, director of the Maine Center for Disease Control’s Office of Rural Health and Primary Care, which organized the one-day gathering of roughly 150 healthcare providers at the University of Maine’s Orono campus.

Dwyer pointed out that the state has had interest in telemedicine and telehealth for several years, and organized a telemedicine workgroup in 2006 to guide both state and local efforts. The group has launched a Web site ( and plans to make the summit an annual event.

Summit organizers attracted one of the nation’s leading experts on telehealth as a keynote speaker: Dale C. Alverson, MD, medical director of the Center for Telehealth and Cybernetics Research at the University of New Mexico’s Health Sciences Center and president of the American Telemedicine Association. Alverson noted that Maine was one of the first state’s to receive a federal grant for telemedicine in 2003, and is one of only a few to mandate reimbursement by private payers for telehealth services.

“We are in an amazing time in our country, an amazing time of transformation,” he said.

Neither Dwyer nor Alverson – nor the many panelists who spoke on Tuesday – predicted an easy road for telehealth. Barriers include credentialing and privileging, healthcare providers who are resistant to change or too overworked to consider something new, broadband availability, sustainability and reimbursement.

“What’s hindering the development of telemedicine? What’s hindering the sustainability of it?” asked Dwyer. “Obviously, the big barrier is reimbursement.”

“How do we equitably pay providers?” added Alverson.

Conference attendees heard several examples of telehealth projects under way in Maine. Among them:

    * The Maine Sea Coast Mission, a Bar Harbor-based program that provides telehealth services to several islands – currently through a 72-foot ship equipped with telemedicine technology, though the mission is working with the islanders to build health centers;

    * The MaineHealth vitalnetwork, based in Portland, which has operated an electronic intensive care unit (eICU) since 2005, linking hospitals and healthcare providers throughout Southern Maine;