In 2003, SEHD received a second round of 3-year funding from OAT for further network expansion.
The new SEHD director considered the telehealth network a strategic asset and hired additional staff, including a new program manager.
The SEHD director decided to expand the network further.
The telehealth network at SEHD became sustainable, supported in part by federal funding, but increasingly paying for itself through new services and savings in travel expenses and time.
The process model (Figure 1) shows how interactions between key actors, institutional setting, and contextual dynamics shaped the telehealth innovation at SEHD.
B brought together local and external resources and set the stage for bringing specialty health services to SEHD.
A pediatric geneticist at MCG told us, "I started doing outreach clinics at SEHD in December 1984, and have continued ever since.
The SEHD telehealth initiative started as a GSTP pilot in 1993.
Facing financial pressures after fall 2005, SEHD encouraged educational and collaborative usage of the network, resulting in these services contributing to nearly 85 percent of network traffic.
SEHD benefitted from initial funding for telehealth network under the GSTP program.
Drawing on a longitudinal, qualitative data (1988-2008) from SEHD in Georgia, the objective of this study was to examine successful adoption of telehealth in a rural public health district.
In response to this challenge, we used Newman and Robey's (1992) framework to systematically distinguish between antecedent conditions, encounters, episodes, and outcomes to develop a comprehensive process model of key events at SEHD (Figure 1).