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D -- HEALTH APPLICATIONS OF THE NATIONAL INFORMATION INFRASTRUCTURE: PROJECT PHOENIX -- SCRUTINIZING TELEMEDICINE TESTBED POC Lynn Montalvo, Contract Specialist/301-496-6546 The National Library of Medicine intends to negotiate with the Georgetown University Medical Center for an 18-month continuation of Contract No. N01-LM-6-3544 to conduct Project Phoenix -- Scrutinizing a Telemedicine Testbed for hemodialysis patients. The contractor has established the technical infrastructure, determined technical efficacy, designed data collection instruments and methodologies, developed clinical and operational protocols for the telemedicine intervention together with the care providers and is now conducting a clinical economic evaluation of telemedicine based on a controlled clinical trial and a study of data security and patient confidentiality. The proposed continuation will improve robustness of statistical data by expanding the patient population in both telemedicine and control groups of the study by 50%, thereby refining the ability to detect significant differences in both Kt/Vurea and length of hospitalization. Authority 41 U.S.C. 253(c)(1) as set forth in FAR 6.302-1.Inherent duplication of cost to the Government and unacceptable delays in completing the project make competition unfeasible for this enhancement. See Numbered Note 22. Posted 07/15/98 (W-SN223783). (0196)

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