{"database": "openregs", "table": "congressional_record", "rows": [["CREC-1996-10-21-pt1-PgE1942", "1996-10-21", 104, 2, null, null, "CONFERENCE REPORT ON H.R. 3610, DEPARTMENT OF DEFENSE APPROPRIATIONS ACT, 1997", "HOUSE", "EXTENSIONS", "ALLOTHER", "E1942", "E1943", "[{\"name\": \"Tom Davis\", \"role\": \"speaking\"}]", "[{\"congress\": \"104\", \"type\": \"HR\", \"number\": \"3610\"}]", "142 Cong. Rec. E1942", "Congressional Record, Volume 142 Issue 143 (Monday, October 21, 1996)\n\n[Congressional Record Volume 142, Number 143 (Monday, October 21, 1996)]\n[Extensions of Remarks]\n[Pages E1942-E1943]\nFrom the Congressional Record Online through the Government Publishing Office [www.gpo.gov]\n\n CONFERENCE REPORT ON H.R. 3610, DEPARTMENT OF DEFENSE APPROPRIATIONS\n                               ACT, 1997\n\n                                 ______\n\n                          HON. THOMAS M. DAVIS\n\n                              of virginia\n\n                    in the house of representatives\n\n                       Tuesday, October 22, 1996\n\n  Mr. DAVIS. Mr. Speaker, I rise in support of the provision in the\nfinal Conference Agreement to the FY 1997 Department of Defense (DOD)\nAppropriations Bill, which encourages the Department to pay particular\nattention to pediatric patients as it explores telemedicine initiatives\nthat would provide cost-effective, accessible, and high quality\nservices for DoD beneficiaries.\n  The Department of Defense in the past decade, has experienced many of\nthe same challenges confronting the Nation's private health care\nsystem--increasing costs, uneven access to health care services, and\ndisparate benefit and cost-sharing packages for similarly-situated\ncategories of beneficiaries. As DoD responds to these challenges, there\nis a particular need to ensure that the transition to managed care for\npediatric patients within the Military Health Services System is\nhandled with a high level of professionalism and care.\n  The requirements of a reformed health care delivery system and the\nemergence of new medical and information technologies have radically\nchanged the manner in which health care is provided and delivered to\npediatric patients. Therefore, it is critically important for the\nDepartment to develop a partnership with a pediatric hospital which has\nthe proven expertise and track record in the diagnosis and treatment of\nsick children.\n  Children's National Medical Center (CNMC), located in the Nation's\ncapital, offers significant benefits to DoD and to countless citizens\nin Northern Virginia, Washington, DC, and Maryland. CNMC has had a\nlongstanding relationship with the Department of Defense through\ncollaboration with DoD facilities, and through the provision of patient\ncare services to a large number of military dependents and the children\nof DoD civilian employees. CNMC currently has affiliation agreements\nwith Walter\n\n[[Page E1943]]\n\nReed Army Medical Center and Bethesda Naval Medical Center. Through\nthese relationships, CNMC serves as a major regional source of training\nfor military physicians, nurses, technologists, therapists, and other\nallied health professionals.\n  In recent years, CNMC has worked closely with DoD to develop\npediatric quality assurance criteria for emergency medical care\nservices to acutely ill and injured children who are military\ndependents referred by area military medical treatment facilities. This\npilot study involved the development and application of screening\ncriteria designed to assess the process and outcome of pediatric\nemergency care for head trauma, seizures and respiratory distress due\nto upper airway construction. The criteria was applied to a sample of\nsix military treatment facilities in the United States. The findings\nfrom the study revealed specific aspects of pediatric emergency medical\ncare which would benefit from clinical and/or administrative\neducational programs.\n  Given the specific expertise which Children's National Medical Center\nbrings to pediatric health care, its longstanding successful\nrelationship with DoD, the National Institutes of Health, and other\nFederal agencies in health policy and research matters, CNMC is\neminently qualified to work with DoD in establishing a state-of-the-art\ntelemedicine network to ensure that pediatric military dependents have\naccess to the most advanced standards of American health care.\n  Telepediatrics demonstration of this nature will provide DoD with\notherwise inaccessible state-of-the-art pediatric medical advice and\nservices to providers and their patients. It will also provide the\nbroadest range of pediatric specialty services allowing for the phased\nintegration of target specialties (trauma, radiology, psychiatry), it\nwill develop broad or segmented demonstration of the utility of various\ntelemedicine technologies in the field of pediatric medicine across the\nrange of primary, chronic, and acute care services, and it will\ndemonstrate the cost-effectiveness of telemedicine technologies in\nenhancing the quality of services and access to pediatric populations\nin urban, suburban, rural, and regionally dispersed, as well as\ntransitional communities.\n  Mr. Speaker, I strongly support the effort by the Department of\nDefense to explore telemedicine initiatives which will bring new\ninsights and services to the care of pediatric patients.\n\n                          ____________________"]], "columns": ["granule_id", "date", "congress", "session", "volume", "issue", "title", "chamber", "granule_class", "sub_granule_class", "page_start", "page_end", "speakers", "bills", "citation", "full_text"], "primary_keys": ["granule_id"], "primary_key_values": ["CREC-1996-10-21-pt1-PgE1942"], "units": {}, "query_ms": 0.4782811738550663, "source": "Federal Register API & Regulations.gov API", "source_url": "https://www.federalregister.gov/developers/api/v1", "license": "Public Domain (U.S. Government data)", "license_url": "https://www.regulations.gov/faq"}