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strated promising outcomes for inmates in Utah’s State Penitentiary who qualify for speech therapy intervention. Methods: Recent treatment plans and outcomes of inmates in the Utah State Penitentiary who were experiencing aphasia or apraxia of speech were reviewed. Results: The inmates demonstrated significant improvements in all communication aspects and weekly progression towards the established plan of care. Goals were developed based on the inmate’s functional communication needs, enabling frequent practice and use of strategies outside of the treatment sessions. Conclusions: The use of meaningful communication strategies and goals encouraged increased participation and carryover of learned information. By making the communication targets individually relevant, prison employees could assist with addressing the inmates’ goals outside of treatment sessions. Telespeech is a promising resource for Utah inmates as therapy can be administered directly in the inmates’ environment where their communication needs are necessary. The presence of healthcare workers in the treatment rooms during the therapy sessions assisted with carryover and further training for prison staff, inmates and cell mates. Direct intervention of inmates’ communication breakdowns within their environment facilitated progression towards more meaningful communication skills. health accreditation program is to promulgate standards for the practice of medicine and other health professions, consumer education, and care coordination facilitated through telecommunications. URAC's standards were developed through a comprehensive, iterative dialogue among the content experts. URAC engaged telehealth providers from universities, large healthcare systems, national and regional leaders among telehealth enterprises, payers and those working in regional telehealth centers. Participants included: Carena, the Great Plains Telehealth Resource & Assistance Center, George Washington University Medical Faculty Associates, HCA, Humana, Mercy Virtual, Optum, Teladoc, and the University of Kentucky. Once consensus was reached on an initial draft, URAC invited public comment from stakeholders throughout health-care including consumer representatives and regulators. Each iterative phase of the development of these standards led to refinement of the standards so that the perspectives of stakeholder groups from health care in general, telehealth providers, consumers, payers, and policymakers are embedded into the final accreditation program that emerged. 26. Southern New Mexico’s Adolescent Services Telemedicine Project (ConneXions) 25. Establishing National Standards for Telehealth Through an Iterative Dialogue Linda Summers, PhD and Conni DeBlieck, DNP Deborah Smith, MS, RN-BC1,2 and Aaron Turner-Phifer2 Background: Health services and education are both critical issues in rural economic development and can be delivered over the infrastructure developed for either one. An alliance of medical, technical and management expertise would enable the service providers to operate in a well-managed technological and administrative environment leading to a sustainable rural telehealth system. The lack of affordable broadband could be compensated for by connecting existing and proposed telehealth networks to create a network of networks that will provider broader access and increase connectivity. The Southern New Mexico Adolescent Services Telemedicine Project (ConneXions) is one such network. 1 Redfine Health and 2URAC Rapid growth of telehealth has created variability between providers of telehealth services. URAC launched the first independent Telehealth Accreditation program March 30, 2016. The purpose of the accreditation is to enable telehealth provider organizations to verify that they are adhering to the highest standards and best practices that foster quality and consumer protection. The proposed poster session will focus on the use of an iterative dialogue in the standards development process to establish national performance standards for telehealth practices. This development process will be described in a manner that demonstrates the impact of broad stakeholder contributions in policy formation and deployment. URAC was approached by a group of telehealth providers interested in setting national standards for quality telehealth services. This led URAC to collaborate with an expert panel of telehealth providers to construct the first independent telehealth accreditation standards. The goal of this new tele- New Mexico State University Method: ConnecXions endeavors to address these barriers through telemedicine. ConnecXions has interlinked four school based health centers in two school districts and one juvenile detention center with three consultation sites permitting efficient flow of medical information and increasing the availability of mental health services for adolescents at each of the five sites. Access to medical and mental healthcare is the primary goal of the program. Advances in telecommunications enable the five sites to achieve this goal by developing a more flexible and cost effective approach to building an inter- 44 | Page