An 11 year study of telemedicine diagnosis of pediatric echocardiograms led to earlier diagnosis and treatment of heart conditions in children. 99% of the images were judged to be complete and adequate in quality (both the early ISDN and later digital). While 74% of tests were judged normal, 13 indicated major abnormalities and the early diagnosis permitted faster treatment. The review was done at Children’s Mercy Hospital in Kansas City, MO and transmitted from St. John’s Medical Center 160 miles away in Joplin. iHealthBeat. HealthDataManagement.