virtual care: new skills for organizations and professionals · • the rapid growth of virtual...

Virtual Care: New Skills for Organizations and Professionals

Tuesday, March 1st, 2016

Mark Casselman, CEO COACH: Canada’s Health Informatics Association

Conflict of Interest Mark Casselman, M.Sc. Has no real or apparent conflicts of interest to report.

Summary • The rapid growth of virtual care is transforming the way health care is

accessed and delivered • Emerging technologies and new models for connected care in the

community and home are moving patients, clinicians, and technology closer together

• As a result of this shift, new organizational capabilities and professional skills are needed

• Help identify new skills and learning required to deliver virtual care and connected health, and build upon the COACH Health Informatics Professionals (HIP) Career Matrix and HIP Role Profiles

Learning Objectives • Identify professional skills and organizational capabilities required to deliver

virtual care

• Recognize emerging opportunities for virtual care delivery, and understand the post-implementation impact on people, process, and technology

• Apply a framework to describe and analyze health informatics professional role profiles within the context of virtual care and connected health

COACH: Canada’s Health Informatics Association

COACH has 2000+ Members

COACH is represented in all 10 provinces and all 3

territories.

COACH also has members in

The rapid increase in volume and diversity of digital health tools is shifting expectations...

• Emerging technologies and new models for connected care in the community and home are moving patients, clinicians, and technology closer together

– Patient portals – Disease management tools – e-Booking & scheduling tools – e-Requests & Rx renewals – Remote patient monitoring – e-Visits, telemedicine – mHealth / wearables / wellness – Health education – Gamification – Online health reviews – Social networking & data sharing

Health – fitness – performance

Personal – group – organization

However, traditional health care delivery & consumer digital health (mostly) operate as distinct ecosystems...

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And, virtual care is evolving along an emerging continuum…

• Transaction-focused • Person to person • Clinician to clinician

Clinician-Patient

• Relationship-focused • Virtual clinic • Multi-service • Single setting (or

sector)

Team (including patient) • Relationship-based

• Multi-service • Connects sectors

and settings • Data and devices

Personalized, patient-centric

… in both directions!

Virtual Care (noun):

“Any interaction between patients and/or members of their circle of care, occurring remotely, using any forms of communication or information technologies, with the aim of facilitating or maximizing the quality and effectiveness of patient care.”

Source: Virtual Care: A Framework for a Patient-Centric System, Women’s College Hospital Institute for Health Systems Solutions and Virtual Care (WIHV)

Dynamic tensions and socio-technical shifts are influencing adoption of consumer digital health and virtual care

• Centralized ---- Decentralized

Information assets

• Enterprise ---- Professional

Workflow dynamics

• Enterprise ---- Consumer

Power shift

• Hospital ---- Home

Changing context

Professionals, teams, and organizations must consider what novel skills and capabilities are needed to deliver virtual care effectively

• Health informatics (HI) is the intersection of core practice areas:

– Clinical – Management – IM / IT

• How is the HI profession evolving

within the context of virtual care and connected consumer health?

2015 Canadian Telehealth Report

• Telehealth and virtual care options are rapidly evolving across Canada

• More broadly available and more technologically diverse services offered

• Increasingly, mobile health technology is complementing institution-based and desktop-based telehealth endpoints.

Telehealth is providing valuable early lessons learned about virtual care delivery

Telehealth adoption and use continues to grow as a key support to our changing healthcare environment

Growth areas since 2013 report:

45.7% more clinical sessions

41.5% more endpoints

78% increase in patient & provider education sessions

Observing shift in endpoint from facility-based to desktop to mobile

A number of key challenges must be addressed

eSafety

Health literacy

Business

models

Privacy

Interoperability

Clinician engagement

Data Accurac

y

Access to tools

High-user needs

Demonstrated ROI

Partnerships & data sharing

COACH HIP® Role Profiles • This document contains a role profile for 65 job titles (traditional), to name a few:

– Chief Medical Informatics Officer – eHealth Program Director – eHealth Strategist – PMO Manager – Program Manager – Project Manager – Trainer – Product Specialist – Process Improvement Analyst – Research Coordinator – Data Integrity Analyst – Privacy Analyst – Standards Analyst – Security Specialist – Service Manager – …….

Clinical & Health Services • Does care team design and

practice support virtual care? • How is virtual care data used to

support diagnostic journey?

Health System Strategy • What partnerships are

required to deliver care in the future?

• How will we balance strategic investment of capital across physical and virtual projects?

• What is our approach to monitoring and understanding regulatory & political environment?

Project Management • Are multi-disciplinary teams built

into system in rigorous way? • Who analyzes and manages

socio-technical interactions? • What skills / training is

necessary to shift in the direction of health informatics facilitation?

Organizational Management • Are there emerging models

for virtual care governance? • What staff training and

education is needed for virtual care?

• What is the process and change management effort required to move from physical to virtual?

Analysis & Evaluation • What is the impact of enhanced

data sharing and data liberation?

• Iterative experimentation and learning vs. RCT?

• Selection of business case and benefits evaluation frameworks?

Information Management • What are the implications of

data sharing and liberation? • Skills needed to leverage

emerging standards? • Impact of collecting patient-

generated data?

Information Technology • Infrastructure requirements

and expertise for virtual care?

• Hardware and application management in new delivery model?

• How does IT balance evolving security and access models?

How might the roles of HI professionals evolve to support virtual care delivery?

Transition specialist

#virtualcareroles

Intelligence Augmenter

Health Coach

Personal Health

Informatics Analyst

Director, Decentralized

Asset Management

Business Analyst, Patient

Workflow

And how will we address challenges to continue bringing together traditional health care delivery & consumer digital health ecosystems?

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Questions

@markcasselman @COACH_HI mark.casselman@coachorg.com

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