connecting patients to care telemedicine in the central west lhin status update may 29, 2013
TRANSCRIPT
Connecting Patients to Care Telemedicine in the Central West LHIN
Status Update
May 29, 2013
OTN Clinical Services
Room based video conferencing
Personal Computer Video Conferencing (PCVC)
Store Forward Telederm
Personal Computer Video Conferencing (PCVC)
A web-based videoconferencing service that enables Health Care Providers to perform consultations from a PC or laptop.
Secure and appropriate for clinical appointments
Communicates seamlessly with room based systems
Store Forward Telederm
A service which allows doctors to securely send photographs of dermatological issues to Ontario dermatologists
Images are taken with a digital camera and stored on the Medweb server.
Physician advice is communicated via the secure server.
Successes
Albion Appletree Ltd.– Unique model
OATC Brampton– Unique model
Dr. Sandra Romain– pre-established relationship
CMHA Peel– TM nurse site, active promotion
Headwaters Health Care Centre– TM nurse site, active promotion
Mel Lloyd FHT– TM nurse site, active promotion
William Osler Health System– TM nurse site, active promotion
Successes
Mental Health and Addictions– MoHLTC provided 1.75 million dollars for
Telemedicine equipment. Equipment to be used primarily for MH & A with a focus on addictions services.
– Proposals submitted to the MH & A Task Force for Telemedicine equipment during two phases.
– Sites awarded equipment based on strength of proposals.
Successes
Bramalea CHC
Bramalea CHC – Malton site
CMHA – Peel (Caledon)
Dufferin Area FHT
Hope Acres Addiction and Rehabilitation Centre
Pine River Institute
SHIP – Dufferin County site
SHIP – Main site
SHIP – Wilkinson site
WOHS – Brampton Civic Hospital
WOHS – Etobicoke General
WOHS – Withdrawal Management Centre
Challenges
Currently at Health Service Provider sites with LHIN funded nurses there is a lower than expected utilization of Telemedicine. The following have been noted as reasons why utilization is low:– Lack of Awareness
• Physicians and patients are not always aware Telemedicine is available
– Lack of Access to Consultants• Telemedicine needs to be valued, easy to access, easy to use and affordable
– Lack of Dedicated Space• Many sites have difficulty finding rooms in which to conduct telemedicine activity
– Individualized Approach to Adoption • Effective growth requires a systematic approach and the establishment of
strategic partnerships.
– Remuneration• Many organizations do not have the funds necessary to cover sessional fees
Potential Opportunities
Adopt best practices from successful sites– Attempted securing Appletree representative for a
presentation– Unsuccessful in doing so – Currently working on securing an OATC
representative
Conduct a needs assessment with Central West LHIN HSPs
Identify key partnerships
Are there others?
Total Utilization
2006/07*
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
0
50000
100000
150000
200000
250000
ClinicalEducationalAdministrative
2012-2013 Clinical Telemedicine Utilization Across all LHINS
2012-13 Clinical Utilizationin Central West LHIN
CMHA - P
eel
Central W
est CCAC
Community Li
ving
Headwate
rs
Kerry's P
lace
LMC - E
tobico
ke
Mel L
loyd LF
HT
Dr. Romain
Surre
y Plac
e
Trellis - O
range
ville
Brampto
n Civic
Etobico
ke General
0
50
100
150
200
250
300
350
Q1Q2Q3Q4
Therapeutic Areas of Care
Sites and Systems by LHIN: Q4 12/13
LHIN Active Sites
Active Systems
LHIN Active Sites
Active Systems
1 82 149 8 76 119
2 176 356 9 92 159
3 77 120 10 128 238
4 137 234 11 168 358
5 20 29 12 77 139
6 25 54 13 273 478
7 103 313 14 168 265
Current Status
Anecdotally:– Clinical utilization is trending up– Awareness seems to be increasing– Provisioning process for Mental Health and Addiction
project sites is progressing
Needs Assessment/Capacity Survey
Goals and Objectives– Retain Telemedicine Nurse funding– Current state assessment of clinical needs that Telemedicine
may be able support– Identify organizations/sites that have capacity to provide care
via Telemedicine – Provide telemedicine enabled organizations with information
that will facilitate connections between providers and patients
What do you wish to gain from this survey?
Who should be the Target Audience?– MoHLTC funded?– Telemedicine users vs. non-users?
Needs Assessment/Capacity Survey
What we need from you– Endorse/Support the completion of this Needs
Assessment– Identify any other organizations that should be
included in this survey
Next Steps
Contact OATC to present and identify best practices
Conduct Survey and Analyze
Present key findings and recommendations at August Steering Committee meeting
Is there anything else?
Thank you for your time and attention!
Require Additional Information?
Please contact:
Central West LHIN Regional Manager
Paul Pittman
1-866-454-6861 x4501
or visit
www.otn.ca