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