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B. Fillion



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    EP02 - e-Poster Session 2 (ID 53)

    • Event: e-Health 2018 Virtual Meeting
    • Type: e-Poster Session
    • Track: Clinical Delivery
    • Presentations: 1
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      EP02.04 - Implementation of Telehealth Services Across 3 Rehabilitation Centers in Montreal Canada (ID 408)

      B. Fillion, Centre de réadaptation Lucie-Bruneau, CIUSSS du Centre-Sud-de-l’ile-de-Montréal; Montreal/CA

      • Abstract
      • Slides

      Purpose/Objectives: Telehealth is defined as being the virtual organisation of service networks, professional collaborations with or without patient intervention using information technology in order render at a distance professional training, patient teaching, assistance, monitoring, clinical coaching, consultation and follow-up. A new Ministerial Telehealth Framework has been proposed in the province of Quebec. The Ministry intends to review the telehealth governance in order to recognise telehealth as a service delivery model, to anticipate the clinical needs that justify telehealth services, to agree on an integrated plan for the development of telehealth services, to have an overview of the telehealth services and projects over the province, to optimise telehealth services and resources and to measure the impact and benefits of telehealth. Given this context, a telerehabilitation clinical project was developed in a Montreal-area health network. More specifically, the objective of the telerehabilitation project was to develop a model of delivery using modern technologies in order to improve the access to specialized and ultra-specialized rehabilitation services (evaluation & intervention) and to measure its effects.

      Methodology/Approach: With changing demographics, increased prevalence of chronic diseases, limited health care resources and health network reforms, it is essential to consider alternative methods of rehabilitation service delivery in order to optimize recovery across the continuum of care. The telerehabilitation clinical project implemented remote services using innovative technology in three major rehabilitation centers. Using a systematic project management approach, clinical needs were assessed, appropriate technologies identified, implementation progressively undertaken, patient and clinician satisfaction was assessed and potential cost savings estimated.

      Finding/Results: Close collaboration with an industry-partner was essential to develop the remote telerehabilitation applications that will be presented. An in-house evaluation process allowed us to measure several indicators such patient and client satisfaction, types of interventions and the potential cost savings with the use of the telerehabilitation modality. The factors impacting on telerehabilitation implementation and routine use are presented, with regards to the technology itself, the organisations (including clinician attitudes and beliefs), and the context within which the organisations function. The strategies to overcome barriers throughout the implementation process are also discussed.

      Conclusion/Implications/Recommendations: Integrating telerehabilitation innovations into routine clinical care is a complex process. Despite the anticipated benefits of telehealth, its implementation in healthcare remains challenging. Findings from this clinical experience, as well as more long-term studies of telehealth use in different contexts will allow us to better understand the factors which impact on telehealth implementation as well as its routine use in clinical practice.

      140 Character Summary: Implementation of Telehealth Services Across 3 Rehabilitation Centers in Montreal Canada

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