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D. Wiljer



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    OS02 - Emerging Technologies - Block Chain / Genomics (ID 3)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS02.02 - Patient Control: How Blockchain Can Transform Health Care and Society (ID 536)

      D. Wiljer, University Health Network; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Health data is one of our most valuable assets that helps determine diagnosis and course of treatment, and expedites medical discovery. However, information silos, duplication of data, inaccurate data, and lack of interoperability remain a barrier to obtaining complete and accurate information. In addition, the growing trend of decentralized data to include personal health data as part of evolving consumer technologies contributes to the complexity of multiple and accurate data sources. Imagine a world where patients are able to take ownership and control of their own medical and personal health data; and decide what, where, and with whom they share their own health information. This session will examine blockchain technology and how it can transform health care and society, as patients gain control to improve their own health and wellness.

      Methodology/Approach: Blockchain is described as “the second era of the internet” and has potential to transform health care and society as we know it. Our organization is in the early stages of examining the potential of blockchain in health care, re-inventing patient/citizen empowerment and engagement through patient control of data. Patient consent and control of primary and secondary use of data can help increase collaboration among public and private sector, and advance medical breakthroughs in a joint effort to benefit all participants, including patients, citizens, and care providers.

      Finding/Results: Strategy considerations and planning range from examining and addressing identity management and authentication, trust, data governance, and legal and security implications to managing large-scale culture change as part of the transition to patient/citizen ownership and control of their own data. Considerations can be profound to impact not only each organization, but the nation. Real-life examples of blockchain in other industries will also be illustrated.

      Conclusion/Implications/Recommendations: A collaborative public-private partnership between health care organizations, patients, government, and strategic partners can help advance strategic planning efforts to transform health care and society through the use of blockchain technology. By connecting the health ecosystem to a universal data infrastructure, blockchain becomes a connector to machine learning, predictive analytics and population health management. It can strengthen opportunities for collaboration between patients, providers and organizations; advance health ecosystem partnerships; accelerate innovation in medical research; and transition toward new standards for future large?scale implementation.

      140 Character Summary: This session will examine blockchain technology and how it can transform health care and society, as patients gain control to improve their own health and wellness.

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    OS12 - eSafety, Quality and Usability (ID 11)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Health Business Process
    • Presentations: 1
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      OS12.01 - Thought Spot 2.0: Optimizing an mHealth Application Through Participatory Design (ID 257)

      D. Wiljer, University Health Network; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Thought Spot () provides post-secondary students with an all-in-one online and mobile platform where they can geo-locate and share knowledge about mental health and wellness services in the Greater Toronto Area (GTA). The CIHR eHealth Innovations Partnership Program grant is aimed at optimizing the Thought Spot platform to more effectively meet the needs of end users. This project is split into two phases: intervention optimization through participatory design (PD) and intervention testing (RCT). This e-poster provides an overview of the optimized platform (Thought Spot 2.0) after an innovative PD process

      Methodology/Approach: Through the use of PD principles, we recruited and engaged students across the GTA to drive the optimization of the Thought Spot platform. Using these findings, a collaborative and iterative design process was followed to optimize the platform with our technology partner, QoC Health, and students. Usability testing, both in a lab and field setting, was conducted to further refine the flow and processes of the platform. Lab testing participants used the think-aloud method when performing a series of representative tasks. Field testing required the completion of a separate set of tasks on their own time over a seven-day period. Qualitative and quantitate data was obtained through observation, semi-structured interviews, single ease questions (SEQ) and the post-study system usability questionnaire (PSSUQ).

      Finding/Results: Usability testing in lab and field settings identified various usability issues, most notably, in the features of searching and adding services. These features corresponded to the lowest SEQ scores across all lab testing tasks (average of 4.1 and 4 on a 7 point scale) and the highest number of errors. The overall app quality as determined by the total average PSSUQ score for lab and field testing was 4.6 and 4.4 on a 7 point scale. Qualitative data was used to inform solutions to the usability problems observed. Key features of the platform were developed and/or refined to improve the functionality and user experience. Main improvements included: data organization; search and navigation functionalities; adding and updating spots; data hygiene for existing spots; and graphics and design. New features were also added, including adding ‘thoughts’ with a journaling component; a timeline function; and migrating to a new mapping platform, MapBox. ts video screenshot 2.jpg

      Conclusion/Implications/Recommendations: This co-design approach with end users has resulted in an innovative mHealth intervention to improve students’ ability to seek out mental health and wellness resources within their community, while contributing to the knowledge base of services and resources available through crowdsourcing and commenting. A randomized control trial (RCT) is currently underway to evaluate Thought Spot and its impact on student’s help seeking behaviours.

      140 Character Summary: Thought Spot 2.0: using participatory design to optimize an mHealth platform that allows students to locate mental health and wellness services.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.

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    OS20 - Patient Connectivity Goes Mainstream (ID 32)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Health Business Process
    • Presentations: 1
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      OS20.01 - The Secret is Out: Achieving High Patient Portal Adoption (ID 177)

      D. Wiljer, University Health Network; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: New patient portal implementations aimed to give patients access to their own electronic health record, along with added functions, achieve average adoption rates of 5-10%. This session will reveal secrets of our success in achieving and sustaining high adoption rates of 49%.

      Methodology/Approach: Our Patient Portal is a Web-based solution that enables patients with real-time access to their personal health record so they can be informed partners in their care. Patients are able to see their appointments and receive appointment reminders; see lab results with links to patient education; see clinical documentation, such as assessments, discharge summaries, clinic notes, and reports (including sensitive information such as mental health notes and pathology reports); share their health information with others; and find programs, clinic information and patient education resources. Our Patient Portal was first made available to early adopter clinics in May 2015, and expanded to the rest of the organization in January 2017. Approaches to achieving and sustaining high adoption rates will be discussed. This includes meeting the needs and priorities of patients and their caregivers; strategic alignment; organizational change management; patient and staff engagement; and gaining public support.

      Finding/Results: Patients told us that they want and need access to their online medical records and health data to become informed partners in care. Patient sign-ups soared from 3,100 to 30,000+ within nine months of portal expansion. Adoption rates of 49% have been sustained for over two years. 84% of monthly log-ins are returning visitors. 53% of unique visitors log in 2-10 times per month.

      Conclusion/Implications/Recommendations: Despite initial clinician reluctance to give patients real-time access to their personal health record, our organization put needs and priorities of patients and their caregivers first! A solid patient and staff engagement framework are necessary when planning, designing and delivering an enterprise Patient Portal in order to achieve and sustain high adoption rates. This includes meeting patient, caregiver and staff needs; and addressing challenges and concerns. As part of large-scale organizational culture change, processes need to be well-integrated into clinical care and at point-of-care. This includes administrative staff engagement with patients as part of patient check-in, admitting and registration; along with education and support for the multi-disciplinary team of physicians and health professions.

      140 Character Summary: This session will reveal secrets of our success in achieving and sustaining high adoption rates of 49% for a new patient portal implementation.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.