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R. Williams



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    OS03 - Geography and Telehealth: It's Not Always Distance (ID 6)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS03.04 - Development of a Provincial EConsult Program: The Ontario Experience (ID 492)

      R. Williams, OTN; Timmins/CA

      • Abstract
      • Slides

      Purpose/Objectives: eConsult services in Ontario have been provided by OTN and Champlain BASE (Building Access to Specialists through eConsultation) for several years. eConsult is a service that connects referring physicians and nurse practitioners to specialists, providing the opportunity to inform clinical decision making without sending the patient to see the specialist in person. Through a private and secure web page, referring providers can get an answer to a clinical question from a specialist in less than three days on average. eConsult provides access to over 10,000 referring providers and 700 specialists, including dermatology, hematology, endocrinology, and mental health.

      Methodology/Approach: In partnership, OntarioMD, OTN and Champlain BASE successfully grew eConsult from pilots to a scaled Provincial program that enables faster and improved access to specialist care. eConsult is now available in all health jurisdictions in Ontario. A comprehensive, multi-faceted project, eConsult is built on clinical modeling, business process design, technology implementation and a governance framework. This panel presentation will profile the methodologies leveraged for the provincial initiative, as well as learnings and research from clinical champions, user experiences, and details about the service model. OntarioMD has also developed a successful EMR integration with OTN eConsult which will be further enhanced to include the managed service model so that clinicians can access eConsult through both web and EMR channels.

      Finding/Results: Collaboratively, a single, blended provincial service was established to accommodate multiple models of care. As of July 31, 2017, over 55,000 eConsults were submitted using OTN’s eConsult Program, Champlain Base and OTN’s Telederm program. General practitioners indicated that, with eConsult, they continued to be able to manage 72 per cent of their cases without needing to refer patients in-person or virtually to a specialist. The average response time was 2.5 days, and often as little as a few hours.

      Conclusion/Implications/Recommendations: Elements critical to establishing a provincial eConsult program include effective collaboration of partners. With the support of the provincial government, Ontario continues to extend the reach of eConsult. Its commitment to accessibility is being driven by the proven benefits and patient and clinician acceptance of the approach. The goal is to deliver 40,000 eConsults in 2018 and 140,000 eConsults in 2021. The audience will: Learn how the different models of eConsult services will be combined into a provincial platform and service Gain insight into how to plan and deliver a comprehensive, multifaceted jurisdictional eConsult program Learn from research from clinical champions and users on performance metrics and evaluation of eConsult services and how they can be used to inform policy and funding decisions.

      140 Character Summary: Elements critical to establishing a provincial eConsult program include effective collaboration of partners. With the support of the provincial government, Ontario continues to extend the reach of eConsult. Its commitment to accessibility is being driven by the proven benefits and patient and clinician acceptance of the approach. The goal is to deliver 40,000 eConsults in 2018 and 140,000 eConsults in 2021.

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