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R. Wilson



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    PS01 - Leveraging New Innovation Pipelines (ID 5)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Panel Session
    • Track: Executive
    • Presentations: 1
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      PS01.02 - An Innovative Model for Patient-Centred Population Health Management in Ontario (ID 555)

      R. Wilson, Ontario Telemedicine Network; Toronto/CA

      • Abstract

      M. Chang1, S. Isaacksz1, S. Goyal2, R. Wilson3; 1University Health Network, M5G 2C2 - Toronto/CA, 2University Health Network, M5G2C4 - Toronto/CA, 3Ontario Telemedicine Network, M3B0A2 - Toronto/CA

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    PS03 - Driving Governance and Mobile Health (ID 23)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Panel Session
    • Track: Clinical Delivery
    • Presentations: 1
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      PS03.02 - Mobile Health Solutions: Evaluation at the Speed of Implementation (ID 260)

      R. Wilson, Ontario Telemedicine Network; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: The Ontario Telemedicine Network (OTN) pilot tested three new models of care supported by virtual applications in the area of diabetes, mental health, and chronic kidney disease. To determine efficacy and potential for scale, OTN partnered with the Women’s College Hospital Institute for Health System Solutions and Virtual Care (WIHV) to rapidly evaluate the tools and inform a provincial roll-out. The tools included: - a mobile application designed to improve self-management and lower HbA1C among individuals with type 2 diabetes - an online mental health support to help with anxiety and depression - a mobile application providing remote monitoring support for individuals receiving in-home peritoneal dialysis

      Methodology/Approach: WIHV used a mixed-methods approach, combining the rigour of a quantitative trial with in-depth qualitative assessment. The approach aimed to address: 1. How does it work? (Realist Evaluation) 2. How is it implemented? (Consolidated Framework for Implementation Research) 3. What is the impact? (RE-AIM Framework) Also integrated was the Institute for Healthcare Improvement’s Triple Aim focusing evaluation efforts on the extent to which healthcare innovations result in 1) improved population health, 2) enhanced patient experience and 3) reduced healthcare costs, thereby informing a sustainability model on a provincial scale.

      Finding/Results: An innovative, non-traditional approach was applied to the evaluation, which was integrated and multi-stakeholder. Both the evaluation and implementation teams met regularly to ensure that the goals of all stakeholders, from partners to funders, were met. The evaluation was an active piece of the implementation, in place of the typical analysis that takes place at pilot conclusion. Efforts were made to generate the data as quickly as possible. Learnings and data sharing also occurred across the pilots. The panel will share key clinical outcomes, as well as what conclusions were drawn to inform next steps. Practical rapid cycle evaluation as an approach was shown to offer broad utility and support effect decision making. In some cases, implementation continued according as anticipated however in some instances, data served to support a change in direction. The value of real-time evaluation was the potential to course correct in some instances or identify different value propositions altogether.

      Conclusion/Implications/Recommendations: The evaluation underscored the following: - Health technology that is used to help patients better manage their chronic disease should integrate with clinical care. - A patient-centred approach to implementation focused on building and maintaining engagement is important. - Rapid and rigorous evaluations of technology implementations are necessary not only to assess efficacy of technology, but also to know how best to optimize its utilization in practice and potential funding models. - Implementation strategies should have a strong focus on clinical engagement and change management. - Both the implementation strategy and its execution influence the effectiveness of new models of care

      140 Character Summary: Bigger than research: Real-time evaluation strategies for mobile app implementation

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