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Sean Spina



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    OS03 - Secured Communication in Circle of Care (ID 4)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/27/2019, 10:30 AM - 11:30 AM, Area 2
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      OS03.01 - Secure Messaging and Clinical Communication Solution (SMaCCS) Across Care Continuums (ID 541)

      Sean Spina, Pharmacy, Royal Jubilee Hospital; Victoria/CA

      • Abstract

      Purpose/Objectives:
      Delivering patient-centered care requires an ability to collaborate and communicate across care settings and organizational boundaries, including hospitals and community care settings. Without a secure system available, care providers (including family physicians, specialists, hospitalists, nurses and pharmacists) resort to using their personal Smartphones and non-secure applications to communicate about patient care. The SMaCCS project involved an application that was installed on a participantÂ’s own Smartphone. The app had a user directory that included user specialty area, enabling participants to connect with other health care providers in a secure environment. The purpose of this first-in-Canada project was to determine if the introduction of a SMaCCS for use by community and hospital-based health care providers would improve clinical communication, thereby increasing efficiency and enhancing patient care.


      Methodology/Approach:
      This study used a mixed methods approach, which has been found to be useful in other examinations of secure mobile communications. A before-and-after evaluation approach was used to compare providersÂ’ work experiences and proportion of successful contacts using existing communications methods to those achieved using the SMaCCS. The study evaluated the impacts of introducing the SMaCCS on switchboard operators, pharmacists, and physicians using a quality of experience framework to examine; the degree and nature of adoption of the SMaCCS; Effects on user workflow and experience; Effects on care provision


      Finding/Results:
      In total, 2,806 messages were sent in 636 conversations. Of these, 582 conversations occurred between care providers. According to the tracked data, 25% of provider-provider conversations that were initiated were not responded to. Overall, 53% of participants surveyed (59 of 111) reported being satisfied with the SMaCCS app. 75% of survey respondents (85 of 114) were satisfied or very satisfied with the security of the app. Interviewees (n=11) noted that the security was the biggest benefit over using a regular texting application, since it allowed them to send patient information, including PHNs and images, which supported valuable clinical conversations. Six interviewees specified that having the app allowed them to communicate when it was most convenient for them. Only a small percentage of participants (4% of survey respondents; 4 of 113) indicated that the messages interrupted their work day. When the SMaCCS app successfully connected care providers, it allowed them to share secure information to support better clinical care. Furthermore, 51% (57 of 111) agreed or strongly agreed that having the app made it easier to send or receive information that was important for patient care. 80% felt more comfortable sharing patient information using the secure communication tool, which will enable further collaboration for patient care.


      Conclusion/Implications/Recommendations:
      The SMaCCS pilot project provided valuable learnings regarding use of secure messaging between community and hospital-based care providers, and within-hospital communication. Having a secure mobile communication solution was identified as a key component of safe, connected health care system in the future. [results of a FOLLOW-UP PROJECT: *Investigation into the Cleaning Methods of Smartphones and Wearables from Infectious Contamination in a Patient Care E*nvironment (I-SWIPE) may also be presented for the first time at EHealth19 if selected]


      140 Character Summary:
      First-in-Canada research identifies how a common secure communication solution between hospital and community practice improves patient care