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Mona Mattei



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    OS04 - Cool Tools for Digital Health (ID 25)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/27/2019, 10:30 AM - 11:30 AM, Pod 6
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      OS04.01 - Streamlining communications for better patient outcomes #securemessagingworks (ID 364)

      Mona Mattei, White Oak Ventures Ltd.; Grand Forks/CA

      • Abstract

      Purpose/Objectives:
      Patient outcomes are reliant on ensuring communications between the right person at the right time. Easy right? Not always in a complex team setting across acute care sites, into community and allied health and across widely dispersed geography. When Interior Health was faced with the loss of pager supports at Kelowna General Hospital, they had to look for a new solution. Exploring beyond the needs of a pager replacement, IHIT opted for a system that addressed a broader variety of communications supports including: immediate access to the callboard for all departments, access to patient information for ADT notifications, secure messaging with upload capability. All the right information in one convenient place for all users.


      Methodology/Approach:
      Key for their selection process was: compliance with FIPAA, the integration into Meditech EMR, vendor flexibility and securing the system on IH servers. Two pilots at KGH in 2015 led to the adoption of the MicrobloggingMD messaging system at IH. Further implementations of the system proceeded in collaboration with hospital teams, Divisions of Family Practice, and Facility Engagement associations.


      Finding/Results:
      Detailed data has been collected to evaluate the uptake and engagement of the system with physicians, nurse practitioners, nursing teams. Initial super user survey feedback indicates: 57% feel the communications informs their care planning, 62.5% agree it is improving care for patients and communications between physicians.


      Conclusion/Implications/Recommendations:
      IHIT will provide an overview of the system, data on use of the system, and share their experience in implementing a new technology for teams including: - Finding and communicating with the right person, at the right time and according to their preferences, to engage in patient care. - Using secure messaging as a medium to reduce telephone tag and provide detailed patient information that will ultimately lead to well informed and improved patient outcomes. - Providing a reliable tool which means maintaining when and how a provider wishes to be paged/notified to engage in patient care. - The challenges in rolling out enterprise wide, and how they were overcome.


      140 Character Summary:
      Implementing secure messaging enterprise wide in Interior Health Authority is a leading edge project ready to share lessons and challenges learned on the journey.

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    OS07 - Spectrum of Virtual Care (ID 11)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/27/2019, 03:30 PM - 04:30 PM, Pod 6
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      OS07.01 - Lessons in Scale and Spread in Virtual Care for Maternity (ID 362)

      Mona Mattei, White Oak Ventures Ltd.; Grand Forks/CA

      • Abstract

      Purpose/Objectives:
      Traditional patient care planning often involves a linear model of health care access and delivery. A particular patient with a clinical concern accesses a primary care provider (GP, midwife, nurse practitioner). The primary care provider (PCP) acts as a gate keeper to direct the patient to a specialist with expertise in the area of that particular clinical problem. The patient then sees the specialist in person or via telehealth with consult notes sent at a later date. The PCP will often recall the patient to discuss the specialist’s opinion and may need to contact the specialist again if there are further questions or a change in the clinical status. The Mobile Maternity (MOM) project is changing that traditional linear model to foster a triangular and tripartite model that provides for much greater efficiency and more comprehensive care planning. Using telehealth resources (ie: tablet and desktop computers), a patient, primary care provider and specialist can in real-time, all discuss the clinical problem at the same time. This reduces the time to relay the specialist’s opinion as the PCP will hear at the time of the initial consult what the proposed plan may be. The PCP and patient can also inform the specialist of particular challenges to the provision of care related to geography or local health resources.


      Methodology/Approach:
      Initial pilot phases of the Mobile Maternity project saw 14 tablets placed with primary care providers (PCP) (family physicians, nurse practitioners and midwives) in 8 communities across the Kootenay Boundary in B.C. These units connect with two OB/GYNs to provide patient consults inclusive of the PCP, specialist and patients. Observing the value of the model of care, an opportunity to spread the model to Vancouver Island to support remote sites on the North part of the island from Campbell River was seized and 4 tablets were distributed to PCPs and OB/GYNs to provide consults. In addition desktop units in exam rooms and work stations on wheels in emergency departments were added to the mix to provide additional access.


      Finding/Results:
      Testing a pilot with a small population base provides opportunities for proof of concept, taking that concept to scale for larger volumes of patients expands the ability to gather substantial information on outcomes and impacts of new programs. Mobile Maternity is being scaled up from one OB/GYN in Nelson to include teams in Campbell River, across the Kootenay Boundary and three new sites in the next eight months. Interviews with both patients and providers demonstrate that this model of care is a resounding success for strengthening care networks, and improving patient care.


      Conclusion/Implications/Recommendations:
      This tripartite telehealth model provides enhanced mutual education for providers and patients, removes geography as a barrier to timely access, and supports the stability of primary care networks. This pilot can become the standard model of care in integrating specialist care into rural and remote primary care networks.


      140 Character Summary:
      Mobile Maternity is changing the way physicians care for patients by engaging in tripartite care planning through telehealth technologies.

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    RF05 - Technology Empowerment; Near and Far! (ID 48)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Rapid Fire Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/29/2019, 08:30 AM - 10:00 AM, Room 201 B
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      RF05.03 - Creating electronic access to specialist expertise (EASE) in the Interior (ID 363)

      Mona Mattei, White Oak Ventures Ltd.; Grand Forks/CA

      • Abstract

      Purpose/Objectives:
      Access to specialist colleagues is key for managing patient needs in primary care settings. Using secure messaging to create a virtual team for care planning, physicians can have quality communications, build relationships, receive timely decision support while supporting patients at home. Shared Care / Divisions of Family Practice collaborated with Interior Health IT to use their secure messaging system to improve physician communications and patient care planning. The aim is the use of secure messaging as a tool for decision support linking primary care teams with specialist for real-time advice. Connecting with specialists can often be challenging, especially for quick consults on critical patient care. Secure messaging creates the opportunity to openly communicate about patients, eliminate phone tag, and improve relationship between specialist and primary care providers.


      Methodology/Approach:
      The initial pilot took place in the Kootenay Boundary region where the messaging software replaced a RACE phone line for specialist advice. Based on their successes, a Health Authority wide committee comprised of four Divisions of Family Practice, Facility Engagement leads, IHIT, and physician leaders moved forward introducing MicrobloggingMD (MBMD) as a remote consultation tool. Learning from each other as the project unfolded, the team functioned as a mini-collaborative to support engagement and uptake of the service.


      Finding/Results:
      Detailed data has been collected to evaluate the uptake and engagement of the system with physicians, nurse practitioners, nursing teams. Initial super user survey feedback indicates: 57% feel the communications informs their care planning, 62.5% agree it is improving care for patients and communications between physicians.


      Conclusion/Implications/Recommendations:
      Lessons can be shared about collaborative spread of a project, using multiple engagement options for successful uptake, challenges around high level leadership vs. grassroots development, systems options for remote consultations and overcoming technology adoption hurdles.


      140 Character Summary:
      Using secure messaging as a tool for decision support linking primary care teams with specialist for real-time advice creates EASE of access for patient outcomes.