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Wendy Odell

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  • OS23 - Engaging Patients Through Digital Health (ID 28)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/07/2017, 08:30 AM - 10:00 AM, Room 203CD
    • OS23.02 - Advancing Patient Engagement in Mental Health  (ID 193)

      Wendy Odell, Clinical Information, Ontario Shores; Whitby/CA

      • Abstract
      • Slides

      Purpose/Objectives: At Hospital X, we believe it is essential to both the health of individuals and their communities to fully engage patients in their mental health care. To continue to drive patient engagement forward, we have employed three strategies, including the launch of an EMR-integrated patient portal; implementation of a mobile (mHealth) experience for patients to manage their care (with actionable interventions through a secure mobile cloud technology platform); and the piloting of a virtual clinic, which will utilize e-therapy.

      Methodology/Approach: HealthCheck Patient Portal was launched in December 2014, and was aimed at enhancing patient access to their personal health information. The implementation of the portal also supports the paradigm shift towards patient-driven care, evolving current practices and culture from the provider as the “keeper of the information” to one where the provider and the patients are partners in care. Also, we are partnering with a technology based company that offers a mobile health solution that integrates with the EMR. It will enable mobile remote-patient-monitoring and empower patients to be actively engaged It will also support predictive analytics capabilities, enabling clinicians to more proactively monitor patients and respond to changes in behaviours and assist with identifying patterns and triggers that could prompt early clinical interventions. Hospital X is also implementing a virtual clinic as an adjunct to the current ambulatory Traumatic Stress Clinic following a stepped-care approach. The virtual clinic is aimed at bridging the long wait times for this clinic with the goal of maximizing patient access to care, utilizing evidence-informed virtual treatments, while more efficiently utilizing clinical resources. The virtual clinic has the potential to target improved population health, to optimize the patient experience and increase value for money.

      Finding/Results: • Increased patient activation • 10% decrease in missed appointments for portal users • 86% reduction in portal users’ release of information requests, and an administrative time savings of between 10.5 and 40 hours per portal user. Mobile technology solution and virtual clinic implementation are currently underway, however expected outcomes include: • Improved treatment and clinician workflow efficiencies • Decreased missed appointments • Improved care plans • Improved patient flow and access to services(currently 247) • Reduced average wait time (currently 391 days) Preliminary findings presented at the conference in June 2017.

      Conclusion/Implication/Recommendations: Recommendations are centered on the development of a solid change management plan focused on the following key areas: • Alignment to IS/T strategic plan and corporate goals • Extensive engagement of patients and clinicians throughout all phases of the project to ensure needs are well understood and being addressed • Effective communications are key to supporting patients and clinicians • Engage clinicians and patients to determine current state processes and establish future state processes that will benefit and support these stakeholders • Create training materials with input from patients and clinicians • Generate reports that will extract evaluation metrics to allow for auditing and measure impacts and benefits

      140 Character Summary: Hospital X has employed to advance patient engagement, including a patient portal; an app integrated with the hospital's EMR; and a virtual clinic.

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