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Liza Culligan



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  • OS09 - Optimizing Clinical Processes Using Telehealth (ID 9)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/05/2017, 04:00 PM - 05:30 PM, Room 206AB
    • OS09.06 - Delivery of Rehabilitation Services to Patients Using<br /> In-Home Videoconferencing (ID 171)

      Liza Culligan, University Health Network; C/CA

      • Abstract
      • Slides

      Purpose/Objectives: Demonstrate how in-home videoconferencing is utilized for clients with significant communication impairments Share success factors and challenges to utilizing in-home videoconferencing Provide several clinical examples of how videoconferencing is used

      Methodology/Approach: The University Health Network (UHN) is a multi-site health sciences centre located in Toronto, Ontario, Canada that includes the Toronto Rehabilitation Institute (TRI). UHN’s Telehealth Program uses the Ontario Telemedicine Network (OTN) to provide specialized patient care and clinical consultation via videoconferencing to patients across Ontario and Canada. Toronto Rehab’s Augmentative and Alternative Communication (AAC) Clinic provides assistive devices to patients unable to speak. The communication devices are customized based on the patient’s functional abilities. The AAC Clinic is one of only a few clinics that assess and support adults with complex communication needs in Ontario. The AAC Clinic has been successfully utilizing OTN’s regional videoconferencing sites for many years to meet the care needs of their patient population. For some AAC patients, traveling to the nearest videoconferencing site is not an option due to transportation issues or health-related limitations. Recently, OTN implemented a new in-home videoconferencing service. This service allows clinicians to directly link to the patient’s residence using secure web based technology. The AAC Clinic has been utilizing this option since September 2015 for AAC assessments, communication device dispenses, education, and troubleshooting with client and/or families.

      Finding/Results: In-home videoconferencing requires specific infrastructure within the client’s home and an individual with basic computer skills Pre-session test between sites are often required to work out technical issues Having another OT and/or SLP in the home environment to assist is essential for the initial assessments and complicated equipment dispenses It is challenging to instruct individuals at patient’s residence to modify specialized AAC equipment without duplicate equipment in the AAC Clinic Observing client in home environment helps with immediate adjustments of AAC equipment to ensure a proper “fit” Less demand on AAC Clinic resources to schedule compared to booking multiple OTN sites – clinicians have ability to schedule themselves and can connect with their clients immediately The ability for clinicians to be able to set up a session almost immediately helps with troubleshooting/problem solving in a more direct manner than over the phone Early patient satisfaction results are positive.

      Conclusion/Implication/Recommendations: In-home videoconferencing allows clinicians to access patients who would not be able to receive rehabilitation care. It allows patients and families to receive specialized services like AAC. Based on the initial success of this option, the AAC clinic plans to increase their use of this new type of service delivery. In-home videoconferencing is a safe and viable option improving patient access and satisfaction.

      140 Character Summary: Using in-home videoconferencing to provide Augmentative and Alternative Communication services to distant or medically fragile patients improves access to care

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