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Margarita Loyola
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EP07 - TeleHealth Models with Big Data Flavour (ID 47)
- Event: e-Health 2017 Virtual Meeting
- Type: e-Poster
- Track: Clinical and Executive
- Presentations: 1
- Coordinates: 6/06/2017, 09:30 AM - 10:30 AM, Exhibit Hall B - Station 3
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EP07.03 - Community Based Virtual Care (ID 164)
- Abstract
Purpose/Objectives: To provide "virtual consultations" in the community facilitated by a "community health worker". This will enable clients and providers to make timely and accessible health care connections, conducive to producing better health outcomes.
Methodology/Approach: Virtual care technology and processes will be implemented in a community care setting. Community Health Workers (CHW) will be connecting to primary care and/or specialized care providers from the patient's home. This is in support of Primary Care Home initiative to increase continuity, and improve care and coordination between clients and clinicians. Initially the technology will be tested to ensure technical, security, and privacy needs are met. Because this is a community setting, broadband connectivity is not a given, thus hotspots will be used. Virtual models supporting primary care home is anticipated to have the following benefits: increase access to primary care services for remote communities, enhance continuity and coordinated care particularly for outreach services, patient-centered care, support patients with chronic diseases, patients requiring mental health and substance use services; access to specialists; and acute care services in remote service areas, enable the primary care home to provide continuity of care to communitys patients and, achieve the triple aim (e.g., improve provider and patient experience decrease provider isolation; improve population health; and improve sustainable cost).
Finding/Results: Expected results will include: New virtual model to support Primary Care Homes linkages to patient/families/communities and family physicians, specialist and community health services. Strengthen community health services into local virtual teams. Change Island Health processes and staff models to provide people with better access to these services, especially when it is remote urgent (Rapid Response, 7 days a week). Educate staff to support patients in setting their own health goals in a proactive care plan. Support people to live at home as long as possible by promoting a Home is Best approach. Develop methods for finding and monitoring people at risk of deteriorating health. Build and expand upon partnerships with community health providers, such as First Nations Health Authority, Divisions of Family Practice, local government and not for profit agencies.
Conclusion/Implication/Recommendations: Virtual care is one of the identified elements of the Primary Care home and provides a seamless approach for Community Health and Care to link frail and elderly and complex care clients to their physicians and clinicians directly from home, contributing to rapid response and early intervention goals. Virtual care through home support is a strong fit that will enable a shift in the point of care directly to the home, furthering Island Health's goal of 'right care, right time, right place'.
140 Character Summary: Harnessing existing home support capacity, virtual care accessed in the home represents a proactive paradigm shift in healthcare.
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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
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OS23.06 - Patient Collaboration to Develop a COPD Home Health Monitoring Protocol (ID 324)
- Abstract
Purpose/Objectives: Chronic obstructive pulmonary disease (COPD) is a leading cause of hospital admission and re-admission (1) and is predicted to become the 3rd leading cause of death worldwide by 2030 (2). Home health monitoring (HHM) in Island Health has been shown to improve client self-management and decrease hospital visits and costs for the heart failure population. Island Health is expanding HHM services to the COPD patient population and set out to develop the COPD monitoring protocol to define the questions, biometrics, and educational messages that will be presented to patients in their home, through the HHM technology. Patient engagement into the design of the COPD protocol was identified as a critically important factor. Objectives for patient engagement were to: · help ensure that patient ideas and perspectives were considered and reflected in the COPD protocol · enhance the usability of the COPD protocol, and · promote a positive client experience with the HHM solution and HHM service. 1. CIHI All-Cause Readmission to Acute Care and Return to the Emergency Department, 2012 2. The Lung Association of British Columbia, Nov 2013. https://bc.lung.ca/news/media-releases/treatable-manageable-radically-under-diagnosed-%E2%80%93-what%E2%80%99s-problem
Methodology/Approach: The COPD monitoring protocol was developed as follows: 1. Project team developed a first draft HHM COPD protocol based on national and BC clinical practice guidelines. 2. Respiratory therapists and community chronic disease nurses worked with the HHM Coordinator and project team to refine the COPD protocol. 3. The Patient Voices Network and the Lung Associations Better Breathers Club helped to identify 5 patient partners to participate in usability testing. 4. Patient partners participated in an orientation telephone call to prepare them for the usability test sessions. 5. Usability tests were conducted and recorded using visual mock-ups of the draft protocol and patients were guided to think out loud as they were stepping through the COPD protocol. 6. Patient partners also participated in a two-week usability trial for the pedometer device that was being considered for use in the COPD protocol. 7. Respirologists were engaged to review and provide final approval for the HHM COPD protocol.
Finding/Results: Patient feedback, and comments were summarized and consolidated, and reviewed with the project team. Suggestions and edits to improve the wording of questions and education messages were incorporated into the final version of the COPD Protocol. Patient partners consistently reported that the protocol questions and educational messages were meaningful and important for self-management of their COPD condition.
Conclusion/Implication/Recommendations: Collaboration with these partners has been highly valued by the project team. Patient partner contributions are anticipated to promote positive COPD client experience and outcomes. Patient partners have expressed excitement about the new COPD service and their intention to promote it to friends and others in their network.
140 Character Summary: Patient partners were engaged into the development of the COPD monitoring protocol to promote optimal usability of the protocol and a positive client experience.
