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Larkin Lamarche



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  • OS10 - Disease and Clinical Management with Technology (ID 16)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/06/2017, 10:30 AM - 12:00 PM, Room 205B
    • OS10.05 - Connecting Patients to the Clinic Through Community Volunteers and Technology (ID 356)

      Larkin Lamarche, McMaster University; Hamilton/CA

      • Abstract
      • Slides

      Purpose/Objectives: This presentation will describe the Health TAPESTRY approach as part of a randomized controlled trial in Hamilton, Ontario in a sample of older adults (N=312). The Health TAPESTRY approachis a way to proactively gather information about health goals and needs of patients in their homes through a volunteer-facilitated software application (TAP-App). This approach offers a new connection in healthcare in terms of how (and what) information comes into the family health setting to be acted upon by the healthcare team (See image below for information flow). <img alt="health tap information flow.jpg" annotation="" id="image://51" src="https://cpaper.ctimeetingtech.com/deliver_media_imagick.php?congress=ehealth2017&auth_hash=015b2566ca2b55d3cde303db361190568a2c5b19&id=51&width=350&height=350&download=0" title="health tap information flow.jpg" />

      Methodology/Approach: A mixed-methods approach to data collection and implementation of this application of technology was used. Quantitative data tracked how information flowed from the home to the clinic (via TAP-reports) and how the clinic used the information to develop a care plan. Interviews/focus groups were conducted to gain a deeper understanding of the strengths and challenges of the application of this technology in this manner.

      Finding/Results: Seventy-eight volunteers completed 393 home visits, for 174 participants. On average, the TAP-App took 80 minutes to complete over two visits. There were 173 reports auto-generated and electronically sent to the clinic. Reports included an average of 3.4 key issues for the clinic team to address. Care plans were developed for 172 reports. Qualitative findings showed that the TAP-App was generally easy to use by volunteers; however, challenges with the goal setting survey were noted, which led to changes to the script and its placement in the series of surveys on the TAP-App. Early on, clinical staff had concerns about the responsibility for, and accountability to, the information. Concerns about the quality and quantity of information were also noted, although this lessened over time. The one-way flow of information was noted by volunteers who wanted to know more about the care plan that was developed. Despite early challenges, the clinic noted the added benefits of having the health goals as a source of information to consider and thought the paperless information flow “worked well”.

      Conclusion/Implication/Recommendations: The TAP-App successfully enabled the collection, collation, and transfer of information by trained volunteers from people living in their homes to the healthcare team. This offered a novel method of collecting and delivering health information to the clinic. Ways to facilitate the exchange of information using the volunteer, rather than the one-way flow of information, may further strengthen the Health TAPESTRY approach. This approach may extend primary care in a new way not yet fully realized.

      140 Character Summary: Health TAPESTRY is a new approach to care planning; it gathers health goals & needs from patients in their homes through volunteers & tech

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