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Michele Fryer



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  • OS15 - Virtual Care Trailblazers (ID 21)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 202AB
    • OS15.01 - Design and Implementation of Tele-Pediatric Intensive Care in BC (ID 138)

      Michele Fryer, Child Health BC, Suite 305, PHSA; Vancouver/CA

      • Abstract
      • Slides

      Purpose/Objectives: This presentation will focus on the two year process of bringing together clinical and telehealth technical experts in lockstep to design and implement pediatric Tele - PICU. This includes alignment of processes and systems between sites and health authorities for patient registration/documentation, procuring standardized equipment, developing detailed algorithms, organization of a 24/7 help desk, training, communications, testing/mock, process improvement, and establishment of the soft launch, leading to live launch.

      Methodology/Approach: The design and implementation of this initiative was led by Child Health BC (CHBC) ,a provincial network of BC’s health authorities and child serving ministries; in partnership with the Provincial Health Services Authority (PHSA) Telehealth Program and the regional health authorities. Sub-specialist consultation was delivered by pediatric intensivists, expert nurses, allied health, and sub-specialist from 2 PICUs at BC Children’s Hospital in Vancouver, and Victoria General Hospital on Vancouver Island. The first regional site accessing Tele-PICU was Kootenay Boundary Regional Hospital in Trail. Expansion is planned as new learning is applied.

      Finding/Results: Early experience reports from practitioners have been overwhelmingly positive with benefits including: subspecialist visualization of the patient; advanced understanding of the patient’s pre-transfer condition, ability to monitor patient progress while providing advice, and obtaining patient history pre-transfer. Families were able to virtually meet the team who would be caring for their child after transfer, adding an extra level of connection and comfort with a new care team.

      Conclusion/Implication/Recommendations: This successful pilot will now be expanded to other BC hospital emergency departments and some inpatient units with priorities linked to the Child Health BC Tiers of Service work in respect to children’s emergency services. Tiers of Service is a child health service planning framework used in BC that describes the responsibilities and requirements for services from small rural communities to BC Childrens' Hospital in Vancouver. Evaluation will include a framework of quality dimensions tailored to measure the achievement level of the service goals which include: increased and timely access to quality specialized care, potential avoidance of escalation of care, and increased family satisfaction.

      140 Character Summary: Canada’s first 24/7 virtual Pediatric Intensive Care Unit service provides consults to remote hospitals from pediatric intensive care teams.

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