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Rodney Burns

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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
    • OS15.04 - A Primary Healthcare Consumer Health-e' Strategy (ID 364)

      Rodney Burns, Association of Ontario Health Centres; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Present the approach, experience and Critical Success Factors for developing a sector-approved Consumer Health-'e' Strategy.

      Methodology/Approach: 1. Proof of concept Connected Health and Wellness Project – a smart phone enabled health coach approach for people with diabetes from modest socio-economic communities enabled with an eHealth collaboration platform. Participants in project include Black Creek Community Health Centre, NexJ Systems Inc. Rogers Wireless, Research in Motion, McMaster and York Universities, Federal Development Program. 2. Sector-based approach The Executive Directors of Community Health Centres (CHCs) and Aboriginal Health Access Centres (AHACs), voted their approval on a requirements set for a potential solution. Various options are being piloted and implemented to inform effectiveness and critical success factors. 3. Market Assessment The ED Network, led by its Information Management Committee applied the agreed-upon requirements and assessed a number of potential vendors and their solutions, a result of a Request for Information (RFI) released by the sector in 2015.

      Finding/Results: Pilots and refining requirements The Connected Health and Wellness project resulted in 7% improvement in HbA1C management vs. traditional diabetes management practices. The combination of the collaboration platform, health coaching and effective client education and communications via smart phone is attributed for the improved outcomes. Three of AOHC’s member organizations (one urban and one rural CHC, as well as one AHAC) started a pilot with HQIC’s miDASH PHR (Personal Health Record) in an effort to evaluate its benefits for primary healthcare clients in very different contextual settings. One CHC has started a pilot with Nightingale’s MyPatientAccess PHR, relying on its integration with the Nightingale-On-Demand (NOD) EMR which is the sector-based shared EMR solution. One CHC has become part of a wider network of Health Service Providers using McKesson’s Relay Health PHR. Next Steps As per the graphic below, basic analytics capabilities will be at the clients’ disposal, crunching and analyzing data from various sources, including wearable devices (fitness trackers, step counters, heartrate monitors, etc.). Level 3 is where the desired solution’s capabilities were acknowledged by the ED Network. Level 4 was considered more of a provincial solution approach and beyond the requirements of the AOHC members. Following this direction, AOHC, together with member organizations, is participating in the first-ever Innovation by Co-Design program, hosted by the MaRS Discovery District. The purpose is to find partners capable of producing a solution that ultimately allows member organizations to better care for their clients and help clients make better lifestyle decisions ultimately leading to improved health outcomes.

      Conclusion/Implication/Recommendations: Present the innovative approach of procuring for outcomes aligned to the IHI's Triple Aim: increase client satisfaction, lower costs and improved outcomes. Solution Critical Success Factors: a. Funding: clients cannot be expected to pay for this service. Organizations must be able to make a business case for funding. b. Integration: the solution must be able to consume relevant data from provincial eHealth assets and interact transactionally with EMRs. c. Metrics: easily interpreted graphic representations of clinical information to communicate improvements to clients. d. Organizational Commitment to person- and community-centredness. e. Value for money

      140 Character Summary: A culturally appropriate Consumer Health-‘e’ Strategy – increased client/clinician satisfaction, lower cost, improved client experience - Triple Aim.

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