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M. Tuason

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  • OS06 - Partnership in Care and Outcomes (ID 2)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
    • OS06.04 - For Patients and Clinicians by Patients and Clinicians (ID 539)

      M. Tuason, TELUS Health; Vancouver/CA

      • Abstract
      • Slides

      Purpose/Objectives: A standard methodology that actively engages clinicians in telehomecare solution deployment is key to developing best practice care delivery models. In a telehomecare project, a clinician-centric methodology guided the setting of program goals, provided flexible clinician education and training, improved patient outcomes, and demonstrated measurable results including higher quality care, increased system capacity and improved operational efficiency. This methodology is successful under the guidance of a clinical advisory group comprised of patient partners and clinicians from vendor and client organizations.

      Methodology/Approach: Clinicians, through the Clinical Advisory Group, are engaged in the following activities (with varying levels of engagement depending on the activity): - Clinical Strategy and Thought Leadership: - Develop clinical strategy for the project - Perform literature reviews & environmental scans - Identify innovative applications of the telehomecare solution, ensuring alignment with the client’s e-health strategic objectives - Establish program evaluation frameworks in line with the client’s objectives - Contribute industry experience and knowledge to the development of the above - Product Development: - Act as client liaisons and subject matter experts in technology solution development and configuration - Contribute to the product roadmap to ensure ongoing alignment with client priorities - Advise on product testing methodology & facilitate end-user acceptance testing - Service Delivery Model & Project Implementation: - Identify target population - Develop clinical processes - Plan operational resources, recognizing professional standards, policies and guidelines for involved roles - Plan clinician and patient education and training methodology and methods - Develop evaluation plan – evaluation methodology, methods and data collection tools - Patient Interview and Data Collection Tools: - Gather requirements for data from physicians, nurses, allied health staff and administration - Research existing and/or develop patient-facing and other data collection tools - Ensure alignment to the client’s organizational guidelines and policies, as well as national standards where they exist and are applicable - Gather input from subject matter experts, frontline staff, patient and clinician partners - Sustainment: - Provide continued thought leadership for new telehomecare solutions for additional target populations

      Finding/Results: Based on a telehomecare process evaluation in 2015, we found that this methodology, guided by a Clinical Advisory Group, had the following impact: - Demonstrated strong, collaborative, client (patient)-focused teamwork among provincial and regional health organizations and the technology provider - Product improvements were identified through patient and clinician input; this input led to improved patient self-management capabilities - High clinician satisfaction: - 100% of clinicians surveyed believe that a telehomecare solution supports client self-management - There is room to further improve on clinician engagement - Patient satisfaction is high: - 98% of patients reported overall satisfaction with service - 100% of patients would recommend the service

      Conclusion/Implications/Recommendations: Better patient outcomes are experienced when clinicians are directly involved in a telehomecare solution. Success can be better achieved when engagement occurs with a Clinical Advisory Group, comprised of an interdisciplinary team with expertise in nursing and medicine, who act as subject matter experts, client liaisons, and thought leaders.Through the work of the Clinical Advisory Group, patients and clinicians are embedded in the portfolio strategy, product development cycle and project delivery.This leads to positive outcomes for the project as a whole.

      140 Character Summary: Patient outcomes improve when clinicians are involved in telehomecare projects. A clinical advisory group is key to project success.

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