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E. Keely



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    EP06 - e-Poster Session 6 (ID 57)

    • Event: e-Health 2018 Virtual Meeting
    • Type: e-Poster Session
    • Track: Executive
    • Presentations: 1
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      EP06.02 - Evaluating Remote Consultation Services Using the Quadruple Aim Framework (ID 395)

      E. Keely, The Ottawa Hospital; Ottawa/CA

      • Abstract
      • Slides

      Purpose/Objectives: Health technology solutions are too often implemented without a true understanding of the system-level problem they seek to address, resulting in excessive costs, poor adoption, ineffectiveness, and ultimately failure. Prior to implementing or adopting health care innovations, stakeholders should complete a thorough assessment to ensure effectiveness and value. Our panel will describe how to evaluate the impact of health technology innovations through the four dimensions of care outlined by the Quadruple Aim Framework, using established remote consultation services as case examples.

      Methodology/Approach: The panel will draw on the implementation experiences of different remote consultation services who are at different stages of implementation. Remote consultation refers to a service that allows primary care providers (PCP) to connect with specialists via an electronic medium in order to receive advice regarding a patient’s care. Services may be synchronous (i.e. occurring in real time) or asynchronous (i.e. through text messages stored on a server and accessed by the other party at a later time). Through the presentation, panel members will demonstrate the evaluation of remote consultation services, provide an overview of their current data, and highlight challenges in capturing metrics for all four dimensions of care outlined by the Quadruple Aim framework: patient experience, provider experience, costs, and population health.

      Finding/Results: Panel members will highlight key data as guided by the Quadruple Aim framework. Examples of metrics from the four dimensions are as follows: Patient experience: specialist response times, rate of referral avoidance, patient satisfaction, wait times. Provider experience: PCP satisfaction, PCP description of service benefits, type of questions asked, specialist satisfaction. Costs: total system costs, per capita cost, direct and indirect savings. Population health: health outcomes (e.g. mortality, morbidity, health status), population served, patient safety, equity of access.

      Conclusion/Implications/Recommendations: Panel members will conclude with a discussion of the importance of evaluating new innovations in order to ensure long-term sustainability and growth. Members will provide advice on how to evaluate healthcare innovations, reflect on challenges faced, and offer their assessment of Quadruple Aim as a lens through which to view healthcare innovations. Differences in experiences between services will be explored.

      140 Character Summary: Our panel will describe how to evaluate the impact of health technology innovations using the Quadruple Aim framework's four dimensions of care.

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    RF06 - Getting It Done: Bringing It All Together (ID 51)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Clinical Delivery
    • Presentations: 1
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      RF06.01 - Provider Experience – the Fourth Aim of Innovation in Healthcare Technology (ID 333)

      E. Keely, The Ottawa Hospital; Ottawa/CA

      • Abstract
      • Slides

      Purpose/Objectives: Champlain BASE eConsultation service, established in 2009, connects primary care providers (PCPs) to specialists through a secure webbased platform. Approximately 80% of all PCPs in our region and over 170 specialists from 105 different specialty services participate. Objective: New healthcare technologies often fail due to poor provider experience. Understanding key drivers of provider experience and how to measure will enable health service delivery partners to successfully launch new health technologies. We will discuss three areas of focus: 1. Successful primary care engagement strategies used in BASE eConsultation 2.Specialist motivation to participate in BASE eConsultation 3.How eConsultation services can enhancing provider relationships and continuing professional development

      Methodology/Approach: The panel will discuss their extensive experience in implementing and sustaining provider engagement in an eConsultation service. We have obtained provider experience in several ways: Who uses eConsultation services? We linked usage data from our eConsult data to physician characteristics retrieved from the CPSO database and determined characteristics associated with usage A survey of specialists participating in two eConsult services (OTN and BASE) was conducted A qualitative analysis of free text comments made by primary care providers when closing an eConsult was done.

      Finding/Results: We have engaged over 1300 PCPs submit 1000 eConsults per month. Neither sex, being an international graduate – documented predictors of EMR adoption- nor proximity to specialists were found to explain usage. Only length of time in practice was found to be predictive. Lower use by veteran physicians may reflect their lower need for services like eConsult given their well-established specialist networks, or their greater confidence in practicing medicine. Of the 175 specialists who completed the survey, there was strong agreement that participation in eConsult services was driven by the goal of improved communication with primary care providers, desire to provide innovative care and need to reduce wait times. (figure 1) PCP's included comments related to educational value and collegial value in 223 cases which highlighted the impact of eConsult services in improving the primary care and specialist relationship. (see figure 2) specialist.pngprovider.png

      Conclusion/Implications/Recommendations: Health care providers highly value eConsult services as an opportunity to improve patient care and reconnect primary care to specialty care.

      140 Character Summary: Health care providers highly value eConsult services as an opportunity to improve patient care and reconnect primary care to specialty care.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.