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R. Fulkerson



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    RF07 - Techniques to Accelerate Innovation (ID 28)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Health Business Process
    • Presentations: 1
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      RF07.04 - The Future State of Technology in Home and Community Care (ID 19)

      R. Fulkerson, Tectonic Advisory Services Inc; Burlington/CA

      • Abstract

      Purpose/Objectives: This research and resulting report was focused on the current state, gaps and the optimal state of the use of health IT to access patient records and provide care to the home and community sector. The perspective that the research tool was on the end user consumer. The research was conducted nationwide with providers from National Home Care Agencies, Hospitals, Health Regions, LHINs, CCACs, and other speciality organizations including Ministry

      Methodology/Approach: This session explored the current state, gaps & the optimal state of health IT to access patient records and provide care to the home and community sector. Respondents provided advice on key considerations to success in this sector/ The Think Tank Series brought together leaders in the Home and Community sector and represented organizations including LHINs, CCACs, hospitals, home care agencies and speciality care organizations.

      Finding/Results: The Tectonic Think Tank found many ‘pockets of excellence’ in home and community care, technologies created within the system out of necessity, led by organizations committed to providing quality care to the families they serve. These technologies are implemented on such a small scale that they cannot contribute in a meaningful way to the system-wide culture shift needed to ensure a high-performing system that is truly client and family-centered. 6 Key recommendations were made that focused on the role such as Mobile, Telehealth, Virtual Care, Cloud, Blockchain and Leveraging current assets provided by multiple stakeholders Implementation of all of the recommendations can begin immediately, and most can be fully implemented within the medium term.

      Conclusion/Implications/Recommendations: The following themes emerged from the research Theme 1: Client and Family-Centered Care as well as Personal Care Theme 2: Support for Family Caregivers Theme 3: A “Basket of Services” Theme 4: Capacity Planning & Bundled Payments Theme 5: Primary Care Theme 6: Increased Accountability for Performance The Tectonic Think Tank found many ‘pockets of excellence’ in home and community care in Ontario, technologies created within the system out of necessity, led by many individuals and organizations committed to providing quality care to the families they serve. However, these technologies are often implemented on such a small scale that they cannot contribute in a meaningful way to the system-wide culture shift needed to ensure a high-performing system that is truly client and family-centered. These technologies need to be scaled and aligned. The challenge is to fully define family-centered care and how the system can best support clients and families in the community. There is a need to ensure accountability for delivering a high-performing home and community care sector in Ontario as a pre-requisite. Leverage current assets to support family-centered care and the circle of care in that role and introduce thought funding and innovation technology such as Mobile, Telehealth, and Virtual Care solutions. LHIN Reform – let’s hope it works! Debate - Should technology be paid for by the public sectors or be positioned as a differentiator for homecare provider agencies competing for LHIN contracts. Fix the procurement problem in Ontario and in the rest of Canada!

      140 Character Summary: Tectonic found ‘pockets of excellence’, technologies created out of necessity, assessing the current state vs future state, where scale & spread was identified.