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M. Wilson



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    OS29 - e-Health Solutions for Patient Self Management (ID 47)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS29.01 - Change Before You Have to…Emerging Models of Care (ID 48)

      M. Wilson, Providence Health Care; Vancouver/CA

      • Abstract
      • Slides

      Purpose/Objectives: Healthcare is in a perpetual state of change with new treatments, models of care and technologies being implemented daily. What used to be the traditional “doctor’s bag” now includes handheld devices facilitating the care connection with patients and other care providers outside of the hospital and doctor’s office. At the same time, patients are demanding not only prompt service, but also convenience of access for their health care. This workshop will explore emerging models of care enabled by virtual technology. This includes the growing expectation that a patient’s primary care provider has immediate access to the information they need to provide a continuum of care no matter where the patient is – in a rural setting or an urban location.

      Methodology/Approach: The panel will review new evolving models of care enabled by technology at Providence Health Care in Vancouver and the BC Interior led by the Kootenay Boundary Division of Family Practice from the provider and patient experience. Rapid Access to Consultative Expertise is a telephone advice line where family physicians (FPs) can call one number, choose from a selection of specialty services and be routed directly to the specialist’s cell phone for advice usually within a few minutes. eCASE, electronic consultation to specialists expertise is a non-urgent model of e consultation where FPs can access specialists advice through email. Other models of virtual health including secure messaging, enotification and video conferencing in traditional and not-so-traditional settings (ICU, Mobile Maternity, PreSurgical) will be discussed.

      Finding/Results: Evaluation metrics, based on the Triple Aim Framework show promising results in relation to - Experience of Care, Population Health, and Per Capita Cost. Provider and user satisfaction is high at 95%, 60% of interactions avoid a face-to-face consultation, 32% of interactions avoid an emergency department visit and patients have improved access to speciality care.

      Conclusion/Implications/Recommendations: These models are revolutionizing communications between specialists and family physicians - building relationships, providing clinical decision support, and opening access to different modalities of care - so patients have a continuum of care in their own community. By exploring future models of care through technology we will: • Present information from the patient and provider perspective on remote consultation services • Delve into new models of care – eCase, RACE, secure messaging, Mobile Maternity, non-traditional telehealth • Investigate the shifting value base related to virtual care – do our values match those of our patients?

      140 Character Summary: This workshop will explore emerging models of care enabled by virtual technology from the provider, user and patient perspective.

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