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Michele Fryer

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    OS08 - The Road to Digital Health Adoption (ID 12)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Health Business Process
    • Presentations: 1
    • Coordinates: 5/27/2019, 03:30 PM - 04:30 PM, Pod 7
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      OS08.04 - Connecting for Health with the Office of Virtual Health (ID 263)

      Michele Fryer, Provincial Health Services Authority; Vancouver/CA

      • Abstract
      • Slides

      In Fall 2017, the Provincial Health Services Authority (PHSA) established the Office of Virtual Health (OVH) to leverage and enhance virtual care as part of the care continuum for patients. In order to meet this mandate, the leaders of PHSA clinical and academic programs needed a clinically led organizational strategy that would see scalable virtual health solutions integrated into their existing service models. The governance structure for virtual health is directly aligned with the clinical governance, and a strategy is now being implemented by OVH. Principles of the strategy include patient-centred and clinically led, with technology partners as enablers. Solutions are focused to improve patient outcomes that are equitable, adaptable, scalable and sustainable.

      The strategy of OVH includes clinically identified priority projects and enabling foundational supports. Examples of priority projects include: virtual health visits in patient homes, online cognitive behavioural therapy, and digital messaging. Enabling foundations have been created by OVH with stakeholder involvement, and include a PHSA Virtual Health Policy, clinical guidelines, communication strategy, toolkits for clinical programs, and an evaluation framework. These carefully supported projects include: patient engagement, program and patient readiness, sound project management, patient and provider education, clinical workflow redesign and evaluation.

      The results of a governance structure shifts the governance and priority setting from technically to clinically led to deliver one system of care. Priorities, decisions and direction about the evolution of virtual health in PHSA are now being made by leaders of clinical programs. Foundations have been created that have removed barriers and created consistent, effective strategies across the organization, including an enabling risk and consent-based policy, clinical guidelines for virtual health and many tools and processes to move our agenda forward. Clinical teams and programs no longer work in silos on similar solutions. Important supports such as privacy, procurement, and information management and technology now have an integrating team to collaborate with and are able to apply their advice in an effective manner. Advancement of virtual health including ?anywhere to anywhere? virtual health visits, text/email, remote patient monitoring and online therapy is occurring. These results are evaluated through a framework that is aligned with the evaluation structure and dimensions of other clinical services. PHSA is beginning to see and report how virtual health services impact in the context of all health services and their alignment with specific goals to achieve a system of virtual health that is acceptable to patients and providers and provides improved accessibility to the appropriate services in an equitable way, and results in organization wide scale.

      OVH is leading a system wide transformation that will see virtual health integrated into clinical services, not as a separate system but as an integrated, effective, and efficient patient-centred set of solutions that respond to the digital world we live in. The proposed presentation will describe the processes, principles, successes and challenges which have resulted in successful virtual health services and plans to increase patient preferred virtual health services across British Columbia.

      140 Character Summary:
      Integrating virtual health in British Columbia?s Provincial Health Services Authority clinical programs in collaboration with the Office of Virtual Health.

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