CONNECTING PATIENTS TO CARE, FROM ALL ACROSS ONTARIO Laurie Poole, Vice President March 31, 2010
Table of Contents Provide an overview of the Ontario Telemedicine Network Discuss how Telemedicine is having an positive impact on health human resources in Ontario Questions 2
OTN Overview One of the largest and most active telemedicine networks in the world An independent not for profit organization funded by the Government of Ontario $32M operating/project budget, 190 employees Partners with: ehealth Ontario Agency Keewaytinook OkamakanakTribal Council Canada Health Infoway
OTN Vision Telemedicine will be a mainstream channel for health care delivery and education.
OTN Service Channels 1. Telemedicine live interactive videoconferencing for patient consultations, as well as healthcare provider and patient education 2. Telehomecare Remote monitoring and self management coaching for patients with significant chronic disease 3. Asynchronous/Store Forward Telemedicine Tele ophthalmology and Tele dermatology 4. Education and Administration Video, webcasting, web conferencing, e learning
6 Clinical Telemedicine
Available Everywhere Programs and services are delivered at more than 925 sites across the province
Telemedicine Site Locations All Hospitals First Nations Communities Medical and Nursing Schools Cancer Centres Psychiatric Hospitals Public Health Units Community Care Centres Long-Term Care Homes Cardiac Rehab Centres Family Health Teams and CHCs Rural Nurse Practitioners Specialists Offices and Homes Professional Associations, including OHA, OMA, RNAO, CPSO Ontario Agency for Health Protection & Promotion Public Health Labs Emergency Management Unit Community Mental Health Facilities Community Living Centres Addiction Treatment Centres Eating Disorder Clinics LHIN Offices Federal and Provincial Prisons
2008/09 Utilization (live events) Clinical Events 53,745 Educational Events 9,230 Administrative Events 9,794 Total Events 72,769 9
2008/09 Users Clinical providers 2,778 Registered Health Professional groups 12 Education attendees 296,000
Clinical i l Specialties in Tl Telemedicine dii Bariatrics i Ophthalmology Cardiology Orthopedics Dermatology Pediatrics Endocrinology Physiotherapy General Surgery Rehabilitation Medicine Mental Health Speech Pathology Nephrology & Dialysis Teleradiology Neurology Telestroke Occupational Therapy Urology Oncology ENT And 30 others
Tele Emergency Services Telestroke Crisis tele-psychiatry (adult & child) Virtual Critical Care Long-term care home triage Trauma Interpreting and sign language services
Northern ot Travel Ga Grant tcost Avoidance 2008/09
Video Telemedicine Penetration 450 400 416.00 350 300 298.31 250 253.11 200 187.15 Rate per 100,000 150 100 50 0 29.51 125.60 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 (projected)
Clinical Innovation Surgical Tele monitoring in Niagara Health Region Virtual psychiatric Emergency Services in Southwestern Ontario Regional Cancer Centre in Sudbury
Telehomecare for Chronic Disease Management
New Programming: Telehomecare & Chronic Disease Management Our goal was to provide effective health care in the home through technology enabled patient selfmanagement 8 Family Health Teams (primary care groups) 813 patients with CPOD and CHF Time limited intervention Focus was on chronic disease management and patient self management Funded by the MOHLTC & CHI
Telehomecare/CDM Outcomes 813 enrolled patients with CHF and COPD 64 66% decrease in hospital admissions 72 74% reduction in emergency department visits 16 33%decrease innumber number of primary care physician visits 95 97% reduction in walk in clinic visits High levels of patient and provider satisfaction
The Impact of Chronic Disease in Ontario Chronic diseases are a major cause of disability and death, and very costly to the health care system. Nearly 80% of Ontarians aged 45 and over have a chronic condition. Of those, approximately 70% suffer from two or more chronic conditions 1% of Ontario s population account for 49% of our hospital and home care costs 2+ chroni c diseas e 55% 1 chroni c diseas e 24% No chroni c diseas e 21%
Store Forward Telemedicine (Tele dermatology and Tele ophthalmology) Primary Care Site Consultant Site
Tele Dermatology Key Informant Interviews: Users are highly satisfied with the application because it provides vastly improved access to dermatology services Mean response time is 5.9 days vs. 6 18 mos. or longer reported for a face to face appointment
Tele Ophthalmology 22
Education & Administration 23
OTN Customer Support Services 1. Adoption support 2. Services Turnkey technology support 24/7 help desk & monitoring centre Training/e-Learning Referral management and scheduling service Multipoint bridging management Portal services Webcasting Webconferencing Education events calendar
OTN Portal & Scheduling 25
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Rural Challenges Addressed Through Telemedicine Delivering care over long distances Access Maldistribution of HHR Access to scarce specialties Access to urgent care Chronic disease management Access to education and mentoring Urban Quality & Efficiency
Programs in Development Portal and Personal Telemedicine Enhancements Provincial Telehomecare Utility Store Forward Integration Emerging Business Unit Diabetic Retinal Screening Program
Thank you Laurie Poole VP, Telemedicine Solutions lpoole@otn.ca