Telemedicine Strategic Objectives Central West LHIN September 22nd and October 13th, 2015.

Telemedicine Strategic Objectives

Central West LHIN

September 22nd and October 13th, 2015

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To present the LHIN’s strategic objectives to expand the use of Telemedicine technology in the Central West LHIN

To outline identified areas of focus for OTN, LHIN and local health service providers

To inform organizations ensuring alignment of organizational telemedicine plans to the LHIN’s strategic objectives

To discuss how organizations can enable Telemedicine to improve access to programs and services for the benefit of Central West LHIN residents

Purpose of Today’s Presentation

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Telemedicine Technology and Investments

What is Telemedicine?

Telemedicine, is the use of information and communication

technologies to support the delivery of clinical care,

professional education and health-related services. MOHLTC invested in the Ontario Telemedicine Network

(OTN) to provide virtual care to Ontario residents who

would have to travel to receive healthcare services.

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Telemedicine LHIN Investments

In 2010, eight telemedicine nursing positions were funded through the Central West LHIN Telemedicine Nursing Initiative.

In 2012, eleven telemedicine systems were funded through the Central West LHIN Narcotics Strategy.

In 2013, one Central West LHIN Regional Narcotics Strategy Lead role was created to increase community capacity by:• Coordinating Narcotics Strategy services within the Central West LHIN• Building community partnerships and cross-sector collaborations• Integrating the use of telemedicine into addiction and mental health services• Developing a local addictions strategy in the Central West LHIN

In 2013, one Central West LHIN Regional Telemedicine Executive Administrator role was created to:• Supporting agencies in the integration of telemedicine in clinical operations• Provide administrative and operational support regarding telemedicine

utilization• Support organizations in achieving telemedicine goals

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Telemedicine Equipment & Services

Traditional Room-Based System

Personal Computer Videoconferencing (PCVC)

OTNconnect is an app available on iOS devices

OTNinvite is a new feature allowing consultants to connect with clients from personal devices anywhere they have an Internet connection.

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Benefits to Healthcare Providers

Why do healthcare providers use telemedicine?

Efficient method to serve patients/clients from anywhere in Ontario

OHIP billable at a premium rate

Visits count as face-to-face contact

Increases ease of case coordination

Increases clinicians’ efficiency and productivity

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Benefits to Clients & Patients

Why do clients use telemedicine?

Increased access to care

Eliminates the need to travel long distances to appointments

Saves money and time for clients and/or family members

Reduces the stress of travelling outside local community

For some individuals, increases confidentiality and comfort level

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Telemedicine Statistics

Telemedicine helped save $61.8 million in Northern Health Travel Grants in 2013/14

Saved 418 million kilometers of travel in 2013/14

Patients report saving as much as $242 per telemedicine session (i.e. including mileage, parking, taxi, transit, lost wages, food, childcare, accommodations, etc.)

92% of patients reported being satisfied with telemedicine and 91% of patients indicate they would use it again.

9- OTN Statistical Report 2013/14

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Central West LHIN Telemedicine Studio-based Sites

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Central West LHIN Telemedicine Studio-based SitesOrganization Site OTN RepCMHA / Peel Brampton – 60 West Drive Julie Ridgewell

CMHA / Peel Bolton Julie Ridgewell

CMHA / WWD Orangeville Julie Ridgewell

Central West CCAC Brampton, Orangeville Laura Walsh

Dufferin Area FHT Orangeville Julie Ridgewell

Dufferin Area FHT Shelburne Julie Ridgewell

Headwaters Health Care Centre

Orangeville Laura Walsh

Salvation Army Hope Acres Glencairn Roger Callender

Supportive Housing in Peel Malton (Main Office) Roger Callender

Supportive Housing in PeelBrampton (Wilkinson Shelter)

Roger Callender

Supportive Housing in Peel Orangeville Roger Callender

Wellfort Bramalea CHC Brampton (Main Office) Roger Callender

William Osler Health System Etobicoke General Laura Walsh

William Osler Health SystemBrampton (Withdrawal Management Centre)

Laura Walsh

William Osler Health System Brampton Civic Laura Walsh

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The Central West LHIN’s Telemedicine Strategic Objectives

Why did the LHIN develop Telemedicine Strategic Objectives?

1. Align with and support the objectives of Health Links by increasing access and care coordination for complex patients in the Central West LHIN

2. Align with the Patient First Action Plan by expanding technology to provide additional ways for patients to connect with healthcare providers

3. Provide a LHIN strategy for organizations in order to increase the utilization of Telemedicine and improve virtual access to healthcare bringing care closer to home

4. Align the LHIN’s Telemedicine plan to the LHIN’s strategic plan (IHSP) and with that of the Ontario Telemedicine Network (OTN)

5. Improve performance of previously invested Telemedicine studio-based and nursing resources

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#1: Increase access to an array of health care services for complex patients identified through Health Links in the following areas:

1) Mental Health & Addiction Services

i. Psychiatry Consultations

ii. Counseling/ Case Management

iii. Group Therapy

2) Chronic Disease Management

i. Case Consultations through Centre for Complex Diabetes Care (CCDC)

ii. Patient Education/ Self-Management Support

iii. Cardiologists and Respirologists Support for Primary care

Telemedicine Strategic Objective #1

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#1: Increase access to an array of health care services for complex patients identified through Health Links in the following areas:

3) Geriatrics and Psychogeriatrics

i. Long Term Care (LTC)

ii. Assisted Living

iii. Adult Day Program

4) Palliative Care

i. Shared Care Team Support

ii. Home Visits

iii. Outpatient Clinics

5) Paediatrics

i. Special Needs Services

ii. Medically Complex Care Team SupportNote that this is broadened this in the organizational submission templates so Health Links is one of many ways your organization may identify complex patients

Telemedicine Strategic Objective #1 (cont’d)

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#2: In the Health Links environment, increase capacity and support in the healthcare system through the utilization of Personal Videoconferencing among the following human service professionals:

1) Physicians

2) Specialists

3) Case managers

4) Inter-professional care team members

5) Health Links Care Coordinators and Navigators

6) Discharge planners

7) Social service providers

Telemedicine Strategic Objective #2

Main message is to enable most if not all of your clinical and non-clinical staff enable with PCVC/ OTN Connect

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#3: Improve access to community sites equipped with Telemedicine in order to bring care closer to home by:

1) Ensuring currently funded sites are appropriately open to the community

2) Enabling all organizations to utilize local Telemedicine sites through partnerships and collaborations

3) Exploring centralized scheduling to ease administrative burden within organizations

Telemedicine Strategic Objective #3

Your organization has the opportunity to bring care closer to your location by connecting with partner agencies that lead programs beneficial for your clients. You also have an opportunity to share your resources and sessions by allowing other agencies to connect to your programs and offerings via OTN.

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Contact OTN to assist in a Telemedicine Assessment and inform

organizational Telemedicine plans

Develop a plan comprehensive for your organization while

ensuring alignment with the LHIN’s strategic objectives

Contact Telemedicine LHIN local regional contacts Karen Maraj or

Kerry Dearborn and/or OTN staff for further assistance.

Input requested information in the LHIN’s submission template and

sent to Yvonne Sinniah, Director Health System Integration,

Central West LHIN [email protected] and cc: Daniela

Chis [email protected]

LHIN Expectations for Telemedicine Plan Submissions

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LHIN Telemedicine Plan Template

Organiztion Name:

Action # * insert rows as needed for the number of action

items

Action Item/ Initiative Description This section will articulate "how you will achieve your goal". Please provide details of action items/ initiatives for the specific objective listed above. Action plans are to include activities over the next 3 years with concentration on those actions/ initiatives that will be largely implemented within the upcoming year.

Measures How will you measure success? These may be operational or outcome metrics( i.e. # of programs that are OTN enabled, # staff trained, # of clients aware of the technology, # of clients utilizing the technology despite the organizational location)

1.1 2018-19 Q1 On track for completion as identified

1.2 2014-15 Q4On track for completion as identified

1.3 2014-15 Q4 On track for completion as identified

Action # * insert rows as needed for the number of action

items

Action Item/ Initiative Description This section will articulate "how you will achieve your goal". Please provide details of action items/ indicative for the specific objective listed above. Action plans are to include activities over the next 3 years with concentration on those actions/ initiatives that will be largely implemented within the upcoming year.

Measures How will you measure success? These may be operational or outcome metrics( i.e. # of programs that are OTN enabled, # staff trained, # of clients aware of the technology, # of clients utilizing the technology despite the organizational location)

2.1 2014-15 Ongoing

On track for completion as identified

2.2 2014-15 Ongoing On track for completion as identified

2.3 2014-15 Ongoing On track for completion as identified

Action # * insert rows as needed for the number of action

items

Action Item/ Initiative Description This section will articulate "how you will achieve your goal". Please provide details of action items/ initiatives for the specific objective listed above. Action plans are to include activities over the next 3 years with concentration on those actions/ initiatives that will be largely implemented within the upcoming year.

Measures How will you measure success? These may be operational or outcome metrics( i.e. # of programs that are OTN enabled, # staff trained, # of clients aware of the technology, # of clients utilizing the technology despite the organizational location)

3.1 2014-15 Ongoing On track for completion as identified

3.2 2014-15 Ongoing On track for completion as identified

3.3 2014-15 Ongoing On track for completion as identified

Virtual Care Related Survey Questions

Assessing Program Needs, Implementation and Performance

Questions Answers

Does your organization have a designated clinical Telemedicine Coordinator (TMC)?

Select an Answer

Does your organization have an assigned Administrative contact (i.e. schedulerwhich may be the TMC or another admin support person)?

Select an Answer

Is there a back-up Telemedicine Coordinator or trained administrative support staff in place?

Select an Answer

Have roles and responsibilities specific to delivering telemedicine services been clearly defined for each staff position?

Select an Answer

Has all your telemedicine staff received appropriate OTN training?

Select an Answer

Have you utilized your OTN Regional Manager in developing and implementing your telemedicine plan?

Select an Answer

Have you utilized the local LHIN-funded telemedicine contacts to develop your telemedicine plan?

Select an Answer

Does your organization have a mechanism to identify clients who prefer to receive services via Telemedicine?

Select an Answer

Does your organization have a mechanism in place for both clients and staff to comment on OTN technology i.e. challenges, concerns, successes and setbacks?

Select an Answer

Please identify opportunities for improvement for telemedcine as you operationalize your plan?

Who in your organization is accountable for your telemedicine plan/ program?

Has your CEO/ Executive Director reviewed and approved your organizational telemedicine Plan

Select an Answer

Additional notes and comments

If Yes, please provide their contact details and information here:

If Yes, please provide their contact details and information here:

Organization Telemedicine Plan (with built in Progress Reporting)

Status

Comments - Please provide commentary and detail if the

action item/ initiative is not on track or is at risk of being

delayed/ cancelled

Due March 31st 2016 (Progress report due March 31s of fiscal years to follow)

LHIN Telemedicine Strategic Objective #1: Increase access to an array of health care services for complex patients (i.e. Health Links, hospitals, community programs) Timeline: Please state the timelines of when you will

complete the action item over the course of the next three years

(2016 - 2019). You can also state action items and timelines that

have already been completed prior to 2016 and is in alignment with the LHIN's telemedicine strategic

objectives.

Comments - Please provide commentary and detail if the

action item/ initiative is not on track or is at risk of being

delayed/ cancelled

Status

Comments - Please provide commentary and detail if the

action item/ initiative is not on track or is at risk of being

delayed/ cancelled

Status

LHIN Telemedicine Strategic Objective #2: Increase capacity and support in the healthcare system through the utilization of Telemedicine Technologies (i.e. Personal Videoconferencing) among human service professionals

LHIN Telemedicine Strategic Objective #3: Improve access to healthcare in the community via Telemedicine in order to bring care closer to home

Timeline

Timeline

If Yes, please provide their contact details and information here:

Please provide name, title, and contact details:

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Is there anything you feel was not covered in this

presentation?

Are there any barriers you foresee in completing

organizational Telemedicine plans?

Can you identify organizational champions to move this

forward in your organizations?

Questions?

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Support organizations in implementing Telemedicine action items

Review and assess submitted plans to identify key areas of priority for OTN, LHIN and system partners

Set LHIN and organizational targets

Discuss monitoring and evaluation of Telemedicine utilization

Next Steps: Operationalizing the Objectives

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Central West LHIN Contacts related to Telemedicine

Yvonne Sinniah, Director, Health System Integration, Central West LHIN

8 Nelson Street West, Suite 300, Brampton, ON L6X 4J2

Telephone: 905-455-1281 ext. 217

Email: [email protected]

Kerry Dearborn, Regional Lead, Central West LHIN Narcotics Strategy

c/o William Osler Health System, Addiction Counselling Services, 118 Queen Street West, Suite 301, Brampton, ON L6X 1A5

Telephone: 905-494-2120 ext. 22383

Email: [email protected]

Karen Maraj, Regional Telemedicine Coordinator (Narcotics Strategy-funded)

c/o CMHA Peel, 60 West Drive, Suite 102, Brampton, ON L6T 3T6

Telephone: 416-553-7429

Email: [email protected]

Please feel free to contact us to discuss how we can help your organization align with the Central West LHIN’s Telemedicine strategy:

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Your OTN Staff Contacts

Please feel free to contact OTN to conduct an assessment and/or support you in enable videoconferencing and other telemedicine offering fitting for your organization

Name Title Email PhoneLori Feltz Regional Director [email protected] 1-866-454-6861

x4435

Sara Bedford Adoption Coordinator [email protected] 1-866-454-6861x4430

Sharon Howlett

Health Links and TM Nurses

[email protected] 1-866-454-6861x4235

Roger Callender

Adoption Associate [email protected] 1-866-454-6861x4022

Julie Ridgewell

Regional Manager [email protected] 1-866-454-6861x4446

Laura Walsh Engagement Lead [email protected] 1-866-454-6861x4462

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Background on Previously Invested Resources

Current LHIN Utilization based on OTN reports

Existing Programs in Central West LHIN

Appendix (for additional information)

Background: Telemedicine Nursing Initiative

MoHLTC provided funding for 191 nursing FTEs across Ontario to expand clinical utilization of Telemedicine

LHINs submitted proposals for FTEs

Central West LHIN awarded 9 FTEs:• CMHA Peel 1.0• Headwaters 2.0 (hired1.0 FTE)• Mel Lloyd FHT 0.5• William Osler 5.5

Regional target for 8.0 FTEs is an increase of 3,296 Clinical Telemedicine Events

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Background: Narcotics Strategy

MH&A Gifted Equipment Sites:

• Welfort: Bramalea CHC (will be reactived)• Welfort: Four Corners Health Centre (currently transition to Headwaters

Healthcare Centre)

• CMHA Peel – Caldeon Specialist Clinic - Bolton• Dufferin Area Family Health Team - Orangeville• Hope Acres Addiction and Rehabilitation Centre• Pine River Institute• SHIP – Dufferin County site• SHIP – Main site• SHIP – Wilkinson site (currently being moved to Family Transition Place)

• WOHS – Brampton Civic Hospital• WOHS – Etobicoke General• WOHS – Withdrawal Management Centre• 1.0 FTE Coordinator for the Narcotics Strategy• 1.0 FTE Facilitator / Multi-site Telemedicine Support

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Clinical UtilizationCentral West LHIN – Sites with Telemedicine Nurses

CMHA - Peel Dufferin Area FHT - Shelburne

Headwaters William Osler0

100

200

300

400

500

600

700

800

900

1000

2010-112011-122012-132013-142014-15

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Educational UtilizationCentral West LHIN – Sites with Telemedicine Nurses

CMHA - Peel Dufferin Area FHT - Shelburne

Headwaters William Osler0

50

100

150

200

250

300

2010-112011-122012-132013-142014-15

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Administrative UtilizationCentral West LHIN – Sites with Telemedicine Nurses

CMHA - Peel Dufferin Area FHT - Shelburne

Headwaters William Osler0

100

200

300

400

500

600

700

800

2010-112011-122012-132013-142014-15

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Brampto

n Civic

CMHA -

Bolton

DAFHT - O

range

ville

Etobico

ke General

Hope Acres

SHIP - D

ufferin

SHIP - M

ain

With

drawal

Man

agement

0

50

100

150

200

250

2013-142014-15

30

Clinical UtilizationCentral West LHIN – MH&A Equipment Sites

Brampto

n Civic

CMHA -

Bolton

DAFHT - O

range

ville

Etobico

ke General

Hope Acres

SHIP - D

ufferin

SHIP - M

ain

With

drawal

Man

agement

0

50

100

150

200

250

2013-142014-15

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Educational UtilizationCentral West LHIN – MH&A Equipment Sites

Brampto

n Civic

CMHA -

Bolton

DAFHT - O

range

ville

Etobico

ke General

Hope Acres

SHIP - D

ufferin

SHIP - M

ain

With

drawal

Man

agement

050

100150200250300350400

2013-142014-15

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Administrative UtilizationCentral West LHIN – MH&A Equipment Sites

CMHA Peel Programs

Psychologist Consultations (Dr. Michael Decaire) Fragile X Consultations (Dr. Parabelo) Psychiatrist Consultations – Dr. Ajmal Razmy, Ontario Shores and

Trillium TeleMental Health Nursing and Addicitons Program. Mindfulness Based Chronic Pain Management Program (facilitated

by Dr. Jackie Gardner-Nix) Stress Management Workshops (South Lake Regional Health

Centre) Mood Matters Workshops (South Lake Regional Health Centre) Weight Management Workshops (South Lake Regional Health

Centre) Fibromyalgia Workshops (South Lake Regional Health Centre) Participate in weekly Gen C rounds - Brampton Civic Hospital Patient site for Consent and Capacity Board CCAC and Community Living (borrow studio for meetings)

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Dufferin Area FHT Programs

Movement Disorders clinic (Dr. Guttman and Dr. Adams) Oncology consults (RVH, Princess Margaret) GP Psychotherapy (Dr. David Murphy – Barrie) Psychiatry (one-time consults with CAMH, UHN and Sick Kids) Pre-op consultations (Sick Kids) Telederm (Dr. Solomon) Respirology clinic (Dr. Hentschell – Kitchener) Post-op Thoracic Surgery (UHN) Allergy Consultations (UHN) Mood Matters clinic (Southlake) Stress Management for Diabetes (Southlake) Fibromyalgia clinic (Southlake) Osteoporosis Management (Southlake; 2 -day workshop) Dufferin Oaks (Osler Behavioural Sciences Rounds) Genetics Reporting Cardiac Rehab (Southlake)

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Headwaters Programs

Mindfulness-Based Chronic Pain Management Stress management for diabetes (Southlake) Fibromyalgia clinic (Southlake) Immunology Reproductive psychiatry Malignant Hyperthermia screening Plastic Surgery consultations (Sunnybrook) Respirology (1 year f/u TGH) Allevio pain clinic f/u (private clinic) Oncology (RVH) Cardiac Rehab (Southlake) Movement Disorders (Guttman, Madan, Adams) Allergy Reporting (UHN) Genetics Reporting (UHN) Drug Safety – Adverse Drug Reaction Clinic Hematology (UHN) Pediatric Psychiatry (Osler) Adult Psychiatry (Osler)

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William Osler Programs

Pediatric Psychiatry (with Headwaters) Adult Psychiatry (with Headwaters) MCC Rounds “Intake Consultations” with Supportive Housing In Peel ACT Team Daily Mental Health Unit Rounds Movements Disorder clinics (Dr. Guttman and Dr. Adams) Sick Kids (plastics and pre-op consults) Hematology (UHN) Psychiatry (patient site for those who have moved to the area and

are being followed by their own psychiatrist) Rheumatology (Sunnybrook) Genetics (UHN) Consults for Inpatients with communications devices (Sunnybrook) Orthopedic Rounds (internal)

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Ontario Telemedicine NetworkCentral West LHIN – OTN Information Session

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Objectives of this session

1. To provide an overview of OTN products and services and resources

2. To provide you with a Telemedicine Program planning framework

3. To identify next steps to complete your plan

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Introductions

About OTN

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OTN Products & Services

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OTNhub

DirectoryOTN Directory helps you:

Find the right people for your telemedicine consultationLocate sites enabled for telemedicine close to youLaunch telemedicine interactions, such as a videoconference call, directly from the profile pageManage your telemedicine practice by specifying referral instructions, criteria, expected wait times and more

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VideoconferencingHealth care providers are using videoconferencing to deliver more efficient care to their patients, to engage their patients in their own health management and/or to collaborate with each other to improve care delivery. Personal Videoconferencing is a software-based service that provides a similar, lower-cost, and mobile alternative to traditional room-based videoconferencingSend Invite is a feature built into Personal Videoconferencing that enables you to invite a person who is not a registered user of the service

OTNConnect iOS App

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Can anyone offer an example of how connecting to a patient home would improve service delivery?

Has anyone here downloaded & used OTN’s iOS app – OTNConnect?

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Teledermatology

Using a digital camera and web browser, you can get a derm consult for your patients with an Ontario dermatologist within 5 days. Benefits:– Reduce the patient wait time

needed to consult with a dermatologist

– Eliminate the need for your patients to travel

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eConsult

Private and secure exchange of patient information and advice between referring healthcare providers and consulting specialists.

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Does anyone here have patients who experience long waits for dermatology appointments?

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Learning Centre

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Learning Centre

OTN’s Learning Centre offers an online and easy-to-use single point of access to thousands of videoconferenced education events annuallyAvailable on your PC, smartphone or tablet, you can search for learning opportunities by date, time, location, presenter, therapeutic area of care, and more.

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Learning Centre Tools

Webcasting Webconferencing

Attend or host events through this fully featured, easy to access

tool, reducing travel and conference costs

Access streamed education events live, or on demand,

from anywhere

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Has anybody here participated in an education session over video

Has anybody here signed up for a Learning Alert?

Do you have special content that you would like to share with others in the healthcare community?

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Telehomecare

Telehomecare supports patients with COPD or CHF through health

coaching and remote monitoring.

Telehomecare is a free, six-month program.

Derived from evidence based guidelines, and approved by a

provincial clinical expert committee– Primary care provider refers patient

– Technician installs home monitoring equipment

– Specially-trained registered nurses or certified respirologists provide weekly

health coaching by telephone.

– Patients use home-based technology to measure blood pressure, oxygen and

weight and to answer simple questions about how they are feeling

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Telepsychiatry

OTN enables access to care for more than 100,000 mental health and addiction patients annually. Benefits:• Telepsychiatry can be used for therapy, assessments, triage decisions,

new/initial patient referrals, shared care, and discharge planning.• Includes primary care providers in the circle of care.• Increases opportunities for greater collaboration across multi-

disciplinary teams.• Eliminates issues around travel and wait times.• Offers a greater degree of comfort and privacy for patients

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Clinical Specialties Using OTN

• Cardiology• Dermatology• Endocrinology• ENT• General Surgery• Mental Health & Addiction• Nephrology & Dialysis• Neurology• Occupational Therapy

• Oncology• Ophthalmology• Orthopedics• Pediatrics• Physiotherapy• Rehabilitation Medicine• Speech Pathology• Tele-radiology• Tele-stroke• Urology

… and more

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Health Links

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Health Links

Our goal is to empower a more efficient Health Link, and to increase capacity to provide coordinated, efficient and effective care to patients with complex needsUsing OTN Connect, learning, TeleHomeCare, and/or eConsult, Health Links can be powered by telemedicineAll 5 CW HLs are currently care mapping to imbed TM into their care flow

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Telemedicine Program Planning Guide

Assess Define Plan Develo

pImplemen

tMonit

or

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o Health Service Needso Organizational support and readinesso Potential telemedicine programso Alignment with Org / LHIN Strategic Priorities

o Services to be provided, o Program Model, o Technology Model

Assess

Define

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o Determine clinical, operational and technical functions

o Define the tasks needed to build, test, deploy, and operate the

program

o Identify resource requirements (staff, equipment, space)

o Identify policy and procedure requirements

o Clinical Services Plan

o Technical Implementation Plan

o Communication Plan

o Budget

o Performance and Improvement Plan

Plan

Develop

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Perform the work required to launch the program

Equipment is purchased and installed

Clinical protocols are finalized

Operational processes are finalized & communicated

Staff are hired / assigned and trained

Space is prepared for service

Testing has been completed successfully

Implement

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o Implement the performance management plano Is the program meeting its objectives?o What program changes would improve

outcomes?o What challenges or improvements have been

identified?o Continue to monitor for success

Monitor

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Key Success Criteria

Your Telemedicine Program will be successful if it:

Aligns with your Vision, Mission ,Values & GoalsHas Senior Leadership Support Includes a clinical, technical and operational

plan Is supported by policies, procedures &

guidelinesHas a human resource plan that supports the

telemedicine activitiesHas potential for expansionHas a budget to support it

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Telemedicine Resources

o OTN Adoption Teamo OTN Training Team and Training Resourceso OTN Resource Library o LHIN Telemedicine Resources

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Next Steps

1. Assess your program needs; identify potential opportunities; develop your plan

2. Contact your OTN Manager to arrange an appointment to discuss your assessment and telemedicine plan

3. Sign up for OTN Services if required4. Utilize your telemedicine resources

OTN Contact InformationName Title Email Phone

Lori Feltz Regional Director [email protected] 1-866-454-6861x4435

Sara Bedford Adoption Coordinator [email protected] 1-866-454-6861

x4430

Sharon Howlett

Health Links and TM Nurses [email protected] 1-866-454-6861

x4235

Roger Callender Account Manager [email protected] 1-866-454-6861

x4022

Julie Ridgewell Account Manager [email protected] 1-866-454-6861

x4446

Laura Walsh Engagement Lead [email protected] 1-866-454-6861x4462

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Thank you!