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  • 1. CANADIAN SOCIÉTÉ SOCIETY OF CANADIENNE TELEHEALTH DE TÉLÉSANTÉ CST Newsletter # 4 February 17, 2000 YOUR NEW EXECUTIVE The new Board, chosen at the Annual Board Meeting in Calgary in October 1999 has chosen the following OTHER IMPORTANT MEETINGS executives for the next year. President: Mo Watanabe CST will be one of the supporters of HEALNet’s 5th Vice-President: Robert Filler Annual Conference titled “Are Health Report Cards Secretary: Valerie Hagerman Measuring up? It will be held in Toronto from April Treasurer: Penny Jennett 2-4, 2000 at the Marriott Eaton Centre. The Conference will feature nationally and internationally Chairs of Standing Committees: recognized speakers critically debating recent Nominating: Rod Elford research findings and current practices relating to Education: Jocelyne Picot performance measurement and accountability. The Membership: to be named keynote address to be delivered by HEALNet investigator Dr. G. Ross Baker, University of Toronto, New Committees and Chairs is entitled "Models and Measures: Performance Executive/Finance: Mo Watanabe Measurement and Accountability in Health Care." Fund Development: Steve Maislin Further information and registration forms are Policy (Advocacy): Bob Filler available at the HEALNet website Workshop: Andrea Battcock http://healnet.mcmaster.ca/nce, under Events. To 2000 Annual Meeting: Andre Lacroix register, contact HEALNet c/o Congress Canada, International: Andre Lacroix phone 416-504-4500, fax 416-504-4505, email Web Site: Jean-François Meunier mahima@congresscan.com Research: to be confirmed CST is also one of the supporting organizations for INFOcus 2000, an International Health Information CST ANNUAL MEETING 2000 Conference, sponsored by COACH and CIHI in Vancouver BC, June 24-27, 2000. Information is CST will be hosting the next International Society of available at www.infocus.ab.ca. Telemedicine in conjunction with CST’s Annual Meeting in Montreal on October 1-4, 2000. CST/ISfT Smart2000 Conference and Exposition with the meeting will be held in partnership with Santé Health themes of smart people, smart places, and smart 2000 and the program and call for abstracts will policies will be hosting a meeting in Calgary on appear on their web site www.sante2000.org in the October 23-26, 2000. There will be a theme of near future. Please mark this important date in your Health and the Professions and CST’s Penny Jennett calendar and be sure to register through the CST and Mo Watanabe are assisting the organizers to portal to ensure revenue from this meeting for CST. develop an exciting program. Information is available at www.smart2000.org and registration form is The Annual Business meeting of CST will take place available at www.smart2000.org/register.html. on Sunday afternoon, October 1st, followed by a welcome reception. The scientific sessions will take place from October 2-4, 2000. 1 http://www.ucalgary.ca/md/CST
  • 2. PEOPLE MOVES “Telehealth: Proceed with Caution”, published by the Canadian Medical Protective Association as an Andrea Battcock completed her position at Information Sheet in January 2000. The authors of Telemedicine/TETRA in St. John’s NF at the end of this piece are Dr. William Beilby, Director of January and has assumed the position of Managing Research and Education and Dr. Patrick Ceresia, Director of EquiDistant effective February 14, 2000. CMPA Medical Secretariat and Domenic Crolla, General Counsel. See profile of the new company in the following PROFILE OF A CORPORATE MEMBER section. Elcombe Systems Limited TecKnowledge Healthcare Systems Inc. announced the appointment of Dr. Dan Reid as Medical Director, Elcombe Systems Limited develops and supports as part of the company's plans to pursue new telehealth solutions that enable health care providers telehealth projects across Canada. Dr. Reid will use and administrators to improve quality of care and his clinical expertise as a former rural physician to reduce costs. Elcombe has demonstrated help TecKnowledge develop clinical telehealth experience with wireless emergency response programs in partnership with provincial and federal solutions for the North American senior living, Ministries of Health, to bring telehealth solutions to hospital outreach and home care markets and is rural and remote Canada. positioning itself through new, IP based product development, for the emerging home telehealth Dr. Reid is a graduate from Dalhousie University market. Medical School, where he is currently an Adjunct Assistant Professor of Community Health and Elcombe was established in 1991 following two years Epidemiology. His clinical expertise includes 25 years as a venture division with Newbridge Networks of private family practice in Pictou, Nova Scotia, Corporation. For more information, please visit at our during which time he concurrently served as website at www.elcombe.com or contact: Ms. Sandra Corporate Physician to Michelin Canada and was Lowenstein, Corporate Communications, P.O. Box involved in occupational and environmental health 72088, 359 Terry Fox Drive, Kanata, Ontario, K2K issues, as well as employee health and safety 2P4. Telephone: 613-591-5678 (5057) Fax: programs. For the past 5 years, he was the 613-591-1566 email: slowenstein@elcombe.com. Physician Advisor to the Nova Scotia Minister of Health and played an integral role in the EquiDistant implementation of the Nova Scotia TeleHealth Network. EquiDistant is a Newfoundland-based Alliance comprised of FUTUREWORKS Inc., Collaboratives Technology Inc. and Telemedicine/TETRA of NEW MEMBERS Memorial University of Newfoundland. The objective of EquiDistant is to provide networked-based CST welcomes the following new members since the services to rural and remote locations, aimed at Annual Meeting held in Calgary in October. telehealth, tele-education, government information services, economic development and business Dr. Patrick Ceresia, Assistant Secretary Treasurer, development. EquiDistant will initiate the Canadian Medical Protective Association, Ottawa ON commercialization of the Remote Community Patricia Dwyer, Projects Coordinator, Colabnet, St. John’s Services Telecenter (RCST) concept in Canada and NF export markets. Dr. John Finley, Clinical Director, Dalhousie Telehealth, IWK Grace Health Centre, Halifax NS The primary focus of EquiDistant will be business Laurie Hoffman-Goetz, Department of Health Studies and orientated, not research and development. It will Gerontology, University of Waterloo, Waterloo ON Jay Lynch, Institute of Palliative Care, University of Ottawa, function as a "Storefront" marketing and development Ottawa ON vehicle for the members, building upon current successes and strengths, which can be used to generate projects from private/public/philanthropic PUBLICATIONS OF INTEREST sources. Focusing as an enabling mechanism to allow a private sector approach to opportunities, Physicians and others, who want to learn about the the primary market focus will be towards rural and medico-legal issues of telehealth, will want to read distance telecommunications technology, 2 http://www.ucalgary.ca/md/CST
  • 3. processes and applications. caring procedures are computerized and may be seen instantly at a distance by the nephrologists. Andrea Battcock is the Managing Director of • The Big Cove Health Centre, located on a First Nation EquiDistant. For more information on this alliance reserve in Eastern NB. The aboriginal community has a high number of people suffering from hypertension and its current activities, please contact Andrea at: and diabetes. These people are at risk of eventually abattcock@nfld.net 709-745-2193 developing kidney disease. Through an education program, we are trying to prolong the health of these PROFILES OF CANADIAN TELEHEALTH patients’ kidneys. • Five patients at home, spread from north to south of Telemedicine In Renal Dialysis the province. Through telemedicine, the Corporation’s nurses and nephrologists can, from a distance, access TELENEPHRO is a telemedicine program in Nephrology the parameters of the patients’ hemodialysis sessions that was initiated in May 1998. It is the only such program and vital signs. They are thus prepared to intervene in Canada that includes research and evaluation and advise patients in the event of complications. components. It was developed by the Beauséjour Hospital Corporation, located in Moncton, New Brunswick. The Objectives Corporation is comprised of three health facilities, one of • Enhance the quality of life of renal dialysis patients which is the Dr. Georges-L. Dumont Regional Hospital. It (greater autonomy, less travelling, a greater chance of is also one of the two centers in the province to offer finding and keeping a job, staying closer to their loved complete nephrology services. ones); • Facilitate access, for both patients and health care TELENEPHRO is geared towards patients suffering from professionals, to specialized services not available kidney failure living any where from 100 to 250 km away locally; from the Beauséjour Hospital Corporation’s Nephrology • Continue providing the best possible renal dialysis Department. care despite the constant increase in the number of patients requiring this specialized care; The project uses telecommunications and information • Provide education to patients suffering from kidney technologies to establish a direct link between, on the one failure; hand, patients undergoing dialysis treatment at home or in • Help reduce morbidity. an auxiliary dialysis centre and, on the other hand, clinical nurses, nephrologists and other members of the Technology Corporation’s multidisciplinary team. Various technologies were selected to allow for the greatest possible number of renal dialysis applications: a This project therefore relies on teleconsultation, radiology image transfer system, a dialysis data telediagnosis, teleradiology and distance education to management system, a videoconferencing system and a provide support and education to patients and health care clinical data transmission system. professionals who do not have access to this specialized expertise in their region. Research and Evaluation Two research projects are associated with TELENEPHRO: TELENEPHRO links three remote sites to the Beauséjour Hospital Corporation; it also links up with patients at home. • A comparative study of two methods of delivering • The Regional Hospital Centre in Bathurst, located in a predialysis education program to patients the northeastern part of the province at more than 250 suffering from chronic renal failure (CRF). The km from the Beauséjour Hospital Corporation. program is delivered from a distance via Although the Bathurst Hospital has a dialysis unit, it videoconference compared to one delivered on- does not currently have a nephrologist and its patients site. are under the care of internal medicine specialists. TELENEPHRO allows for consultation between • The impact of distance education intervention on internists and nephrologists, diagnosis, case aboriginal diabetics at risk of renal failure. This conferences between multidisciplinary teams and study will determine the efficacy of distance distance learning, for both patients and health education from the point of view of their beliefs professionals. about kidney health, their knowledge and their • The Miramichi satellite site, in eastern New Brunswick. satisfaction with regard to using Patients from neighbouring regions can go to this unit videoconferencing. to receive their dialysis treatments instead of travelling all the way to the Corporation’s Nephrology An evaluation process will start prior to the implementation Department, which is located over an hour’s drive of the project and continue for the duration of the project. away from their homes. The unit can treat six patients Evaluation categories include: at a time under the supervision of nurses who - Clinical Efficacy communicate on a regular basis with the nephrologist - Transferability and Generalizability by way of videoconferencing. All nurses’ notes and - Cost Effectiveness 3 http://www.ucalgary.ca/md/CST
  • 4. - Impact on Patient Health peuvent y être traités simultanément, sous la - Satisfaction of Participants supervision du personnel infirmier qui communique - Service Quality régulièrement avec le néphrologue par vidéoconférence. Toutes les notes infirmières et les Contact Us! Contactez-nous! processus de soins sont informatisés et peuvent être vus à distance instantanément par les néphrologues. It will be our pleasure to tell you more about the • le Centre de santé Big Cove, situé sur une réserve TELENEPHRO project. Simply contact: autochtone à l’est de la province. La communauté Il nous fera plaisir de vous renseigner davantage sur le autochtone présente un nombre élevé de personnes projet TÉLÉNÉPHRO. Vous n’avez qu’à communiquer souffrant d’hypertension ou de diabète. Ces avec: Suzanne Robichaud, Telenephro Project Coordinator personnes sont à risque de développer éventuellement 330 University Avenue, Moncton, NB E1C 2Z3 une maladie rénale. Un programme d’enseignement à Tel: (506) 862-4044, Fax: (506) 862-4373 distance vise à prolonger la santé des reins de ces E-mail: suzanner@health.nb.ca patients. • cinq patients à domicile, répartis du nord au sud de la La télémédecine en dialyse rénale province. Grâce à la télémédecine, les infirmières et les néphrologues de la Corporation peuvent, à TÉLÉNÉPHRO est un programme de télémédecine en distance, avoir accès aux données des sessions néphrologie qui a vu le jour en mai 1998. Ce programme d’hémodialyse et aux signes vitaux de ces patients. Ils est le seul en son genre au Canada qui comprend des sont donc prêts à intervenir et à conseiller les patients composantes de recherche et d’évaluation. Il fut si des complications surgissent. développé par la Corporation hospitalière Beauséjour, située à Moncton au Nouveau-Brunswick. La Corporation Objectifs est composée de trois établissements de santé dont • augmenter la qualité de vie des patients en dialyse l’Hôpital régional Dr Georges-L. Dumont, qui est l’un des rénale (plus d’autonomie, moins de déplacements, deux centres à offrir des services complet en Néphrologie à meilleure possibilité de trouver ou de conserver un l’échelle de la province. emploi, demeurer près de leurs proches); TÉLÉNÉPHRO s’adresse aux patients atteints • faciliter l’accès, aux patients comme aux d’insuffisance rénale habitant à une distance de 100 à 250 professionnels de la santé, à des services spécialisés km du service de Néphrologie de la Corporation qui ne sont pas disponibles dans leur région; hospitalière Beauséjour. • continuer d’offrir les meilleurs soins possibles en dialyse rénale malgré un accroissement continu du Grâce à la technologie et aux télécommunications, un lien nombre de patients requérant ces soins spécialisés; direct est établi entre les patients qui nécessitent un • offrir de l’enseignement aux patients atteints traitement d’hémodialyse à domicile ou dans un centre de d’insuffisance rénale; dialyse auxiliaire et les infirmières cliniques, les • contribuer à diminuer la morbidité. néphrologues et autres membres de l’équipe multidisciplinaire de la Corporation. Technologie Différentes technologies furent choisies pour permettre le Ce projet favorise donc la téléconsultation, le plus d’applications possibles en dialyse rénale: un système télédiagnostic, la téléradiologie et le téléapprentissage pour de transfert d’images en radiologie, un logiciel de gestion offrir le soutien et l’éducation aux patients et aux des données de dialyse, un système de vidéoconférence et professionnels de la santé qui n’ont pas accès à cette un logiciel permettant l’emmagasinage et la gestion expertise spécialisée dans leur région. d’informations cliniques. Le projet TÉLÉNÉPHRO relie trois sites au N.-B. ainsi que Recherche et évaluation des patients à domicile: Deux projets de recherche sont associés au projet • le Centre hospitalier régional à Bathurst, situé au nord- TÉLÉNÉPHRO: est à plus de 250 km de la Corporation hospitalière • Étude comparative de deux méthodes de livraison Beauséjour. L’hôpital de Bathurst compte une unité de d’un programme d’enseignement en prédialyse à dialyse mais n’offre pas les services d’un néphrologue; des personnes atteintes d’insuffisance rénale les patients sont suivis par les spécialistes en chronique (IRC). Le programme est donné soit à médecine interne. Le projet Télénéphro permet la distance par la vidéoconférence, soit sur les lieux consultation entre internistes et néphrologues, le • Effets d’une intervention éducative à distance diagnostic, les conférences de cas entre équipes auprès des autochtones diabétiques à risque multidisciplinaires et l’apprentissage à distance des d’insuffisance rénale. Cette recherche vérifiera patients comme des professionnels de la santé. l’efficacité d’une intervention éducative à distance • l’unité satellite d’hémodialyse à Miramichi, à l’est du en ce qui a trait à leurs croyances en matière de N.-B. Les patients des régions avoisinantes se santé rénale, à leurs connaissances et à leur rendent à cette unité au lieu de se déplacer jusqu’au satisfaction relative à l’utilisation de la service de Néphrologie de la Corporation situé à plus vidéoconférence. d’une heure de route de Miramichi. Six patients 4 http://www.ucalgary.ca/md/CST
  • 5. Une évaluation se déroulera avant l’implantation et pendant la mise en opération du projet. Les catégories d’évaluation porteront sur : • l’efficacité clinique • la transférabilité et la généralisabilité • le rapport coût/efficacité • les résultats sur la santé • la satisfaction des clientèles impliquées • la qualité du service 5 http://www.ucalgary.ca/md/CST