Collaborating to Bring Care Closer to Home


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  • We did not deploy any equipment until the MCAs were approved by the governing board and signed by the CEOs The partners agreed to a certain level of in-kind contributions to ensure activity targets were met By projecting activity levels with each hospital, we were able to obtain a fairly accurate figure for this fiscal year, requested by MOH; Had to predict physician activity and funds required for reimbursement (not covered under health insurance plan yet)
  • Collaborating to Bring Care Closer to Home

    1. 1. Collaborating To Bring Care Closer To home Government & Health Technologies Conference & Expo March 8, 2006
    2. 2. Today’s Agenda <ul><li>A Telehealth Primer </li></ul><ul><li>The Evolution of CareConnect </li></ul><ul><li>Our Collaborative Model </li></ul><ul><li>The Results </li></ul><ul><li>Local Visionaries </li></ul><ul><li>Our Future </li></ul>
    3. 3. A Telehealth Primer
    4. 4. An e-health Primer - Canada Infostructure Client & Provider Registries Drug Information Systems Diagnostic Imaging Systems Laboratory Information Systems Telehealth e-health = $1 - $1.2B over 6 years telehealth = $120 M
    5. 5. What is Telehealth?
    6. 7. Medical Carts POLYCOM iDOC TANDBERG Intern II P2P/GDC
    7. 8. Benefits to Patients Patients HCPs Healthcare Organizations <ul><li>Improved access to services and specialists </li></ul><ul><li>Integrated service delivery </li></ul><ul><li>Reduced patient travel inconvenience & travel expense </li></ul><ul><li>Reduced wait times for assessment and treatment </li></ul><ul><li>Wellness education & support </li></ul>
    8. 9. Benefits to Health Care Professionals Patients HCPs <ul><li>Access to specialists & other clinical resources </li></ul><ul><li>Clinical peer support </li></ul><ul><li>Reduced travel time & associated costs </li></ul><ul><li>Improved coordination of service delivery </li></ul><ul><li>Professional development </li></ul>Healthcare Organizations
    9. 10. Benefits to Health Care Organizations Patients HCPs <ul><li>Improved accessibility </li></ul><ul><li>Reduced waiting lists </li></ul><ul><li>Renewed focus on core business </li></ul><ul><li>Facilitate appropriate transfers </li></ul><ul><li>Attract & retain healthcare professionals </li></ul><ul><li>More comprehensive local & regional services </li></ul><ul><li>Alternate service delivery channel </li></ul>Healthcare Organizations
    10. 11. Our Evolution
    11. 12. Our Evolution <ul><li>June 2001 </li></ul><ul><ul><li>Federal CHIPP project with 19 sites known as Eastern Ontario Telehealth Network (EOTN) </li></ul></ul><ul><li>March 2003 </li></ul><ul><ul><li>Recognized as provincial program </li></ul></ul><ul><ul><li>New Sites - South East and Champlain </li></ul></ul><ul><ul><li>New Name “CareConnect” </li></ul></ul><ul><li>Today </li></ul><ul><ul><li>27 partners on more than 50 sites </li></ul></ul>
    12. 13. Our Vision <ul><li>We will create a connected </li></ul><ul><li>community of caring, </li></ul><ul><li>linking partners </li></ul><ul><li>to bring care closer to home. </li></ul>
    13. 14. Our partners provide care for 1.5M people over 35,000 km 2 101 Systems Deployed
    14. 15. Phase 3: Provincial Joint Services Delivery Network (JSDN) Phase 2: Regional Telehealth Consultative, Diagnostic & Educational Service Provider Seamless Coordination Engineer, furnish, install, maintain, integrate, train, manage session Clinical Support & Education Real-time Service Integration Value Proposition Scope Service Model Scope Operational Simplicity, Reliability, Coverage <ul><li>Alternative Service </li></ul><ul><li>Delivery Channel for </li></ul><ul><li>existing Regional </li></ul><ul><li>Programs of Excellence: </li></ul><ul><ul><li>Cardiology </li></ul></ul><ul><ul><li>Gerontology </li></ul></ul><ul><ul><li>Mental Health </li></ul></ul><ul><ul><li>Paediatrics </li></ul></ul><ul><ul><li>Stroke </li></ul></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Etc. </li></ul></ul><ul><li>French Language Services </li></ul><ul><li>Professional Education </li></ul>Horizontally Integrated network of services for Clinicians and Patients that reduces the overall cost of health care delivery CareConnect Roadmap Managed Service Clinical Service JSDN Video Service to Hospitals to enable the network Vertically Integrated Clinical and Educational Service to Hospitals that improves accessibility to health care services Improved Accessibility Phase 1: Video Consultation Service Provider Our Roadmap
    15. 16. Our Collaborative Model
    16. 17. Regional Governance <ul><li>Regional Advisory Committee </li></ul><ul><li>Steering Committee </li></ul><ul><li>Professional Advisory Committee </li></ul><ul><li>Opportunity Review Board </li></ul><ul><li>Management Committee </li></ul>
    17. 18. Master Collaboration Agreement <ul><li>Comprehensive legal document </li></ul><ul><li>Senior leadership buy-in & commitment to network </li></ul><ul><li>Outlines parameters of relationships </li></ul><ul><li>Obligations of each partner </li></ul><ul><li>Ties transfer of assets to performance metrics </li></ul>
    18. 19. Partner In-Kind Contributions <ul><li>Senior Administration Leads </li></ul><ul><li>Telehealth Coordinators </li></ul><ul><li>Technical Leads </li></ul><ul><li>Communications Leads </li></ul><ul><li>Physician Champions </li></ul><ul><li>Education Leads </li></ul>
    19. 20. CareConnect Contribution <ul><li>Medical/Clinical Support </li></ul><ul><ul><li>Clinical Service Development </li></ul></ul><ul><ul><li>Education Event Coordination </li></ul></ul><ul><li>Network Engineering & Support </li></ul><ul><li>Education & Training </li></ul><ul><li>Finance & Administration </li></ul><ul><li>Marketing & Communications </li></ul><ul><li>Program Evaluation </li></ul><ul><li>Strategic Planning </li></ul>
    20. 21. The Results
    21. 23. Health Care Professionals <ul><li>Core Services in 2004-2005 </li></ul><ul><ul><li>91 CareConnect physicians </li></ul></ul><ul><ul><li>82 other health care providers </li></ul></ul><ul><ul><li>Plus providers across Ontario </li></ul></ul><ul><li>~ 200 telehealth consulting providers in over 90 clinical services! </li></ul>
    22. 24. Established Clinical Programs <ul><li>Cardiology </li></ul><ul><li>Bilingual program </li></ul><ul><li>5 specialties, 13 clinical services </li></ul><ul><li>Paediatric and adult services </li></ul><ul><li>Mental Health </li></ul><ul><li>14 adult services, 6 services available in French </li></ul><ul><li>All paediatric mental health services available </li></ul>
    23. 25. Established Clinical Programs (cont’d) <ul><li>Dermatology </li></ul><ul><li>Orthopaedics </li></ul><ul><li>Rehab Medicine </li></ul><ul><li>Stroke/Tele-Stroke </li></ul><ul><li>Urology </li></ul><ul><li>French Language Services </li></ul>
    24. 26. Developing Clinical Services <ul><li>Endocrinology </li></ul><ul><li>Nephrology </li></ul><ul><li>Neurology </li></ul><ul><li>Mental Health - Crisis Intervention </li></ul><ul><li>Obstetrics & Gynecology </li></ul><ul><li>Rehab Amputee Clinic to Moose Factory </li></ul><ul><li>Home Monitoring </li></ul>
    25. 27. On The Horizon <ul><li>Tele-radiology </li></ul><ul><li>Web casting </li></ul><ul><li>Ophthalmology </li></ul><ul><li>Endoscopy </li></ul><ul><li>Tele-pathology </li></ul><ul><li>Expanded Tele-Homecare </li></ul>
    26. 28. Local Visionaries
    27. 29. Visionaries <ul><li>Children’s Hospital of Eastern Ontario </li></ul><ul><ul><li>Regional, provincial, national … and international activity </li></ul></ul><ul><ul><li>Leader in education & clinical sessions </li></ul></ul>
    28. 30. Visionaries <ul><li>St. Francis Memorial Hospital </li></ul><ul><li>Barry’s Bay </li></ul><ul><li>Leader in receiving clinical & education services </li></ul><ul><ul><li>e.g. Mental Health, cardiology, dermatology, </li></ul></ul><ul><ul><li>(adult & paediatrics) </li></ul></ul>
    29. 31. Visionaries <ul><ul><li>French language services </li></ul></ul><ul><ul><li>Hôpital Montfort, The Ottawa Hospital, Royal Ottawa Health Care Group & CHEO </li></ul></ul><ul><ul><ul><li>Provincial Activity (focus on the North) </li></ul></ul></ul><ul><ul><ul><li>University Health Network transplants </li></ul></ul></ul>
    30. 32. Visionaries <ul><li>University of Ottawa Heart Institute </li></ul><ul><ul><li>leader in consulting services </li></ul></ul><ul><ul><li>provincial experts in cardiology & home care </li></ul></ul><ul><ul><li>provide regularly scheduled clinics </li></ul></ul><ul><ul><li>providing semi-urgent ER care </li></ul></ul><ul><ul><li>leading to 24x7 care </li></ul></ul>
    31. 33. Our Future
    32. 34. Our Goal <ul><li>Single, unified </li></ul><ul><li>Ontario telehealth network: </li></ul><ul><li>“ Ontario Telehealth Network ” </li></ul><ul><li>(OTN) </li></ul>
    33. 36. Why Integration? <ul><li>Ontario’s 3 Telehealth Networks - </li></ul><ul><ul><li>CareConnect, NORTH Network, VideoCare </li></ul></ul><ul><ul><li>significant growth; e-Health success story </li></ul></ul><ul><li>Experiencing constraints </li></ul><ul><ul><li>inability to grow and satisfy demand for services </li></ul></ul><ul><li>Ontario MoHLTC </li></ul><ul><ul><li>aligned with transformation agenda </li></ul></ul><ul><ul><li>significantly increase capacity to establish and support province-wide services </li></ul></ul>
    34. 37. Transformation Vision Desired Future State Current State <ul><li>Separate organizations </li></ul><ul><li>Different business & service delivery models </li></ul><ul><li>Interoperability challenges </li></ul><ul><li>Multiple client interfaces </li></ul><ul><li>‘ Regional’ focus </li></ul><ul><li>Single organization </li></ul><ul><li>One business & service delivery model </li></ul><ul><li>Complete systems integration </li></ul><ul><li>Market space dominant </li></ul><ul><li>Single client view </li></ul><ul><li>Provincial focus with regional </li></ul><ul><li>delivery & supports </li></ul>Transformation Plan and Process
    35. 38. <ul><li>Independent NFP Telehealth Network as of April 06 </li></ul><ul><li>Improved capacity to grow & innovate </li></ul><ul><li>100 staff strong </li></ul><ul><li>Implementation of collective vision for the future of telehealth and the healthcare system </li></ul><ul><li>A powerful voice for health care in Ontario </li></ul><ul><li>Unique in Canada </li></ul>Positive Results of Integration
    36. 39. For more information <ul><li>Kathy Crone </li></ul><ul><li>CareConnect </li></ul><ul><li>[email_address] </li></ul>