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View from the North       Dr. Ed Brown, CEOThe Ontario Telemedicine Network
Overview• OTN activities and results• How does it work? - the key success factors• Telemedicine as a driver for a high  pe...
Ontario = California + Texas + Maryland
Ontario:    415,000 sq mi    13 million people    Virginia:    43,000 sq mi    8 million people4
OTN: Available Everywhere• One of the world’s  largest & most active  TM networks.• Programs & services  delivered at more...
OTN Vision Telemedicine will be amainstream channel forhealth care delivery and       education. Page 6
OTN Service Channels1. Clinical Telemedicine   – live interactive videoconferencing for patient care2. Emergency Telemedic...
1. Clinical Telemedicine
Participating Organizations• All Hospitals               • Professional Associations• First Nations Communities   • Public...
Active Sites by Setting2009/10
2010 Utilization Total Patient Encounters      125,206* Educational                    11,408 Administrative              ...
Clinical Specialties in Telemedicine •   Bariatrics              •   Ophthalmology •   Cardiology              •   Orthope...
Top 5 Therapeutic Areas of Care(Provincial)2009/10                                  53%
Patient Survey Results 2008/09 data 97%        were satisfied with their telemedicine visit. 79%        said that telemedi...
Avoided Travel in the North50,000,00045,000,000                                                                 45,912,636...
2. Tele-Emergency Services•   Acute stroke•   Burn•   Crisis psychiatry•   Sign language servicesPilot Projects:• Critical...
Outcomes                      (2009/10)Telestroke• 405 consultations and 125 tPA deliveries• 15 lives saved and $1.43M in ...
3. Education & Administration
OTN Event Calendar
Outcomes (2009/10)Education• Accessed by 362,597 learnersTravel for meetings and training• One hospital reported saving $1...
4. Store Forward Tele-Dermatology
Tele-Ophthalmology &Retinal Screening
Outcomes                        (2009/10)Tele-dermatology• Mean time from referral to consultation result was 5.9  days vi...
5. Telehomecare for Chronic   Disease Management
Telehomecare/CDM Study Outcomes    Self-reported data from 813 enrolled patients    with CHF and COPD• 64 – 66 % decrease ...
MoHLTC Data (courtesy of OHA)
What Does OTN Do?1.   Harmonized governance2.   Technical standards3.   Supporting services4.   Inclusive membership model...
OTN’s Multi-Enterprise Network                                 29
End-Point Eco-System
31
Transactional Analysis of Declining                             Cost Over Time                                     160    ...
Marketing
The Key Driver - Provider Innovation• Surgical Telementoring  in Niagara• Regional Cancer  Centres in Northern  Ontario• C...
Health System Goals
Priorities 2011 - 2014 1. Continue to increase provider awareness and adoption    in support of key health care system pri...
Telemedicine Potential 2014When we are done…Benefit                                       Annual OutcomeHospital beds free...
Telemedicine Potential 2014Benefit                                         Annual OutcomeAvoided nursing home admissions  ...
Follow us@OTNTelemedicine
View From the North
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View From the North

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2011 Virginia Telehealth Summit presentation

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Transcript of "View From the North"

  1. 1. View from the North Dr. Ed Brown, CEOThe Ontario Telemedicine Network
  2. 2. Overview• OTN activities and results• How does it work? - the key success factors• Telemedicine as a driver for a high performing health care system
  3. 3. Ontario = California + Texas + Maryland
  4. 4. Ontario: 415,000 sq mi 13 million people Virginia: 43,000 sq mi 8 million people4
  5. 5. OTN: Available Everywhere• One of the world’s largest & most active TM networks.• Programs & services delivered at more than 1,200 sites using 2,100 telemedicine systems Page 5
  6. 6. OTN Vision Telemedicine will be amainstream channel forhealth care delivery and education. Page 6
  7. 7. OTN Service Channels1. Clinical Telemedicine – live interactive videoconferencing for patient care2. Emergency Telemedicine3. Health Care Provider Education & Administration4. Store-Forward Telemedicine – Ophthalmology, Dermatology and Wound Care5. Telehomecare – Remote monitoring and self-management coaching for patients with significant chronic disease
  8. 8. 1. Clinical Telemedicine
  9. 9. Participating Organizations• All Hospitals • Professional Associations• First Nations Communities • Public Health Units• Medical and Nursing • Regional Infection Control Schools Units• Cancer Centres • Ontario Agency for Health• Psychiatric Hospitals Protection & Promotion &• Family Health Teams and Public Health Labs CHCs • Community Living Centres• Community Mental Health • Addiction Treatment Centres Facilities • CCAC Offices• Specialists’ Offices and • LHIN Offices Homes • Federal and Provincial• Rural Nurse Practitioners Prisons• Long-Term Care Homes
  10. 10. Active Sites by Setting2009/10
  11. 11. 2010 Utilization Total Patient Encounters 125,206* Educational 11,408 Administrative 12,640 Total Events 149,254* not including telehomecare Page 11
  12. 12. Clinical Specialties in Telemedicine • Bariatrics • Ophthalmology • Cardiology • Orthopedics • Dermatology • Pediatrics • Endocrinology • Physiotherapy • General Surgery • Rehabilitation Medicine • Mental Health & • Speech Pathology Addiction • Teleradiology • Nephrology & Dialysis • Telestroke • Neurology • Urology • Occupational Therapy • ENT • Oncology • And 30 others
  13. 13. Top 5 Therapeutic Areas of Care(Provincial)2009/10 53%
  14. 14. Patient Survey Results 2008/09 data 97% were satisfied with their telemedicine visit. 79% said that telemedicine allowed them to see their provider sooner. agreed that telemedicine allows them to have more 85% regular follow-up. 83% agreed that telemedicine helps their providers work better as a team to care for them.
  15. 15. Avoided Travel in the North50,000,00045,000,000 45,912,63640,000,00035,000,000 36,494,37030,000,000 32,237,56225,000,00020,000,000 18,839,887 14,944,48915,000,000 12,051,205 12,635,18510,000,000 10,043,273 8,871,796 5,000,000 0 2007/08 2008/09 2009/10 Avoided Travel in the North (kms) Estimated NHTG Cost Avoidance($) Pollutant Load Eliminated (kgs)
  16. 16. 2. Tele-Emergency Services• Acute stroke• Burn• Crisis psychiatry• Sign language servicesPilot Projects:• Critical care• Trauma• Long-term care triagePage 16
  17. 17. Outcomes (2009/10)Telestroke• 405 consultations and 125 tPA deliveries• 15 lives saved and $1.43M in hospital costs avoidedMental health crisis• Hospitals avoided 395 admissions/transfers
  18. 18. 3. Education & Administration
  19. 19. OTN Event Calendar
  20. 20. Outcomes (2009/10)Education• Accessed by 362,597 learnersTravel for meetings and training• One hospital reported saving $119,000
  21. 21. 4. Store Forward Tele-Dermatology
  22. 22. Tele-Ophthalmology &Retinal Screening
  23. 23. Outcomes (2009/10)Tele-dermatology• Mean time from referral to consultation result was 5.9 days via store-forward vs 6 months or greater face-to-faceOphthalmologist - Retinal Specialists• Reported seeing 10 patients in 40 minutes using telemedicine vs. 10 patients in 3 hours in the officeRetinal screening for diabetics• 34% of patients had untreated pathology identified
  24. 24. 5. Telehomecare for Chronic Disease Management
  25. 25. Telehomecare/CDM Study Outcomes Self-reported data from 813 enrolled patients with CHF and COPD• 64 – 66 % decrease in hospital admissions• 72 – 74% reduction in emergency department visits• 16 – 33% decrease in number of primary care physician visits• 95 – 97% reduction in walk-in clinic visits• High levels of patient and provider satisfaction• More than $5 in avoided hospital costs for every $1 invested
  26. 26. MoHLTC Data (courtesy of OHA)
  27. 27. What Does OTN Do?1. Harmonized governance2. Technical standards3. Supporting services4. Inclusive membership model5. Service effectiveness and evolution – Policies, procedures, cost reduction28
  28. 28. OTN’s Multi-Enterprise Network 29
  29. 29. End-Point Eco-System
  30. 30. 31
  31. 31. Transactional Analysis of Declining Cost Over Time 160 140 Variable Cost of All Clinical TransactionsTransactions/Dollars 122 120 102,000 100 (thousands) 80 93 60 40 43 Variable Cost Self Service 20 28 Clinical Visits 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Years
  32. 32. Marketing
  33. 33. The Key Driver - Provider Innovation• Surgical Telementoring in Niagara• Regional Cancer Centres in Northern Ontario• Child & Adolescent Virtual Psychiatric Emergency Room in Central East Page 34 34
  34. 34. Health System Goals
  35. 35. Priorities 2011 - 2014 1. Continue to increase provider awareness and adoption in support of key health care system priorities 2. Establish population-based telehomecare to support CDM 3. Develop a provincial retinal screening program 4. Continue to evolve a simple, unified, lower cost virtual telemedicine channel to support health system transformation 36
  36. 36. Telemedicine Potential 2014When we are done…Benefit Annual OutcomeHospital beds freed up 800Northern Travel Grants avoided more than $35 MMiles of travel avoided 100’s of millionsAvoided emergency department visits 120,000Reduction in wait times for specialist 50%appointments (select specialties)Avoided critical care transfers in Northern 435Ontario 37
  37. 37. Telemedicine Potential 2014Benefit Annual OutcomeAvoided nursing home admissions 17%Reduction in serious visual impairment 5,574 peopleAvoided stroke mortality or severe morbidity 68 peopleIncreased productivity for select specialties Up to 30%Improved knowledge transfer and mentoringImproved collaborationEnabler for transformation of our healthsystem 38
  38. 38. Follow us@OTNTelemedicine

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