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Similar to Otn Ontario Telemedicine Network Pp 12 13
Similar to Otn Ontario Telemedicine Network Pp 12 13 (20)
Otn Ontario Telemedicine Network Pp 12 13
- 2. What is OTN? One of the world’s largest and most active Telemedicine networks. An independent, not-for- profit organization funded by the Government of Ontario. 2
- 3. What is telemedicine? Use of innovative technologies to bring clinical care and/or education to patients and health care professionals. across the province. 3
- 5. Where is OTN? Virtually everywhere! Programs & services delivered collaboratively at more than 1,400 sites using 2,600 telemedicine systems. 5
- 6. Telemedicine Site Locations Hospitals Public Health Units First Nations Communities LHIN Offices Medical and Nursing Schools Long-Term Care Homes Cancer Centres Community Mental Health Facilities Psychiatric Hospitals Community Care Access ORNGE Centres CCO, CIHI Community Living Centres Professional Associations Addiction Treatment Centres (OMA, OHA, RNAO, CPSO) Eating Disorder Clinics Family Health Teams Cardiac Rehab Centre Rural Nurse Practitioners Specialists’ Offices and Homes 6
- 8. Who uses OTN? Physicians and allied HCPs Health care organizations Patients and Families 8
- 9. Professional support The practice of telemedicine is recognized by a number of regulated health professional organizations, including: – College of Physicians and Surgeons of Ontario (CPSO); – College of Nurses of Ontario (CoN); – College of Audiologists & Speech Language Pathologists of Ontario (CALSPO): – College of Dietitians of Ontario (CDO); – College of Occupational Therapists of Ontario (COTO); – College of Physiotherapists of Ontario (COPO); and – College of Psychologists of Ontario (CPO). 9
- 10. 2011/12 Clinical Utilization 10
- 11. Top Therapeutic Areas of Care: Ontario 11
- 12. OTN Vision Telemedicine will be a mainstream channel for health care delivery and education. 12
- 13. Implementing the Vision: 2015 1,000,000+ patients served, with improved access to better integrated, quality care. 40,000+ telehomecare patients annually with increased self-management skills and reduced utilization of more expensive health system resources. 25,000+ healthcare providers using telemedicine to collaborate around patient care, best practices and health education 13 13
- 14. OTN Virtual Channels Healthcare Office Acute Care Learning Home & Community Care 14
- 15. Healthcare office 15
- 17. Types of Referrals Family practice to specialist. Specialist to specialist. Referrals to allied healthcare specialists eg. nurse practitioners, dieticians, speech language pathologists. 17
- 18. Specialty care use of Telemedicine Most commonly used for initial consults & follow-ups. Telemedicine studios at all hospitals in the province. Majority have an on-site telemedicine coordinator to support and ensure technical quality of appointments 18
- 19. Store Forward Telemedicine 19
- 21. 21
- 22. PCVC Personal Computer Videoconferencing PCVC is software that makes it possible for health care providers to use videoconferencing for initial and/or follow- up patient consultations from the convenience of their personal computer. Pilot Project targeting Consulting Physicians Webcam + headset or noise cancellation speaker 22
- 23. Patient benefits of Telemedicine Better access to a broad range of clinical programs and services. Timely diagnosis and treatment. Improved health outcomes. Reduced cost, risk and inconvenience of travel. Care closer to home. 23
- 24. 2012 Patient survey results 91% would use telemedicine again. 92% were satisfied with their telemedicine visit. 96% could see the health care provider clearly. 91% could talk about the same information that they would have talked about in person. 24
- 25. Physician billing Simple, direct-to-OHIP billing. Physician remuneration: – Fee-for-service amounts + special telemedicine premiums. Complete details at www.otn.ca. 25
- 26. Acute Care Provincial 24/7 On-call: Tele-stroke Sign language services Burn Regional Programs: Crisis psychiatry Critical care Trauma Long-term care Page 26
- 27. Learning 27
- 28. Learning via OTN Improves access to education for HCPs in urban/rural areas. Reduces isolation experienced by HCPs in rural/remote settings. 28
- 30. Webcasting Centre Search for webcasts by topic, presenter or date Participate over the internet Interact with instructors using text features 30
- 31. Webconferencing Room for up to 100 participants; unlimited hours; Interactive tools: chat, polling, webcam video and audio. Significant return on investment 31
- 32. Webconferncing ROI Calculator OTN Webconferencing Return on Investment Calculator Enter number of participants who travel to meetings or for education Participants/Month 20 here. Annual Travel Cost Avoided $7,440 Based on OTN Webconference User Survey *62 km average travel avoidance per participant *$.50/km travel cost *$31 per participant per event travel cost avoided 32
- 33. Home & Community Care 33
- 34. 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 34
- 35. Membership in OTN Enables access to world’s largest collaborative community of telemedicine-enabled organizations. – Allows participation in clinical, educational & health care administrative events. Integrating telemedicine into your organization: – enhances delivery of care; – is a cost-effective means of providing staff development and knowledge; and – enables you to host or attend regional and provincial meetings. 35
- 36. “Green” benefits Use of Telemedicine resulted in: – avoidance of more than $44M in Northern Health Travel Grants; – avoidance of more than 208 million km of patient travel (or 5151 trips around the earth!); – elimination of more than 57 kg of pollutant load; – saving of 23 million L of fuel. 36
- 37. OTN’s commitment to Members Complete interoperability across Ontario. Province-wide support for clinical, educational and administrative events via a unified technical service desk. Contact Centre to assist with scheduling events. A scheduling portal enabling online scheduling and studio management. Online publication of available education events. Webcasting services to record and view live and archived educational and administrative events. 37
- 38. Training for Telemedicine OTN provides users with comprehensive training, support and advice in: – Network protocols, procedures & policies; – Network management; – Selection and deployment of video technology; – Providing clinical & educational services. 38
- 39. OTN’s support services 7am to 7pm Service Desk (with after hours on-call coverage) Scheduling Training 39
- 40. Membership fees No Membership fees for LHIN-accountable organizations. Some fees apply for non-LHIN accountable organizations. 40
- 41. Privacy OTN protects all personal health information consistent with the requirements of the Personal Health Information Protection Act, 2004. For more information, you may contact OTN’s Privacy Office: – Email: privacy@otn.ca – Phone: 1-866-454-6861 41
- 42. Thank you! For additional information about OTN, please visit www.otn.ca 42
Editor's Notes
- All kinds of neat medical peripherals to facilitate the appointment.
- A note about the figures on this slide: The percentages reflect clinical events from TSM only. It does not include other utilization (we are unable to apply Therapeutic Areas of Care classification to other utilization and therefore SF, TS, & WCs are never included in TAC reports or reports where LHIN/site specific data is included.)
- Mission: To develop and support telemedicine solutions that enhance access and quality of health care in Ontario, and inspire adoption by health care providers, organizations, and the public
- A catalyst for change, OTN is leading the transformation of Ontario’s “bricks and mortar” health care system to a virtual one, overcoming the barriers of time and geography to provide the right care, at the right time, in the right place.
- The Health Care Office will be used by Ontario’s primary care providers and specialists, as a single point of access to deliver effective patient care by videoconference – either room-based or through their PC/mobile device using a private and secure Internet connection. The Health care office will allow providers to leverage state-of-the-art technologies, such as store forward, to increase access to scarce healthcare resources, to connect with other providers and sites that use Telemedicine and to share information.
- The Telemedicine Directory (TM Directory), is the easiest way for OTN referrers, telemedicine coordinators and consultants to find the people and places using telemedicine.
- Moving the information, not the patient is the concept behind Otn.teledermSF. Store forward reducs wait times for patients so they can receive a same-day diagnosis and treatment plan without the need to see a dermatologist face-to-face.
- Another use of store forward technology, OTN is piloting a retinal screening program which provides routine biannual eye examinations to ensure diabetic retinopathy is detected and treated appropriately for Ontario patients living with diabetes, regardless of where they are located in the province.
- The move from room-based to personal computer videconferencing will start rolling out this year.
- The Acute Care channel enables rapid access to on-call expertise for trauma, emergency and critical care service across the province. It provides the primary, community, hospital and LTC settings with rapid remote access to urgent/emergent expertise to better manage care, closer to home.
- The Learning & Meeting Channel leverages OTN’s network to provide professional education opportunities to Members (organizations and individuals) or administrative events such as group and/or one-to- one meetings. As a result, health professional travel time and costs are reduced. More than 400,000 participants took part in telemedicine-enabled education in 2010/11.
- Education Events: 13,965
- The OTN Learning Centre offers an online and easy-to-use single point of access to thousands of health education events annually. Health care providers can search the learning opportunities by date, time, location, presenter, therapeutic area of care and sign up for personal learning alerts based on their area of interest.
- OTN hosted 1762 webcasts last year, for a total of 62,258 webcast views, a 17% increase over last year.
- New feature launched last fall, webconferencing offers a low-cost, feature-rich software conferencing solution designed for distance learning and meetings.
- Calculate your savings using the Webconferencing ROI calculator found on the OTN website.
- Chronic diseases are a major cause of disability and death, and very costly to the health care system. Nearly 80% of Ontarians aged 45+ have a chronic condition. Of those, approximately 70% suffer from two or more chronic conditions. Using technology to empower patients to self-manage their conditions, thereby reducing the need to go to the doctor or the emergency room – is the basis for this channel of care delivery.
- OTN managed a pilot study of THC and these were the results (prepared by Price Waterhouse Coopers). The success of the pilot has led to an expansion, which will begin rolling out this year in three LHINs (Central, NE and Toronto Central) and expand across the province with up to 30,000 patients enrolled by 2015.