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Rethinking the Role of
Work, Technology, and
Rural Healthcare
Rural Alberta Management (RAM)
Retreat 2012




Stella Lee
Blended Learning Leader,
Global Learning Team
Golder Associates, Inc., Canada
Today’s aims

• Discover new technologies, emerging trends, and good practices


• Learn about how technologies affects your work and life


• Explore opportunities to integrate that into your rural healthcare communities
Outline

• Introduction


• What is the future of work?


• eHealth trends


• Challenges and opportunities for rural healthcare


• Questions and discussions
“Future shock is the shattering stress and
disorientation that we induce in individuals by
subjecting them to too much change in too
short a time”
-Alvin Toffler
“The Future has already arrived. It
is just not evenly distributed yet”
-William Gibson
What is the future of work?
The future of work is:

• Collaborative


• Flat


• Competitive
Today, teams use web-based collaboration tools to
work together, anytime, anywhere

• Collaboration tool: Google Doc (https://docs.google.com)


• File sharing: Drop Box (http://www.dropbox.com)
The world is flat

• “By 'flat' I did not mean that the world is getting equal. I said that
  more people in more places can now compete, connect and
  collaborate with equal power and equal tools than ever before.
  That's why an Indian in Bangalore can take care of the office work of
  American doctors or read the X-rays of German hospitals.”
 - Thomas Friedman
Flat-enabling tools

• VoIP tool: Skype (http://www.skype.com)


• Webniars: Adobe Connect (
  http://www.adobe.com/products/adobeconnect.html)
source: http://www.liv.ac.uk/csd/adobeconnect/index.htm




S uc : ht:/ t c ais d / a h gc m to f
 o re t / .u d v .e ut c in /o mo l m
        p ie           e           .c
In 2004, JetBlue started a revolution,
 allowing 700 customer service reps to
work from home with no central office.




S uc : ht:/ w .s eh r.n tbe m nte uue f ok 3 1 7
 o re t / w l s ae e/ rn a / -ftr-o-w r-2 6 4 9
        p w     id       j     h
Lifelong learning/informal learning become more
important and readily available

• Open learning initiatives: Stanford AI class (https://www.ai-class.com/)


• Video-based tutorials: Khan Academy (http://www.khanacademy.org)
eHealth trends
Technologies are being developed to support:

• Provider education/consultation


• Care delivery


• Communication and community building


• Remote diagnosis
SMS consultation

• Truth On Call - provide answers via
  text messages


• Connects with physicians in the US
  and UK


• Industry pays to ask the questions
  and the physicians are paid for
  their responses
source: http://www.truthoncall.com/
Mobile apps for education

• Blausen Human Atlas - apps for
  iPhone and iPad


• Has library of 150 interactive 3D
  animations, 1200 images and 1500
  medical terms
source: http://blausen.com/atlas/english/human/new
Online communities/collaborations

• Patients Like Me: allow people
  with life-changing conditions to
  connect with one another.


• Data-driven social network health
  site
source: http://www.patientslikeme.com/
Remote diagnostics

• AirStrip: remote patient monitoring via
  smartphones and tablets


• Live streaming patient information from
  hospital monitoring system to clinician’s
  mobile devices


• Information such as heart rate, respiratory
  rate and blood pressure
source: http://www.airstriptech.com
Challenges and
opportunities for rural
     healthcare
Challenges facing rural healthcare professionals

• Problems of scarcity and distance


• More travel time to visit patients, fewer face-to-face visits


• Communicating with other providers and specialists


• Limited access to medical knowledge and research work


• Lack of networking, learning opportunities
Opportunities: Technology enabled solutions

• Email, Skype, social media for communication, consults and education


• Community-based websites for medical information, collaboration, and
  bringing people together


• Mobile apps and web conferencing tools for remote diagnosis and patient
  monitoring
Issues to consider:

• Identify other institutions with common interests and goals


• Collaboration among institution and individual providers


• Integration with work flow


• Effective selection of supportive technologies
The biggest challenges are organizational issues, not
technology!

• Lack of buy-in


• Resistance to change


• Lack of technical expertise
Getting it right

• Spend time planning


• Patient/clinician driven, not technology driven


• Pilot testing


• Allow for technical difficulties and delay


• Have a backup plan


• Ongoing training and support
Questions and discussions
Thank you!

• Email: stella_lee@golder.com, stellaylee@gmail.com

 Twitter: @stellal


• Skype: starry_java


• Academia.edu: http://athabascau.academia.edu/StellaLee


• LinkedIn: http://ca.linkedin.com/pub/stella-lee/1/588/a32

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Rethinking the Role of Work, Technology, and Rural Healthcare

  • 1. Rethinking the Role of Work, Technology, and Rural Healthcare Rural Alberta Management (RAM) Retreat 2012 Stella Lee Blended Learning Leader, Global Learning Team Golder Associates, Inc., Canada
  • 2. Today’s aims • Discover new technologies, emerging trends, and good practices • Learn about how technologies affects your work and life • Explore opportunities to integrate that into your rural healthcare communities
  • 3. Outline • Introduction • What is the future of work? • eHealth trends • Challenges and opportunities for rural healthcare • Questions and discussions
  • 4. “Future shock is the shattering stress and disorientation that we induce in individuals by subjecting them to too much change in too short a time” -Alvin Toffler
  • 5. “The Future has already arrived. It is just not evenly distributed yet” -William Gibson
  • 6. What is the future of work?
  • 7. The future of work is: • Collaborative • Flat • Competitive
  • 8. Today, teams use web-based collaboration tools to work together, anytime, anywhere • Collaboration tool: Google Doc (https://docs.google.com) • File sharing: Drop Box (http://www.dropbox.com)
  • 9.
  • 10.
  • 11.
  • 12. The world is flat • “By 'flat' I did not mean that the world is getting equal. I said that more people in more places can now compete, connect and collaborate with equal power and equal tools than ever before. That's why an Indian in Bangalore can take care of the office work of American doctors or read the X-rays of German hospitals.” - Thomas Friedman
  • 13. Flat-enabling tools • VoIP tool: Skype (http://www.skype.com) • Webniars: Adobe Connect ( http://www.adobe.com/products/adobeconnect.html)
  • 14. source: http://www.liv.ac.uk/csd/adobeconnect/index.htm S uc : ht:/ t c ais d / a h gc m to f o re t / .u d v .e ut c in /o mo l m p ie e .c
  • 15. In 2004, JetBlue started a revolution, allowing 700 customer service reps to work from home with no central office. S uc : ht:/ w .s eh r.n tbe m nte uue f ok 3 1 7 o re t / w l s ae e/ rn a / -ftr-o-w r-2 6 4 9 p w id j h
  • 16. Lifelong learning/informal learning become more important and readily available • Open learning initiatives: Stanford AI class (https://www.ai-class.com/) • Video-based tutorials: Khan Academy (http://www.khanacademy.org)
  • 17.
  • 18.
  • 20. Technologies are being developed to support: • Provider education/consultation • Care delivery • Communication and community building • Remote diagnosis
  • 21. SMS consultation • Truth On Call - provide answers via text messages • Connects with physicians in the US and UK • Industry pays to ask the questions and the physicians are paid for their responses
  • 23. Mobile apps for education • Blausen Human Atlas - apps for iPhone and iPad • Has library of 150 interactive 3D animations, 1200 images and 1500 medical terms
  • 25.
  • 26. Online communities/collaborations • Patients Like Me: allow people with life-changing conditions to connect with one another. • Data-driven social network health site
  • 28.
  • 29. Remote diagnostics • AirStrip: remote patient monitoring via smartphones and tablets • Live streaming patient information from hospital monitoring system to clinician’s mobile devices • Information such as heart rate, respiratory rate and blood pressure
  • 32. Challenges facing rural healthcare professionals • Problems of scarcity and distance • More travel time to visit patients, fewer face-to-face visits • Communicating with other providers and specialists • Limited access to medical knowledge and research work • Lack of networking, learning opportunities
  • 33. Opportunities: Technology enabled solutions • Email, Skype, social media for communication, consults and education • Community-based websites for medical information, collaboration, and bringing people together • Mobile apps and web conferencing tools for remote diagnosis and patient monitoring
  • 34. Issues to consider: • Identify other institutions with common interests and goals • Collaboration among institution and individual providers • Integration with work flow • Effective selection of supportive technologies
  • 35. The biggest challenges are organizational issues, not technology! • Lack of buy-in • Resistance to change • Lack of technical expertise
  • 36. Getting it right • Spend time planning • Patient/clinician driven, not technology driven • Pilot testing • Allow for technical difficulties and delay • Have a backup plan • Ongoing training and support
  • 38. Thank you! • Email: stella_lee@golder.com, stellaylee@gmail.com Twitter: @stellal • Skype: starry_java • Academia.edu: http://athabascau.academia.edu/StellaLee • LinkedIn: http://ca.linkedin.com/pub/stella-lee/1/588/a32

Editor's Notes

  1. social network for companies. Can discuss ideas, share links, post news, ask questions, create private/public groups.
  2. had 160,000 students signed up. Two-thirds from outside the US.
  3. over 3,100 video on everything. Started in 2006 as a way to tutor his niece.
  4. in 2010, University of Minnesota College of Education issued iPads to all freshmen, about 450 total.