NORTH Network and the Future of Telemedicine. Edward M. Brown, MD Executive Director, NORTH Network

Transcription

1 NORTH Network and the Future of Telemedicine Edward M. Brown, MD Executive Director, NORTH Network

2 Summary Overview of NORTH Technology & Services Special Projects Future Plans

3 A Telemedicine Consultation

4 A Telemedicine Consultation

5 Education & Meetings

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7 Benefits of Telehealth in Northern and Rural Ontario Improves access to care Encourages health professional recruitment and retention Reduces costs of patient/physician travel

8 NORTH Network s Program Local staffing and local champions Regional leadership Communication strategies Pay fee-for-service physicians Referral management and scheduling

9 NORTH Network s Program (cont d) Training program & standards Existing referral patterns respected Turnkey technology management Comprehensive services Adaptation for First Nations communities

10 Number of Events Total Patient Consultations March 1, 1998 June 30, ,919 Patient Consultations 50 New Sites go live Mar-98 Jun-98 Sep-98 Dec-98 Mar-99 Jun-99 Sep-99 Dec-99 Mar-00 Jun-00 Sep-00 Dec-00 Mar-01 Jun-01 Sep-01 Dec-01 Mar-02 Jun-02 Sep-02 Dec-02 Mar-03 Jun-03 Sep-03 Dec-03 Mar-04 Jun-04 Date

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13 NORTH Network Patient Consultations Typical Quarter

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15 Medical Equipment

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17 Medical Equipment Otolaryngoscope Endoscope...

18 Clinical Users Over 1300 Family Physicians 680 Medical Specialists Over 200 Allied Health Professionals

19 Total Educational Events Oct-02 Nov-02 October 1, 2002 March 31, Educational Events Dec-02 Jan-03 Feb-03 Mar-03 Apr-03 May-03 Jun-03 Jul-03 Aug-03 Sep-03 Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04

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21 Members and Partners 75 Hospitals Smart Systems for Health Keewaytinook Okimakanak Tribal Council Education programs Cancer centres Psychiatric hospitals Air Ambulance & Base Hospital program Professional Assoc ns Corporate Long-Term Care Facilities Community Mental Health Facilities Community Organiz ns

22 eewaytinook Okimakanak - NORTH Network Partnership

23 Membership Model Aggregate members and applications Leverage base funding Accountability

24 Current Regulatory Environment CPSO CMPA OHIP

25 Network

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27 Support Services Telehealth Help Desk Referral Management and Scheduling Video Bridging & Gateway Equipment Procurement & Maintenance Network Integration & Management Project Development

28 Service Monitoring and Control

29 Referral Management and Scheduling Service (RMSS) Virtual Call Centre 4 FTE s in Timmins 2 FTE s distributed (TB and KO) In Timmins, 6 telephone lines, 40 hours of phone calls per day, 2 faxes constantly running and 9 computers

30 Telehealth Services Manager Scheduling software for clinical, educational and admin. events Can track thousands of simultaneous events Simple web interface Detects scheduling conflicts (room, THC, system) Can book individual encounters, clinics, multi-point or gateway events Notification subsystem consisting of server-side outbound fax and . Reporting of scheduling activity using Seagate Crystal Reports

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32 Northwest Ontario Digital Imaging Network 6 - Film Digitizers 16 - Computed Radiography stations 4 - Diagnostic Review (Dx) stations Atikokan Deer Lake First Nation Dryden Fort Frances Fort Severn First Nation Geraldton Kenora Manitouwadge Marathon Nipigon Red Lake Sioux Lookout 5th Avenue Terrace Bay Thunder Bay Reg. Hosp. Port Arthur Thunder Bay Reg. Hosp. McKellar Thunder Bay St. Joseph s

33 Emergency Tele-Stroke Service Technology Physician Home Access Front Line Staff Training 24/7 Support

34 Tele-Stroke Successes

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36 Tele-Corrections

37 Webcasting webevents.northnetwork.com

38 Currently Under Development Nurse Practitioner Telehealth (20 new sites) Sioux Lookout Zone new sites (19 new sites) Hospitals (15 new sites) Education capacity increase (12 new studios) Long-Term Care homes (4 new sites) Community Mental Health (4 new sites) Hospital Ambulatory Clinic (25 clinic sites) Canadian Hearing Society (1 new site) Privacy Initiative Echocardiography Canada Health Infoway...

39 NORTH Network Satisfaction Patient Satisfaction 96% Referring Physician Satisfaction 98% Specialist Satisfaction 94%

40 Accountability Evaluation framework Clinical Service Delivery User Perspective System Integration & Change Management Innovation & Technology Economic Impact 14 outcome indicators for Province-wide telemedicine indicators

41 Are We Saving Money? During the period Apr01-Mar03 NORTH patients refrained from claiming over 4 million qualifying kilometers and thus saved the Northern Health Travel Grant Program $1.26M. $1,500,000 $1,250,000 $1,000,000 $750,000 $500,000 $250,000 $- Q2-01 Q3-01 Q4-01 Q1-02 Q2-02 Q3-02 Q4-02 Q1-03

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43 Provincial Collaboration PTOC (Provincial Telehealth Operations Committee) Working towards provincial interoperability Membership from all three provincial telehealth networks: NORTH Network, CareConnect & VideoCare Clinical, Technical & Evaluation Working Groups

44 Future Telemedicine Applications Through NORTH Network Scheduling portal Education portal 4 major areas of growth

45 . Further Mainstreaming of Telehealth

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47 2. E-ICU and Emergency Care 25% reduction in mortality rate for ICU population 26% reduction in hospital costs for ICU patients

48 3. Tele-homecare & Primary Care Chronic disease management & prevention Chronic disease is responsible for nearly 70% of all health care system expenses

49 4. EHR Integration Secure access to patient records, including digital images integrated with provincial EHR Development of Store and Forward infrastructure Unique telemedicine data Asynchronous consultations Wait list triage

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