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Collaborating To Bring Care Closer To home
Government & Health Technologies Conference & Expo
March 8, 2006
Today’s Agenda
• A Telehealth Primer• The Evolution of CareConnect• Our Collaborative Model• The Results• Local Visionaries• Our Future
A Telehealth Primer
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
What is Telehealth?
Medical Carts
POLYCOM iDOC
TANDBERG Intern II
P2P/GDC
Benefits to Patients
Patients
HCPs
HealthcareOrganizations
• Improved access to services and specialists
• Integrated service delivery•Reduced patient travel inconvenience & travel expense
•Reduced wait times for assessment and treatment
•Wellness education & support
Benefits to Health Care Professionals
Patients
HCPs
•Access to specialists & other clinical resources
•Clinical peer support•Reduced travel time & associated costs
•Improved coordination of service delivery
•Professional development
HealthcareOrganizations
Benefits to Health Care Organizations
Patients
HCPs
• Improved accessibility•Reduced waiting lists•Renewed focus on core business
•Facilitate appropriate transfers•Attract & retain healthcare professionals
•More comprehensive local & regional services
•Alternate service delivery channelHealthcare
Organizations
Our Evolution
Our EvolutionJune 2001
• Federal CHIPP project with 19 sites known as Eastern Ontario Telehealth Network (EOTN)
March 2003• Recognized as provincial program • New Sites - South East and Champlain• New Name “CareConnect”
Today • 27 partners on more than 50 sites
Our Vision
We will create a connected community of caring,
linking partners to bring care closer to home.
Our partners provide care for1.5M people over 35,000 km2
101 Systems Deployed
Phase 3:Provincial Joint Services Delivery Network (JSDN)
Phase 2:Regional Telehealth Consultative, Diagnostic & Educational Service Provider
Seamless Coordination
En
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Value Proposition Scope
Se
rvic
e M
od
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Operational Simplicity,Reliability, Coverage
Alternative Service Delivery Channel for existing Regional Programs of Excellence:
• Cardiology• Gerontology• Mental Health• Paediatrics• Stroke• Dermatology• Etc.
French Language ServicesProfessional Education
Horizontally Integrated network of services for Clinicians and Patients that reduces the overall
cost of health care delivery
CareC
onne
ct
Roadm
ap
Man
aged
Ser
vice
Clin
ical
Ser
vice
JSD
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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
Our Collaborative Model
Regional Governance
• Regional Advisory Committee• Steering Committee• Professional Advisory Committee• Opportunity Review Board• Management Committee
Master Collaboration Agreement
• Comprehensive legal document• Senior leadership buy-in & commitment
to network• Outlines parameters of relationships• Obligations of each partner• Ties transfer of assets to performance
metrics
Partner In-Kind Contributions
• Senior Administration Leads• Telehealth Coordinators• Technical Leads• Communications Leads • Physician Champions • Education Leads
CareConnect Contribution
• Medical/Clinical Support Clinical Service Development Education Event Coordination
• Network Engineering & Support• Education & Training• Finance & Administration• Marketing & Communications• Program Evaluation• Strategic Planning
The Results
Health Care Professionals
Core Services in 2004-2005•91 CareConnect physicians•82 other health care providers•Plus providers across Ontario
~ 200 telehealth consulting providers in over 90 clinical services!
Established Clinical ProgramsCardiology • Bilingual program• 5 specialties, 13 clinical services• Paediatric and adult services
Mental Health• 14 adult services, 6 services available in
French• All paediatric mental health services
available
Established Clinical Programs (cont’d)
• Dermatology• Orthopaedics• Rehab Medicine• Stroke/Tele-Stroke • Urology• French Language Services
Developing Clinical Services
• Endocrinology• Nephrology• Neurology• Mental Health - Crisis Intervention• Obstetrics & Gynecology• Rehab Amputee Clinic to Moose Factory• Home Monitoring
On The Horizon
• Tele-radiology• Web casting• Ophthalmology• Endoscopy• Tele-pathology• Expanded Tele-Homecare
LocalVisionaries
VisionariesVisionaries
Children’s Hospital of Eastern Ontario
Regional, provincial, national … and international activity
Leader in education & clinical sessions
Visionaries
St. Francis Memorial HospitalBarry’s Bay
Leader in receiving clinical & education services e.g. Mental Health, cardiology, dermatology, (adult & paediatrics)
Visionaries• French language services
Hôpital Montfort, The Ottawa Hospital, Royal Ottawa Health Care Group &
CHEO Provincial Activity (focus on the North) University Health Network transplants
Visionaries
University of Ottawa Heart Institute leader in consulting services provincial experts in cardiology & home
care provide regularly scheduled clinics providing semi-urgent ER care leading to 24x7 care
Our Future
Our Goal
Single, unified Ontario telehealth network:
“Ontario Telehealth Network”(OTN)
Why Integration?
• Ontario’s 3 Telehealth Networks -CareConnect, NORTH Network, VideoCare significant growth; e-Health success story
• Experiencing constraints inability to grow and satisfy demand for services
• Ontario MoHLTC aligned with transformation agenda significantly increase capacity to establish and
support province-wide services
Transformation Vision
Desired FutureState
CurrentState
• Separate organizations• Different business & service delivery models
• Interoperability challenges• Multiple client interfaces• ‘Regional’ focus
• Single organization• One business & service delivery model• Complete systems integration• Market space dominant• Single client view• Provincial focus with regional delivery & supports
Transformation Plan and Process
• Independent NFP Telehealth Network as of April 06
• Improved capacity to grow & innovate• 100 staff strong• Implementation of collective vision for the
future of telehealth and the healthcare system
• A powerful voice for health care in Ontario• Unique in Canada
Positive Results of Integration
