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Transcript of Champlain CCAC Virtual Care and Patient Engagement Opportunities for Home and Community Care OCE...
Champlain CCAC
Virtual Care and Patient Engagement Opportunities for
Home and Community Care
OCE Advancing Health Partnering Forum
May 8, 2015
Champlain CCAC 2
A Quick Overview of Home and Community Care in Ontario
Services
CCAC: Personal Support, Nursing, Therapies
CSS/CRC: Homemaking, Adult Day, Assisted Living, Meals on Wheels, many more
To support clients in their homes and communities for their health and personal care needs
PurposeCCAC Volumes (2013/14)
Clients Served
Service Volumes
Funding
• 575,000 clients in their homes• 89,000 children at school• 27,000 clients through end of life
• 6.4 million nursing visits• 2.3 million shift nursing hours• 27 million hours of personal
support services• 1.5million rehabilitation visits
• $2.38B (4.8% of total provincial health budget)
Champlain CCAC 3
A Quick Overview of Home and Community Care in Ontario
Local Health Services in Ontario
• 155 hospital corporations operating 211 sites• 14 Community Care Access Centres• Over 600 long-term care homes• Over 12,000 family physicians operating in a
variety of models, including 170 Family Health Teams and 32 Community Health Centres
• Thousands of community support service agencies, supportive housing and assisted living programs, community mental health and addiction programs and other community services.
Champlain CCAC
Current Home and Community Care Trends
Increased prominence within the Health System
Increasing Client Acuity
Increasing demands; Increased need for coordination across health providers
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Champlain CCAC 7
Home and Community Care - ChallengesUnique issues around care delivery in Home and Community Care
Client Related: Client expectations; Visibility of client / timeliness of feedback on client change of health status; Variability of home setting; Variability of family/caregiver support structures for clients
Care Related: Visibility of care provided by care agencies; Coordination across care providers; Coordination between agencies and family; Needs span clinical care, personal care, social care, etc.
Others: Rural vs. Urban; variability of service availability; managing a distributed workforce effectively
Champlain CCAC 8
Existing eHealth Solutions and Current Gaps in Solution
Gaps in Digital Health Solution Deployments• Unified client view across HSP solutions
• Coordination of services across HSPs (coordination of care plans)
• Maturity of connectivity/interoperability across providers
• Solutions that integrate client/family with service providers
• Utilization of mainstream point-of-care apps/current technology innovations curve
Existing eHealth Solution Focus in Home/Community• CCACs: Modern client management,
assessment, information management, IM, telecommunications, back office, etc.; gateway technology to support HSP interconnectivity
• Service Provider Organizations: Client charting systems, workforce management systems, back office systems, etc.
• CSS/CRCs: Some modernization of client management, information management, assessment systems — early days
• Virtual Care and Patient Engagement solutions deployment – minimal point of care solutions today
Champlain CCAC 9
Problem Statement/Opportunity Spaces
Virtual Care Related (examples)Remote tele-monitoring/tele-checkups (disease specific monitoring thresholds; verify compliance to care plans)
On-Demand tele-consult with care team
Remote tele-visiting
Patient/Family reminders
Patient safety monitoring
Virtual care support solutions: address isolation, monitor nutrition intake, monitor, medication intake
Patient Engagement Related (examples)• Shared client file across patient, family,
multiple in-home care providers
• Two-way/Multi-party/(real-time) collaboration solutions across patient, family, multiple in-home care providers
• Shared update on client status, client appointments, client visit calendar across family and multiple in-home providers
• Caregiver wellbeing/engagement/ educational support solutions (e.g. video playback on health care instructional videos – rehab exercise, wound dressing, falls prevention, etc.)
Champlain CCAC 10
Other Things to Consider
Simplicity and Ease of Use
• Remember the profile of our client; avoid technology clutter; avoid point solution per need
Privacy Controls, Information Security Controls
• More challenging in home and community care settings
Need for Turn-key Offerings
• Solution, training, support to end client
Innovation on Business Model
• CCACs need in-year ROI; can’t afford technology obsolescence curve; don’t have field IT teams in place for in-home install/disconnect/maintenance…
• Buyer of solution may be end client/family;
• “Solution as a service” model (not technology sale);
• “Try before you buy” model to stimulate client/family adoption; pay as you use model to minimize financial risk
Champlain CCAC
Deryl RasquinhaVP – Performance & StrategyChamplain CCACTel: 613-745-8124 ext. 5933E-Mail: [email protected]
Paul BoissonneaultCIOChamplain CCACTel: 613-745-8124 ext. 5949E-Mail: [email protected]
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