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TELEGERIATRICS & TELEREHABILITATION in Alberta

TELEGERIATRICS & TELEREHABILITATION in Alberta. February 24, 2003 Anne Morrison Senior Operating Officer - GRH Isabel Henderson Director, Clinical Support - GRH. Introduction.

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TELEGERIATRICS & TELEREHABILITATION in Alberta

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  1. TELEGERIATRICS & TELEREHABILITATIONin Alberta February 24, 2003 Anne Morrison Senior Operating Officer - GRH Isabel Henderson Director, Clinical Support - GRH

  2. Introduction • Telehealth experience to date across the province has included clinical activity, learning activity and business activity • There is wide-spread interest in expanding clinical delivery across Alberta • Rehabilitation and Geriatrics identified as key areas for clinical Telehealth development • Capital Health given leadership role for Telerehabilitation and Telegeriatrics

  3. Introduction • Alberta we//net objectives for Telehealth: • Improve rural/remote access to services • Support information, education, technology for rural doctors and providers • Improve efficiency of specialized health services • Note: in 2002 many RHA’s had limited use due to still-recent technology installations

  4. Project Methodology • Participation: Rehabilitation - over 25 professionals from 11 RHA’s; Geriatrics - over 20 professionals from 11 RHA’s • Input obtained from key stakeholders - physicians/administrators/staff from RHA’s and Alberta Mental Health System • Literature reviews, benchmarking analyses used

  5. Project Methodology • Literature Review used to identify projects, best practices relevant to Rehabilitation and Geriatrics

  6. Project Methodology • 13 centres examined for benchmarking analyses – key functional applications: • Rehabilitation and Geriatrics consultations • Assessment/prescreening • Discharge planning/post-discharge follow-up • Education, information for patients and caregivers • Training of health care professionals • 11 RHA Surveys (Telehealth Activity Inventory) • Steering Committee meetings held by teleconference and videoconference

  7. Project Methodology • Submitted inventory of Telehealth activities • Identified key programs • Service types (Teleclinical/Telelearning/Telebusiness) • Utilization statistics • Implementation status • Described current activities • Clinical Consultation, Discharge Planning, Education, etc. • Outlined planned activities • Teleclinical Activities • Expansion of Telelearning • Supervision/Mentoring of Students, Staff

  8. Provincial Priorities • Priorities Identified by RHA’s • Teleclinical Rehab Ger • Clinical consultation  • Discharge planning for complex cases  • Speech Language Pathology  • Seating 

  9. Provincial Priorities • Priorities Identified by RHA’s • Telelearning Rehab Ger • Patient/family education  • Staff continuing education   • Supervision/mentoring of students/staff  • Telebusiness • Service Delivery Protocols for Geriatrics 

  10. Priorities for Teleclinical • Priorities Identified by RHA’s Rehab Ger • Clinical Consultation  • Access to professionals for specialized consultation • Telehealth assessments can be full, pre-screening or post-discharge • Discharge Planning for  Complex Cases • Involvement of local, remote partners in discharge planning helps expedite patient discharge

  11. Priorities for Teleclinical • Priorities Identified by RHA’s Rehab Ger • Speech Language Pathology  • Rural/remote areas require access to professionals for specialized consultation • Seating  • Specialists not available in rural/ remote areas • Travel a burden/barrier

  12. Priorities for Telelearning • Priorities Identified by RHA’s Rehab Ger • Patient/Family Education  • Helps deliver diagnoses, treatment options, interventions, strategies, etc. to remote areas • Staff Continuing Education   • Improving practitioners’ knowledge base • Reduced cost, access, collaborative learning • Supervision/Mentoring of  Students/Staff • Videoconferencing being explored

  13. Priorities for Telebusiness • Priorities Identified by RHA’s Rehab Ger • Need to standardize service  delivery protocols across RHA’s • Participation in provincial/  national committee meetings • Conducting job interviews  • Telehealth a potential cost-saver  due to expenses of travel

  14. Observed Differences • More formal long-standing Rehabilitation arrangements are in existence across Alberta • Geriatrics has a smaller specialized provider base • Training of staff a critical issue for Geriatrics

  15. Recommendations • Important to support clinicians in using Teleclinical applications through: • Protocols • Best Practice • Utilization Review • Research • Technology

  16. Conclusion/Tactics/Next Steps • Telehealth has potential for enhanced service delivery and education across province • Need to start with core group of non-problematic services and expand from there • Essential infrastructure, training needed to support clinicians • “Piggy-back” on work of existing forums (e.g., Alberta Geriatric Advisory Committee)

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