1 / 30

FNIHB Manitoba Innovation Pilot Project 2009-2013

shira
Download Presentation

FNIHB Manitoba Innovation Pilot Project 2009-2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Manitoba e-Health 2013 – Destination IntegrationCommunity Telehealth Coordinators - Manitoba RegionJeffrey Ross, Cross Lake First NationBarbara Beardy, Garden Hill First NationJennifer Evans, St. Theresa Point First NationVictoria Inn Conference CentreWinnipeg, ManitobaOctober 30, 2013

  2. FNIHB Manitoba Innovation Pilot Project 2009-2013 • First Nations and Inuit Health Branch (FNIHB), Health Canada operates Nursing Stations delivering primary care health care services in 21 First Nation communities in Manitoba. • In 2009, pilot project funding to introduce new roles into the nursing station health team was secured. • The roles to be introduced were: • Community Telehealth Coordinator (CTC) • Mental Health Nurse • Public Health Nurse • Licensed Practical Nurse • Administrator The communities of St. Theresa Point, Cross Lake and Garden Hill were selected to participate in the pilot project.

  3. The Innovation Pilot Project Communities Cross Lake Nursing Station Garden Hill Nursing Station St. Theresa Point Nursing Station

  4. Cross Lake First Nation • Cross Lake is a First Nations community located 520 air kilometers north of Winnipeg. • The population for Cross Lake is approximately 7,500. • The community is accessible by air and land. • The community’s nursing station consists of 4.5 doctors that fly-in weekly, 13.5 nurses with 1 mental health nurse, 1 public health nurse, 2 licensed practical nurses, an administrator, Home and Community Care program, TelehealthCoordinator, a pharmacy and a dental office.

  5. Garden Hill First Nation • Garden Hill is a remote First Nations community located 610 air kilometers northeast of Winnipeg • The population for Garden Hill is approximately 4,200 • The community is accessible by air, but requires a water crossing to access the airport. • During winter, there is a period of road access via ice road/ winter road. • The community’s nursing station consists of 2 doctors that fly-in weekly, 8.5 nurses, a FNIHB Public Health Nurse and Mental Health Nurse, a Band Public Health Nurse , Home and Community Care program, Telehealth Coordinator, an administrator, a pharmacy, a dialysis unit and a dental office.

  6. St. Theresa Point First Nation • St. Theresa Point is a remote First Nations community located 467 air kilometers northeast of Winnipeg. • The population for St. Theresa Point is approximately 3,700. • The community is accessible by air, but requires a water crossing to access the airport. • During winter, there is a period of road access via ice road/ winter road. • The community’s nursing station consists of 2 doctors that fly-in weekly, 8.0 nurses, a FNIHB Public Health Nurse and Mental Health Nurse, Home and Community Care program, Telehealth Coordinator, an administrator, a pharmacy and a dental office.

  7. Health Care Journeys Background • MBTelehealth is a network providing access to health services by video conferencing technology. • In 2001, MBTelehealth began deployment to facilities in the province. • First Nations Expansion Project began in 2004 and developed as a partnership of First Nation communities, government (federal & provincial), the Assembly of Manitoba Chiefs and health care service providers for deploying telehealth into over 30 northern nursing stations and rural health centres as of 2013. • 2006 - Garden Hill Nursing Station joined the telehealth network • 2008 - Cross Lake Nursing Station joined the telehealth network • 2010 - St Theresa Point Nursing Station joined the Telehealth network • First Nation Telehealth sites are part of the MBTelehealth network.

  8. Map of Manitoba • This map illustrates Manitoba First Nations Communities and where Telehealth sites are located.

  9. Community Telehealth Coordinator Project • Prior to the project, responsibility for telehealth scheduling and support was shared among multiple staff under an integrated model -- large volume of sessions was beginning to present a challenge. • The need for a consistent supportive role to support telehealth in the pilot communities was identified. • Community TelehealthCoordinator (CTC) job descriptions were created, classified and staff hired in 2010 by FNIHB. • The CTCs work closely with MB Telehealth staff and utilize the provincial scheduling system and support tools. • CTCs also supported by FNIHB eHealth Nurse Education Manager.

  10. Community Telehealth Coordinators(CTCs) and the health team • CTCs provide the health care team with : • consistent ongoing support for Telehealthappointments in the community; • training and support the use of videoconferencing equipment for staff (new and less experienced); • daily supervision and ensure the quality of health services provided through the Telehealthnetwork are a benefit to clients and their families; • troubleshooting and maintenance of quality standards of the program; • preparation, support and coordination to video conference activities; and • coordination of meetings, appointments and conference calls.

  11. Community Telehealth Coordinators(CTC) and the Patient • Prior to Telehealthsession, the CTC does an orientation with the patient. He/she provides the patient with: ∙ A Telehealthpamphlet ∙ An opportunity to discuss common questions and concerns such as: • What is Telehealth? • Why is Telehealthgood for me to use? • Does Telehealthalways work? • Is Telehealthconfidential? • What happens on the day of the appointment? • The CTC also contacts patients/attendees regarding appointments once they have been scheduled, and advises the patient of the date and time of the session.

  12. Preparation & Assessment • Prior to Telehealthsession, the CTC prepares the health team in the community, and in the distant site. He/she will gather and distribute relevant documents, whether it is clinical, education or meeting. These documents may include: ∙ Lab work ∙ Imaging Results (X-ray, CT, MRI) ∙ Reports ∙ Evaluation/attendance sheets ∙ Presentations

  13. Clinical Appointment • In remote communities, patients must travel to see their specialists. • When traveling to see a physician, patients may be required to drive, take the bus, fly, and/or take boats. Often for a short time with the doctor, the patient may have to travel a full day to and from the appointment. • Clinical appointments allow the patient to see their doctor while staying in the community. • Telehealth is of great benefit to patients who have fears of travelling, or have physical difficulty to do so. Telehealth has also been very helpful for families with young children by allowing parents to stay in the community rather than having to make child care arrangements while they must be away.

  14. Education Sessions • Winnipeg Regional Health Authority, Northern Regional Health Authority and FNIHB provide education sessions weekly, biweekly and monthly with different topics. Some of the education and supports that staff and patients link in for include: ∙ Respirology, Psychology (Youth Suicide), General Practitioner, Dermatology, Dietitian, Peds Psychiatry, Genetics, OB-GYN, Endocrinology, Nephrology, Occupational Therapy, Nutrition, Neurology, Plastic Surgery, Surgery, Speech Therapy, Social Work, FASD, Gastroenterology, Internal Medicine, Thoracic, Infectious Disease, Pre-Op Assessment, Additions, Anesthesia, Orthopedics and Rehabilitation.

  15. Clerical Activities • Community Telehealth Coordinator’s are responsible to complete workload documentation for all session types including: ∙ Clinical ∙ Education ∙ Meeting ∙ Televisitation The MB Telehealth Workload form is used, as well as any other associated documentation.

  16. Non Clinical/Clinical Booking Forms • The non- clinical form is used to book meetings/education sessions. Before sending form to MB Telehealth Scheduling, the CTC makes sure both sites and equipment are available. • Clinical sessions use a different booking form, and generally require a consultation letter from the referring nurse or doctor. Again, the CTC makes sure both sites and equipment are available before sending it to MB Telehealth Scheduling.

  17. iScheduler CTCs accept appointments all day. Appointments can be clinical, education, televisitationor administrative.

  18. iScheduler - Store and Forward (SAF) Dermatology

  19. SAF Dermatology Referral Process SAF explained to patient and pamphlet provided. Consent signed. RN of MD completes SAF Referral Survey and gives to CTC along with 3 pictures. CTC acts as the referring provider. Inputs demographics information, fills in required referral fields, connects camera to computer and adds images to iScheduler as attachments to the Referral. Provides diagnosis and treatment recommendations. CTC prints the SAF consult letter and passes it on to the RN or MD to follow up with the patient as required.

  20. SAF Dermatology Photograph Guidelines There are three photos required per area involved: 1. An “anatomic part” image – showing the anatomic part involved. (e.g. an arm from arm to hand) 2. A close up image. As close to having the lesion fill the frame as possible. (e.g. the forearm with the lesion) 3. A close up, 45-degree image. Fills the frame at 45- degrees. (e.g. 45-degree image of the forearm showing the height of the lesion)

  21. Site Support • The CTC has several potential sources of support. He or she will contact MBTelehealth and First Nation & Inuit Health Staff with any Telehealthissues or problems. • The common support providers are: • MBTelehealth Service Desk • FNIHB Nurse Manager or • FNIHB eHealth Unit

  22. Technical Support/Maintenance • The CTC is responsible for : • Contacting the MB Telehealth help desk @ 1.866.667.9891 for any equipment/troubleshooting or if there is no connection. • Making arrangements for room changes with the equipment. As some sites have limited space that is used for many purposes, and also have two sets of equipment, the service desk may need to be contacted to arrange for movement of rooms.

  23. Cross Lake First Nation Statistics

  24. Contact Information • Jeff Ross, Community Telehealth Coordinator First Nation & Inuit Health Branch Cross Lake Nursing Station P.O. Box 160 Cross Lake, Manitoba R0B 0J0 Phone: (204) 676-2011 Fax: (204) 676-2055 Email: jeff.g.ross@hc-sc.gc.ca

  25. Garden Hill First Nation Statistics

  26. Contact Information • Barbara Beardy, Community Telehealth Coordinator First Nation & Inuit Health Branch, Garden Hill Nursing Station P.O. Box 264 Garden Hill, Manitoba R0B 0T0 Phone: (204) 456-2343 Fax: (204) 456-2866 Email: barbara.beardy@hc-sc.gc.ca

  27. St. Theresa Point First Nation Statistics

  28. Contact Information • Jennifer Evans, Community Telehealth Coordinator First Nation & Inuit Health Branch, St. Theresa Point Health Centre/ Nursing Station P.O. Box 410 St. Theresa Point, Manitoba R0B 1J0 Phone: (204) 462-2264 Fax: (204) 462-2642 Email: jennifer.a.evans@hc-sc.gc.ca

  29. Acknowledgements • The success of telehealth in these and other First Nation communities would not be possible without the contribution and efforts of the following organizations: ∙ Manitoba Regional Telehealth Partnership Committee ∙ Chief and Council, Health Directors and Band staff of Cross Lake, St. Theresa Point and Garden Hill First Nation ∙ MB Telehealth and Manitoba eHealth ∙ Broadband Communications North and Manitoba Innovation, Energy and Mines ∙ Assembly of Manitoba Chiefs eHealth and Manitoba First Nations Chiefs Task Force on Health ∙ Canada Health Infoway ∙ FNIHB eHealth Infostructure Program and the FNIHB Manitoba Region eHealth Solutions Unit ∙ FNIHB Manitoba Region Nursing Directorate and FNIHB Nursing Innovation Fund ∙ All the physicians, specialists, nurses and allied health care professionals in Manitoba who uses telehealth for serving remote and rural communities

  30. Manitoba e-Health 2013 – Destination: Integration Comments or questions? Ekosani!

More Related