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Distance Interpreting and Technology

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Distance Interpreting and Technology

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    1. Distance Interpreting and Technology Cathy Woodbeck, Executive Director Thunder Bay Multicultural Association

    2. Sight translation Interpretation at a distance through the use of technology

    3. In the Northwest Region we rely on technology to assist in the interpretation process. Police, courts and shelters often have to rely on telephone, video conference and web cam support. Remote areas and reserves are limited by band width and dial up internet problems. Telephone, fax, email, web cam, video conferencing and telehealth are used.

    4. Telehealth Services Thunder Bay Regional Health Sciences Centre (TBRHSC) is a 375 bed facility serving a community of 110,000 people and a catchment area of 270,000. Northwestern Ontario encompasses 526,355 km (the size of France). At times distance, weather, and bed availability have been barriers to receiving care at TBRHSC. We have successfully integrated Telehealth into the services delivered to the region eliminating some of these barriers.

    5. Quick Facts

    6. The Telehealth Program has several goals. First, to deliver care to underserviced areas within Northwestern Ontario including many First Nation communities. Almost every discipline has incorporated Telehealth into how they service regional patients. During the period of June 2002 to June 2005, 4961 patients received services via Telehealth, while 50 specialists in 20 different specialties engaged in Telehealth. Care Teams fully integrate Telehealth into their way of providing care. Technology becomes available in physician’s offices. One of the recommendations of the “Closson Report” is to ensure 24/7 Telehealth link between TBRHSC and the region of NWO. Incorporate Telehealth into urgent and intensive care.   Caregivers at TBRHSC recognized the benefit of patients in the region receiving care closer to home. Increasingly mobile units were taken to the speciality area to enable Telehealth services to be integrated into the daily clinical practice. Interpreter services are racing to catch up to the training and implementation.

    7. Physicians at TBRHSC also utilized Telehealth for complex patients and second opinions that required care or consultation from colleagues in tertiary care centres such as: Hospital for Sick Children, University Health Network, Ottawa Heart Institute and Sunnybrook and Womens College Health Sciences Centre. Healthcare professionals appreciated the mentoring opportunities and specialists recognized the desire of patients to receive care closer to home. Telehealth spurred many physicians to think about eHealth and the positive role technology could play in patient care. Many were eager for technology within the office setting. The patients were satisfied that they were receiving quality care close to home eliminating distance, time and the danger of travel in the North. For situations when families were separated by illness, family visitations via Telehealth were a creative solution.

    8. It is evident that Telehealth can be incorporated into every service that a regional hospital provides. Whether it be clinical, educational or administrative, Telehealth can play a crucial role in the management of rural patients with complex and chronic illnesses. Telehealth services integrated into rural and remote communities offer an effective means of accessing care closer to home. The expectation would be that improved outcomes would occur in the elderly, very young and the chronically ill. It is important that interpreters understand the technology and become comfortable with it prior to an assignment. The service of interpretation moves into the virtual health care setting. **Thunder Bay Regional Health Science Centre web information (quoted from web site)

    10. Contact North/Contact Nord Corporate Services provides professional, high-speed videoconferencing solutions for those events and functions that require a live video connection. With both IP and ISDN capabilities, you can be sure of reliable, clear multi-point video connections. We can connect 24 communities across Northern Ontario to our Regional Coordinating Centres in Sudbury and Thunder Bay, and through a partnership with Telus Corporation, we link to major centres across Canada and North America. Videoconferencing solutions are currently available in the following communities:

    11. Contact North/Contact Nord Network

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