2. Continuous care: ensuring seamless transitions for patients across the continuum of care
- Date: Friday, September 20, 2019
- Concurrent Session C & D
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Time: 8:45am – 10:30am
- Room: Harbour A & B
- Style: Presentation (information provided to audience, with opportunity for audience to ask question)
- Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff
Learning Objectives
At the end of this session, the audience will be able to:
- Identify digital health tools that are available for use today to help facilitate integrated, patient-centred care in primary care teams and Ontario health teams
- Identify how to link these digital health tools together and embed them into patient care workflows
- Recognize the potential impact of these digital health tools within practices across the continuum of care
- Apply learnings to further progress and align with the evolving healthcare context and needs.
Summary/Abstract
The current healthcare landscape poses pressure to modernize health care delivery, striving for an integrated, higher-quality patient-centred model. Digital health tools, when designed, deployed and maintained to meet user needs, play an important role in enhancing patient and provider experience, and unlocking opportunities for a greater understanding of patient population and the delivery of proactive care, while optimizing the use of resources. The eHealth Centre of Excellence (eCE) is a physician led organization that works with health care organizations and providers across the continuum of care to produce better clinical value for patients, informing the development of digital health tools through patient and provider engagement, and supporting their adoption and meaningful use in the delivery of care. This presentation will highlight:
- a virtual visits solution co-designed with providers and patients, which has enhanced virtual access to care, avoided ED visits and supported post-discharge follow-up
- an eReferral solution, co-designed with providers and patients, supporting seamless transitions in care, offering status updates and messaging direct from provider EMR and automatic email notifications to patients
- EMR-integrated tablets, enabling efficient patient assessments
- Chronic disease prevention and management (CDPM) decision support tools, integrating best practice evidence at the point of care, enabling healthcare providers to enhance proactive care with the potential of avoiding hospitalizations; and
- a system of regionally-based tools that support the sharing of vital health information across geographies and health sectors. The session will highlight how together these tools can be used to support integrated care for patients across a spectrum of needs.
Presenter
- Dr. Mohamed Alarakhia, BSc, MSc, MD, CCFP; Managing Director, eHealth Centre of Excellence
- Raymond Dolc, BAHSc; Change Management Specialist, eHealth Centre of Excellence
- Melissa Thompson, PMP, Change Management and Adoption Lead, eHealth Centre of Excellence
- Melissa Lambing, MSc, Change Management Specialist, eHealth Centre of Excellence
Authors/Contributors
- Lirije Hyseni, MSc., C.E, Quality Improvement and Knowledge Translation Practice Lead,eHealth Centre of Excellence
- Tricia Wilkerson, MA, IA, Program Manager , eHealth Centre of Excellence
- Lori Moran, Program Manager, eHealth Centre of Excellence
- Charlotte Nethercott, Change Management Practice Lead, eHealth Centre of Excellence