OD2 - How to use team-based care and personalized tech to help patients with chronic conditions successfully cope and self-manage at home

1. Expanding access to team-based care

  • Release date: 
    • This webinar will be available for a limited time after the conference- don't miss it on Thursday October 24th during the conference!
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.),  Clinical providers, Administrative Staff, Representatives of Stakeholders

Learning Objectives

Participants will learn about how they can:

  • Deploy team-based care in their medical offices and leverage personalized technology to help patients improve their functioning and prolong independence at home.
  • Participants will also learn about how teams can use a hybrid approach to care; for example, if complex patients who have mobility challenges and are poorly responding to new medications, an unregulated community worker can take direction from a virtual clinician (e.g. biometric reading) to allow for timely, cost-effective interventions to take place.
  • As another example, clinicians can offer patients social prescriptions that can be fulfilled through team-based navigation and digital social engagement in order to reduce isolation and loneliness.

Summary/Abstract

This session will focus on how team-based care and personalized technology through AI can help patients with chronic conditions more successfully cope and self-manage at home. It will showcase how technology mixed with team-based care can increase patient health and quality of life.
Our evidence comes from the family doctors at Women’s College Hospital’s Home Visiting team, who completed an evaluation project in collaboration with Gotcare, a community services and
technology provider, where they introduced in-person and virtual home care in the Mid-West Toronto region. Findings suggest that 87% of the participants reported that the program helped improve their quality of life once at home. Additionally, 93% of participants agreed that the program helped them feel less isolated after returning home. Approximately 60% indicated that the services provided by the program helped them avoid an unnecessary visit to the emergency department, and approximately 63% of them indicated that the program helped them avoid an unnecessary visit with their family doctor.
Participants will learn about how they can deploy team-based care in their medical offices and leverage personalized technology to help patients improve their functioning and prolong independence at home. Participants will also learn about how teams can use a hybrid approach to care; for example, if complex patients who have mobility challenges and are poorly responding to new medications, an unregulated community worker can take direction from a virtual clinician (e.g. biometric reading) to allow for timely, cost-effective interventions to take place. As another example, clinicians can offer patients social prescriptions that can be fulfilled through team-based navigation and digital social engagement in order to reduce isolation and loneliness.
 

Presenters

  • Chenny Xia, CEO, Gotcare