Slide1: The Alberta SuperNet Broadband e-Health Sector Initiative
Facilitating non-traditional alliances and impacting organizational boundaries
Dr. Penny Jennett – P.I.
Co-Investigators: Dr. M. Yeo, Dr. R. Scott; Dr. M. Hebert
E-Health 2004: Challenges Today for Success Tomorrow
The 5th Annual Conference of CIHI and COACH
Victoria, British Columbia May 8-11, 2004
Health Telematics Unit Global e-Health Research and Training Program Overview: Overview Background
Conclusions and Next Steps
Slide3: 4700 linkages
14 multi-disciplinary researchers from 4 universities
Broadband – ISPs - 10 times dial-up - 560 kb
What is the Alberta SuperNet? BackgroundEight sub-projects: Background Eight sub-projects Public consultation
Libraries Purpose: Purpose Share the views of: rural remote communities, households, care sites, health care providers, and the public and consumers (including patients) regarding:
How they will use the SuperNet.
How they believe the SuperNet should be evaluated.
Outline challenges identified, including shared infrastructure
Discuss implications and future steps.
Methods: Methods Planning and base line (done centrally)
Household telephone interviews (n=161)
Town hall meetings (n=8)
2. E-health sub-project survey (done by health team)
Key Informant (n=14)
ResultsHousehold Telephone Interviews: Results Household Telephone Interviews Baseline ResultsHousehold Telephone Interviews (n=161): Baseline Results Household Telephone Interviews (n=161) If your community currently has or plans to have telehealth in place, do you think that the Internet (SuperNet) should link with this service (telehealth)?
Yes: 59 42.45%
No: 10 7.19%
Uncertain: 70 50.36%
If Yes, how? Provide health information (EHR, diagnostics); teleconferencing; online advice with health professional; etc.
Baseline ResultsHousehold Telephone Interviews (Cont’d)(n=161): Baseline Results Household Telephone Interviews (Cont’d) (n=161) Value and Uses
Easier and improved access (to health professionals, diagnostic tests, electronic health records, prescriptions, and general health information i.e. seniors or people with disabilities.)
Personal Health Record Baseline ResultsHousehold Telephone Interviews: Baseline Results Household Telephone Interviews Value and Uses (Cont’d)
Renewing pharmacy prescriptions
Reduction in wait times and travel, time, better scheduling of appointments
Increased knowledge, training, information about health/medicine using credible, reliable and timely websites. ResultsTown Hall Meetings: Results Town Hall Meetings Baseline ResultsTown Hall Meetings (n=8): Baseline Results Town Hall Meetings (n=8) Key Issues
Context Situated - agriculture; oil&gas; ranchers; farmers; dairy; forestry; tourism
Nature of Applications (e-learning; e-work; e-health; disaster/emergency; e-business)
Multi-sectoral and Multi-disciplinary Baseline ResultsTown Hall Meetings (n=8): Baseline Results Town Hall Meetings (n=8) Key Issues
Training and Support
Costs (e.g. public sector; private sector; partnerships; businesses; and homeowners)
Technical Infrastructure – connectivity (high bred model)
Baseline ResultsTown Hall Meetings (Cont’d)Key Health Issues: Baseline Results Town Hall Meetings (Cont’d) Key Health Issues Sites
Home, care sites
Suggested applications: mental health, child health, improved diagnostics, trauma.
Access to specialists and consultations (e.g. videoconferencing – trauma and mental health).
Secure information exchange/confidentiality
Recruitment and retention
Professional development and training
Business viability and costs
Baseline ResultsTown Hall Meetings (Cont’d)Value and Uses: Baseline Results Town Hall Meetings (Cont’d) Value and Uses New Services
Access to health/medical information
Health professional networking
ResultsKey Informant Interviews: Results Key Informant Interviews ResultsKey Informant Interviews (Cont’d)General Uses: Imagery
Results Key Informant Interviews (Cont’d) General Uses Image Rich
Store and Forward ResultsKey Informant InterviewsGeneral Value to Rural Communities: Results Key Informant Interviews General Value to Rural Communities Unique infrastructure “backbone” in Alberta that gives rural and remote communities opportunities for socio-economic development and more job opportunities:
Health Sector Jobs
Health Sector Support Businesses
Home-based businesses & work
People moving back to smaller communities from urban areas.
ResultsKey Informant Interviews (Cont’d)Value to the Health System: Value-add of a broadband infrastructure to usual health service delivery and current telehealth services.
Community readiness (i.e. providers, organizations, patients/public).
Operationalizing strengths and limitations of the SuperNet.
E-Health recommendations for policy and decision makers. Results Key Informant Interviews (Cont’d) Value to the Health System ResultsKey Informant Interviews (Cont’d)Value to Health Regions: Allows rural health care teams to keep more complex patients with video conferencing support.
Facilitates administration of Health Regions.
Better sharing of health care resources.
Expansion of staff development and mentorship opportunities.
Development of new e-health clinical applications that improve access and/or quality and reduce costs.
Results Key Informant Interviews (Cont’d) Value to Health Regions Slide22: Allows organizations to think and strategize differently regarding level of service and support.
Supports health care organizations working better intersectorally.
Provides mentorship and clinical support to expand knowledge and skills of rural providers.
Screens patients in their own communities to determine if they require specialized services.
Increases the number of telehealth clinical applications available in rural communities.
Improves access, quality and costs of patient care. Results Key Informant Interviews (Cont’d) Value to Health Care Organizations ResultsKey Informant Interviews (Cont’d)Value to Health Care Providers: Decreased travel time and costs.
More efficient use of time.
Improved access to telehealth services, consulting resources / support, research resources.
Capacity building for rural and urban providers Improved image and sound quality for diagnostic assessments. Results Key Informant Interviews (Cont’d) Value to Health Care Providers ResultsKey Informant Interviews (Cont’d)Value to Consumers/Patients: Improved quality of care in rural communities.
Improved access to services and information.
Access to health care services in home communities.
Increased health care options within and outside of the Region
Decreased travel time and costs.
Decreased stress, particularly for elderly.
Unknown what kind of SuperNet high speed Internet services or applications will be available to the very small communities.
Results Key Informant Interviews (Cont’d) Value to Consumers/Patients Evaluation: Evaluation Patient/Public/Consumer – patient outcomes; quality of life; isolation; wait times; time saved
Providers – time saved; efficiencies; capacity building.
System (layers) – cost benefits; # of clinics; # of pts seen; wait times; time saved; capacity building
Technology Infrastructure – connections; quality; reliability; functionality; internet service providers
Evaluation (Cont’d): Evaluation (Cont’d) Hard indicators and soft indicators
Short term, intermediate and long term
Arms length or internal
Quantitative or Qualitative
Little mention of context – workflow, workplace, change management
Evaluation (Cont’d): Evaluation (Cont’d) Challenges: Challenges Informed Awareness
Gateway; bridge; interface
Conclusions and Next Steps: Conclusions and Next Steps Multi-sector and discipline approach
Various stakeholder groups within health and medicine
Community economic lens
Triangulation within and across sub-projects Summary: Summary Background
Conclusions and Next Steps
Slide31: Thank You!
Dr. Penny Jennett
Health Telematics Unit Global e-Health Research and Training Program