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Telehealth Saskatchewan : 

Telehealth Saskatchewan 26 Telehealth sites operating in all provincial, regional and northern hospitals (Ho & Jarvis-Selinger, 2006) 12 regional health authorities are involved but most sites are based out of the larger centers such as Regina and Saskatoon Telehealth can also link with other select sites provincially, nationally and internationally (Government of Saskatchewan Telehealth Site Map, 2008)

Telehealth Saskatchewan- Services : 

Telehealth Saskatchewan- Services Doctor is in: Distant Delivery Consultation Teledermatology Clinical Session (Telehealth Saskatchewan, 2009)

Telehealth Saskatchewan-Services : 

Telehealth Saskatchewan-Services Healthline : Toll-free telephone service access 24 hours 7 days per week Multilingual Accommodates hearing and speeches difficulties Receive confidential health information and advice from a Registered Nurse Mental health and addictions support available from a social worker or Registered Psychiatric Nurse (Government of Saskatchewan, 2009)

Interesting Health Line Data: : 

Interesting Health Line Data: (Government of Saskatchewan Health Line Report, 2004)

Challenges for Saskatchewan Telehealth: : 

Challenges for Saskatchewan Telehealth: Acceptability of telehealth is a slow process Finding physicians willing to use telehealth to deliver their services (Ho & Jarvis-Selinger, 2006) Lack of bandwidth for smaller towns and communities (Ho & Jarvis-Selinger, 2006) Recruitment & retention of health professionals (Government of Saskatchewan Health, 2009)

Slide 6: 

(Alberta Telehealth, 2009)

Telehealth Alberta : 

Telehealth Alberta Largest & best integrated telehealth network in Canada (Picot & Cradduck, 2000; Ho & Jarvis-Selinger, 2006; Alberta Telehealth, 2009) 83 telehealth programs provide service to areas outside their health region (Alberta Telehealth Business Plan, 2006-2009) 18 telehealth programs provided service to areas outside the province of Alberta on a regular basis (Alberta Telehealth Business Plan, 2006-2009) Alberta Health and Wellness partnered with Health Canada First Nations and Inuit Health Branch Alberta Region extending telehealth services to First Nations communities (Alberta Telehealth, 2009)

Alberta Telehealth- Services : 

Alberta Telehealth- Services Telehealth services include videoconference technology peripheral medical devices web-based applications videophones home telehealth units Health Link Alberta (2009): 24 hour a day, 7 day a week nurse telephone advice and health information service toll free and can be accessed anywhere Health Link also provides two websites links: “Your Health” & “InformAlberta” (Alberta Telehealth, 2009)

Telehealth Alberta- Services : 

Telehealth Alberta- Services (Alberta Telehealth, 2009)

Challenges of Alberta Telehealth: : 

Challenges of Alberta Telehealth: Sparse population within an vast geographical area(Ho & Jarvis-Selinger, 2006) Outdated technology at some of their telehealth sites (Ho & Jarvis-Selinger, 2006) Varied opinions to move to SuperNet (Ho & Jarvis-Selinger, 2006) Technical support varies among health authorities (Ho & Jarvis-Selinger, 2006) Issues in technological compatibility, policies and procedures, and cost coverage (Alberta Telehealth, 2009) Respect of jurisdictional and health region and board governance (Alberta Telehealth, 2009)

British Columbia : 

British Columbia (Medfusion, 2006, p.1)

British Columbia : 

British Columbia Broadband internet available throughout province with plans to expand to remaining communities not currently linking to telehealth network Large aboriginal population with specific health needs in remote communities Funded by Provincial Health Authority and individual health authorities (Ho & Jarvis-Selinger, 2006)

British Columbia-Services : 

British Columbia-Services Telehomecare Nurse Advice Line Multiple continuing education sessions via videoconferencing Chronic disease management through education for patients via videoconferencing Videoconferencing in over 70 communities with plans to connect to an additional 151 communities Radiology online throughout entire province eLearning for nursing using Learning Management System (Ho & Jarvis-Selinger, 2006)

British Columbia - Services : 

British Columbia - Services "Telehomecare enables rapid detection of problems, allows patients to self-manage their care and saves travel time for both patients and caregivers," said Health Services Minister George Abbott. "It is one way we are breaking down barriers to quality health care for British Columbians regardless of where people live” (VIHA, 2009, p.1). For more information on Telehomecare visit the link below

British Columbia: Challenges : 

British Columbia: Challenges Many small isolated communities with limited access to healthcare Large aboriginal population with specific health needs in remote communities Some smaller rural communities remain without broadband internet access Lacks centralized administrative support. Currently disorganized and complex. (Ho & Jarvis-Selinger, 2006)

Canada Comparisons : 

Canada Comparisons (Ho & Jarvis- Selinger, 2006; Statistics Canada, 2008)

CANSIM Results - 2005 : 

CANSIM Results - 2005 Age group=Total, 15 years and over Sex=Both sexes Used telephone health line services in the past 12 months Number of persons E - Use with caution F - Too unreliable to be published (Statistics Canada, 2005)

CANSIM Results - 2005 : 

CANSIM Results - 2005 Age group=Total, 15 years and over Sex=Both sexes Patient satisfaction, telephone health line services Quality of telephone health line services used rated as excellent or good Percent F- Too unreliable to be published (Yukon) (Statistics Canada, 2005)

Global Perspective : 

Global Perspective Image from Microsoft Clip Art

Global perspective : 

Global perspective ‘A globalized world with rapid transit of ideas, people and money provides a setting for a new generation of successful investments in health that benefit people of all nations’ (Feachem, 2001, p. 804) Image from Microsoft Clip Art

Global benefits of telehealth : 

Global benefits of telehealth The World Health Organization (WHO) believes that telehealth and ICT has the potential for improving health and healthcare around the world (World Health Report, 2006)

Globalization, Health & Telehealth : 

Globalization, Health & Telehealth World Health Organization

Global challenges of telehealth : 

Global challenges of telehealth Challenges of global telehealth are universal to North and South The “e– health paradox” (Liaw & Humphries, 2006) These barriers impact basic right to health: Availability Accessibility Acceptability Quality Image from Microsoft Clip Art

“E– health paradox” : 

“E– health paradox” In South Asia, approximately 3 billion people (50% of the world’s population) do not have access to the Internet or telephony (IDRC, 2006) The United States and other more technologically advanced nations have their own sets of challenges (Wagner, Bundorf, Singer,& Baker, 2005) Image from Microsoft Clip Art

Nurse’s role : 

Nurse’s role The opportunities for nurses to make a difference in regards to health care in a digital world are vast

Report of the 2004-2005 International Telenursing Survey : 

Report of the 2004-2005 International Telenursing Survey Survey found that the international telenursing community is rapidly emerging 719 nurses representing 36 countries USA(68%) Canada (10%) Australia (5%) UK (4%) Norway (3.5%) New Zealand (1.1%) Sweden (1%) Iran (.6%) Finland (.6%) (Grady& Schlachta, 2007). Images from Microsoft Clip Art