Need and Model of Telediagnosis The Manitoba Experience - PowerPoint PPT Presentation

1 / 24
About This Presentation
Title:

Need and Model of Telediagnosis The Manitoba Experience

Description:

Identify a process that will facilitate distant diagnosis and meet the needs of the North ... Paediatrics and Child Health. Vol 7 March, 2002. Linked to 24 sites! ... – PowerPoint PPT presentation

Number of Views:43
Avg rating:3.0/5.0
Slides: 25
Provided by: wayne72
Category:

less

Transcript and Presenter's Notes

Title: Need and Model of Telediagnosis The Manitoba Experience


1
Need and Model of Telediagnosis -The Manitoba
Experience
  • Albert E. Chudley
  • Mary Cox-Millar
  • Sally Longstaffe
  • University of Manitoba
  • 4th Annual Fetal Alcohol Canadian Expertise
    (FACE) Research Roundtable Edmonton, AB
  • September 9th 2003

2
Learning Objectives
  • Demonstrate the need for telehealth
  • Identify a process that will facilitate distant
    diagnosis and meet the needs of the North
  • Recognize the need to partner with external
    groups and communities
  • Discuss our experience in FAS diagnosis using
    telehealth

3
(No Transcript)
4
(No Transcript)
5
CADEC Community Services/Partnerships
Direct Service For Children 0 to 7 Years of Age
Family Support
Government Support
Healthy Child Manitoba Manitoba Health/Child
Health
Interagency FAS/E Program Childrens Special
Services/FAS Outreach Team Society for Manitobans
with Disabilities Provincial Outreach Therapy
Services for Children Child and Family Services
Fetal Alcohol Family Association Child and Family
Services
School Age Children
FAS/FAE Support Services
Special Education Classrooms David Livingstone
School and Shaughnessy Park Child Guidance
Clinic Childrens Special Services Child
Psychiatry
Support for Pregnant Women
NorWest Mentor Program Aboriginal Health
Wellness/ FAS/E Prevention Program Mentorship
program The Pas and Norway House
Northern Manitoba Services for Families
Diagnostic Services
Adult Services
Clinic for Alcohol Drug Exposed Children Fetal
Alcohol Support Team - Thompson
Fetal Alcohol Support Team Thompson Interagency
Group The Pas / Flin Flon
6
Reasons for and Benefits of Telehealth
  • Canada has many distantly located low population
    communities with limited access to specialty care
  • Reduced time and costs for travel
  • Timeliness of access to care
  • Reduced barriers to compliance with appointments
  • Facilitates family involvement
  • Enhances linkages amongst health professionals
    and community agencies
  • Provides access of education and training to
    rural areas

7
MBTelehealth
  • Partnering with the Prairie Provinces FAS
    Initiative and CADEC, the first link was with
    Thompson MB in 1999.
  • Following a 3M grant from the federal
    government, technical capabilities were greatly
    expanded in 2001.
  • Subsequent link to NorMan Region (The Pas and
    Flin Flon) 2002-present.

8
-
Intake

Assessment
Follow
-
up

9
Paediatrics and Child Health Vol 7 March, 2002
Linked to 24 sites!
10
Telehealth Equipment
  • Province-wide LAN H.323 internet protocol
    video-conferencing system
  • Uses multi-site control unit
  • Portable equipment with document viewer

11
Total Network Utilization Fiscal Year 2002-2003
Total Number of Sessions 2,031
FAS sessions represent27 encounters
12
Utilization by Type of Session(shown by quarter
year for 02-03 fiscal year)
(All clinics including FAS)
13
Clinical Utilization (Actual Number) Fiscal Year
2002-2003
(All clinics including FAS)
14
Cost impacts, assumptions re patients
  • Does not include indirect costs savings due to
    time off work, child care while away etc
  • No distinction made between costs borne by
    individual and those borne by health care system

15
Technical success qualitative findings
  • Users satisfied with training received
  • Unanimous appreciation of technical support
  • Technology easy to use
  • Sites linked by satellite experience more
    problems
  • Some would like to enlarge network to more sites,
    have more drops, be available for emergent and
    urgent use 24/7

16
CADEC Telehealth Experience with FAS Diagnosis
  • Total of 27 links since April 1/99
  • 8 of 27 links planning/team meetings,
    presentations and/or education sessions
  • 19 of 27 links assessment links
  • 27 children were assessed (initial assessment,
    consults and/or follow-up to initial assessment)
  • 4 of the 19 assessment links were training teams
    in diagnosis

17
Estimated travel savings (FAS-24 month period)
18
Feedback From Users Following FAS Assessments
  • Excellent it is almost like talking face to
    face at your kitchen table with the doctors.
  • It should be in more communitiesbest thing that
    could ever come to the North.
  • It is an opportunity to see how the medical
    system works.
  • Bringing expertise to the community helps in
    building a team that is working in the best
    interests of the child.

19
Feedback From Users Following FAS Assessments
  • Travelling to Winnipeg is a stressor for many
    people.
  • Using telelink allows the children to be
    assessed with less disruption to their daily
    routinea trip to Winnipeg would be 3 days from
    home!
  • A birth mother would be more willing to
    participate if she is supported through the
    process by people who know her and the child in
    the community.

20
What Have We Learned?
  • Importance of establishing external relationships
    (CADEC team and the community)
  • Establish common and site-specific goals
  • Provide training as needed
  • Clarify process for referral
  • Establish guidelines for communication and
    clarify expectations

21
What Have We Learned?
  • Ask for feedback on experience
  • Need to wait for camera before speaking
  • Use close up mode when speaking
  • Provide a warm-up period for children to become
    accustomed to the interactive talking
    television and the room
  • Allow privacy (limit numbers in the room at any
    given time

22
Summary
  • Telehealth FAS Diagnosis has met the needs of
    some families in a northern community in Manitoba
  • On site coordinator trained in preparing the
    family for the diagnostic process and with good
    community links is essential
  • Need to link with local professionals and
    agencies

23
(No Transcript)
24
Thanks for not drinking, Mom
Write a Comment
User Comments (0)
About PowerShow.com