Champlain CCAC Virtual Care and Patient Engagement Opportunities for Home and Community Care OCE Advancing Health Partnering Forum May 8, 2015

Champlain CCAC A Quick Overview of Home and Community Care in Ontario 2 Services CCAC: Personal Support, Nursing, Therapies CSS/CRC: Homemaking, Adult Day, Assisted Living, Meals on Wheels, many more To support clients in their homes and communities for their health and personal care needs Purpose CCAC Volumes (2013/14) Clients Served Service Volumes Funding 575,000 clients in their homes 89,000 children at school 27,000 clients through end of life 6.4 million nursing visits 2.3 million shift nursing hours 27 million hours of personal support services 1.5million rehabilitation visits $2.38B (4.8% of total provincial health budget)

Champlain CCAC A Quick Overview of Home and Community Care in Ontario 3 Local Health Services in Ontario 155 hospital corporations operating 211 sites 14 Community Care Access Centres Over 600 long-term care homes Over 12,000 family physicians operating in a variety of models, including 170 Family Health Teams and 32 Community Health Centres Thousands of community support service agencies, supportive housing and assisted living programs, community mental health and addiction programs and other community services.

Champlain CCAC A Quick Overview of Home and Community Care in Ontario 4

Champlain CCAC Client Populations Served 5

Champlain CCAC Current Home and Community Care Trends Increased prominence within the Health System Increasing Client Acuity Increasing demands; Increased need for coordination across health providers 6

Champlain CCAC 7 Home and Community Care - Challenges Unique issues around care delivery in Home and Community Care Client Related: Client expectations; Visibility of client / timeliness of feedback on client change of health status; Variability of home setting; Variability of family/caregiver support structures for clients Care Related: Visibility of care provided by care agencies; Coordination across care providers; Coordination between agencies and family; Needs span clinical care, personal care, social care, etc. Others: Rural vs. Urban; variability of service availability; managing a distributed workforce effectively

Champlain CCAC Existing eHealth Solutions and Current Gaps in Solution 8 Gaps in Digital Health Solution Deployments Unified client view across HSP solutions Coordination of services across HSPs (coordination of care plans) Maturity of connectivity/interoperability across providers Solutions that integrate client/family with service providers Utilization of mainstream point-of-care apps/current technology innovations curve Existing eHealth Solution Focus in Home/Community CCACs: Modern client management, assessment, information management, IM, telecommunications, back office, etc.; gateway technology to support HSP interconnectivity Service Provider Organizations: Client charting systems, workforce management systems, back office systems, etc. CSS/CRCs: Some modernization of client management, information management, assessment systems — early days Virtual Care and Patient Engagement solutions deployment – minimal point of care solutions today

Champlain CCAC Problem Statement/Opportunity Spaces 9 Virtual Care Related (examples) Remote tele-monitoring/tele-checkups (disease specific monitoring thresholds; verify compliance to care plans) On-Demand tele-consult with care team Remote tele-visiting Patient/Family reminders Patient safety monitoring Virtual care support solutions: address isolation, monitor nutrition intake, monitor, medication intake Patient Engagement Related (examples) Shared client file across patient, family, multiple in-home care providers Two-way/Multi-party/(real-time) collaboration solutions across patient, family, multiple in-home care providers Shared update on client status, client appointments, client visit calendar across family and multiple in-home providers Caregiver wellbeing/engagement/ educational support solutions (e.g. video playback on health care instructional videos – rehab exercise, wound dressing, falls prevention, etc.)

Champlain CCAC 10 Other Things to Consider Simplicity and Ease of Use Remember the profile of our client; avoid technology clutter; avoid point solution per need Privacy Controls, Information Security Controls More challenging in home and community care settings Need for Turn-key Offerings Solution, training, support to end client Innovation on Business Model CCACs need in-year ROI; can’t afford technology obsolescence curve; don’t have field IT teams in place for in-home install/disconnect/maintenance… Buyer of solution may be end client/family; “Solution as a service” model (not technology sale); “Try before you buy” model to stimulate client/family adoption; pay as you use model to minimize financial risk

Champlain CCAC 11 The Way Forward Client / Caregiver CCAC/CSSVendors Other Health Service Providers Researchers /Academia

Champlain CCAC Deryl Rasquinha VP – Performance & Strategy Champlain CCAC Tel: ext Paul Boissonneault CIO Champlain CCAC Tel: ext