Project Advisory Committee Meeting, March 22, 2007 STREAM # 3 Presented by Tina Kakepetum Schultz KO Telemedicine CHI Project Advisory Committee Meeting

Project Advisory Committee Meeting, March 22, 2007 Analyse & Respond to Community & Clinical Needs for Change KOTN – INFOWAY Communication Strategy

Project Advisory Committee Meeting, March 22, 2007 Our Goal Extract Barriers to telehealth acceptance by clinical and barriers to uptake by First Nations from KO Telemedicine, Ontario Telemedicine Network reports and evaluations and grey literature.

Project Advisory Committee Meeting, March 22, 2007 Objective To develop strategies to eliminate barriers for community uptake and identify peer- based strategies to improve acceptance by clinicians. To develop strategies to eliminate barriers for community uptake and identify peer- based strategies to improve acceptance by clinicians.

Project Advisory Committee Meeting, March 22, 2007 Deliverables Engage community members (patients, site coordinators & leadership) Engage community members (patients, site coordinators & leadership) Engage clinicians (physicians, nursing, allied health professionals) Engage clinicians (physicians, nursing, allied health professionals) Extract change priorities Extract change priorities

Project Advisory Committee Meeting, March 22, 2007 How Focus Groups/interviews with clinicians (users and non-users of KO Telemedicine and OTN) to learn about the barriers to local use/access and about their ideas on how to reduce or eliminate the barriers. Focus Groups/interviews with clinicians (users and non-users of KO Telemedicine and OTN) to learn about the barriers to local use/access and about their ideas on how to reduce or eliminate the barriers.

Project Advisory Committee Meeting, March 22, 2007 First Nations Sharing Circles A selection of 6 communities out of the total 26 First Nations will be included in the survey. Selected as follows: 2 communities that are known to have active users 2 communities that are known to have active users 2 communities that have most problems with getting users/with the least interest (high rate of CTC turnover) 2 communities that have most problems with getting users/with the least interest (high rate of CTC turnover) 2 communities with very active CTC champions or long-standing CTCS 2 communities with very active CTC champions or long-standing CTCS

Project Advisory Committee Meeting, March 22, 2007 Clinicians Focus Groups Focus groups / interviews with clinicians (users and non-users of KO Telemedicine and OTN) to determine what works, what barriers exist, and how to overcome them Nurses and CTCs Nurses and CTCs Family Physicians / General Practitioners and Specialists Family Physicians / General Practitioners and Specialists Others: Interview traditional healers, mental health counselors, nutritionists, and health trainers Others: Interview traditional healers, mental health counselors, nutritionists, and health trainers

Project Advisory Committee Meeting, March 22, 2007 Guiding Questions 1. Three things YOU LIKE about telehealth 2. Three things YOU DO NOT LIKE about telehealth (tell us what YOU can do to improve what you do not like, what others need to do). 3. Three things YOU WOULD LIKE TO ADD to telehealth

Project Advisory Committee Meeting, March 22, 2007 Communities Visits April – May, 2007 April 16-20, 2007 Sandy Lake First Nation Sandy Lake First Nation Keewaywin First Nation Keewaywin First Nation April 30 - may 3, 2007 Wunnumin Lake First Nation Wunnumin Lake First Nation Mishkeegogamang First Nation Mishkeegogamang First Nation May 14-18, 2007 Fort Severn First Nation Fort Severn First Nation Wapakeka First Nation Wapakeka First Nation

Project Advisory Committee Meeting, March 22, 2007 Product A “Community / Clinician Change Strategies Report” due in July, with recommend strategies to over-come barriers and inputs for the communication materials to be developed for the communities and for the clinicians. A “Community / Clinician Change Strategies Report” due in July, with recommend strategies to over-come barriers and inputs for the communication materials to be developed for the communities and for the clinicians.

Project Advisory Committee Meeting, March 22, 2007 KOTN – INFOWAY Communication Strategy Goal: Securing sustainable funding for existing and future First Nation Telehealth.

Project Advisory Committee Meeting, March 22, 2007 Objectives Objective 1: Secure, sustained Telehealth funding with a change management context. Objective 1: Secure, sustained Telehealth funding with a change management context. Objective 2: Promote Telehealth as a health care necessity for remote First Nations and as a vital addition to existing health care services. Objective 2: Promote Telehealth as a health care necessity for remote First Nations and as a vital addition to existing health care services. Objective 3: Promote the use of Telehealth at the community Level. Objective 3: Promote the use of Telehealth at the community Level. Objective 4: Promote the necessity of Telehealth in remote First Nations to the Canadian Public Objective 4: Promote the necessity of Telehealth in remote First Nations to the Canadian Public Objective 5: Secure the support of allies in the promotion and needs-identification of Telehealth Objective 5: Secure the support of allies in the promotion and needs-identification of Telehealth

Project Advisory Committee Meeting, March 22, 2007 Communication Tools Media Kits Media Kits Policy-Maker Information Packages Policy-Maker Information Packages Communication Materials: Pamphlets Communication Materials: Pamphlets Booklet Booklet Calendars Calendars Logo/ Brand Logo/ Brand Website Website Videos: Communities, Clinician, Government/Partners Videos: Communities, Clinician, Government/Partners

Project Advisory Committee Meeting, March 22, 2007 Kitchii Miiquetch!! Tina Kakepetum Schultz Telehealth Community Engagement Coordinator Ext: 1327