1. Connecting Patients to Care Telemedicine in the Central West LHIN Status Update May 29, 2013

2. OTN Clinical Services Room based video conferencing Personal Computer Video Conferencing (PCVC) Store Forward Telederm

3. Personal Computer Video Conferencing (PCVC) A web-based videoconferencing service that enables Health Care Providers to perform consultations from a PC or laptop. Secure and appropriate for clinical appointments Communicates seamlessly with room based systems

4. Store Forward Telederm A service which allows doctors to securely send photographs of dermatological issues to Ontario dermatologists Images are taken with a digital camera and stored on the Medweb server. Physician advice is communicated via the secure server.

5. Successes Albion Appletree Ltd. –Unique model OATC Brampton –Unique model Dr. Sandra Romain –pre-established relationship CMHA Peel –TM nurse site, active promotion Headwaters Health Care Centre –TM nurse site, active promotion Mel Lloyd FHT –TM nurse site, active promotion William Osler Health System –TM nurse site, active promotion

6. Successes Mental Health and Addictions –MoHLTC provided 1.75 million dollars for Telemedicine equipment. Equipment to be used primarily for MH & A with a focus on addictions services. –Proposals submitted to the MH & A Task Force for Telemedicine equipment during two phases. –Sites awarded equipment based on strength of proposals.

7. Successes Bramalea CHC Bramalea CHC – Malton site CMHA – Peel (Caledon) Dufferin Area FHT Hope Acres Addiction and Rehabilitation Centre Pine River Institute SHIP – Dufferin County site SHIP – Main site SHIP – Wilkinson site WOHS – Brampton Civic Hospital WOHS – Etobicoke General WOHS – Withdrawal Management Centre

8. Challenges Currently at Health Service Provider sites with LHIN funded nurses there is a lower than expected utilization of Telemedicine. The following have been noted as reasons why utilization is low: –Lack of Awareness Physicians and patients are not always aware Telemedicine is available –Lack of Access to Consultants Telemedicine needs to be valued, easy to access, easy to use and affordable –Lack of Dedicated Space Many sites have difficulty finding rooms in which to conduct telemedicine activity –Individualized Approach to Adoption Effective growth requires a systematic approach and the establishment of strategic partnerships. –Remuneration Many organizations do not have the funds necessary to cover sessional fees

9. Potential Opportunities Adopt best practices from successful sites –Attempted securing Appletree representative for a presentation –Unsuccessful in doing so –Currently working on securing an OATC representative Conduct a needs assessment with Central West LHIN HSPs Identify key partnerships Are there others?

10. Total Utilization

11. 2012-2013 Clinical Telemedicine Utilization Across all LHINS

12. 2012-13 Clinical Utilization in Central West LHIN

13. Therapeutic Areas of Care

14. Sites and Systems by LHIN: Q4 12/13 LHINActive Sites Active Systems LHINActive Sites Active Systems 182149876119 2176356992159 37712010128238 413723411168358 520291277139 6255413273478 710331314168265

15. Current Status Anecdotally: –Clinical utilization is trending up –Awareness seems to be increasing –Provisioning process for Mental Health and Addiction project sites is progressing

16. Needs Assessment/Capacity Survey Goals and Objectives –Retain Telemedicine Nurse funding –Current state assessment of clinical needs that Telemedicine may be able support –Identify organizations/sites that have capacity to provide care via Telemedicine –Provide telemedicine enabled organizations with information that will facilitate connections between providers and patients What do you wish to gain from this survey? Who should be the Target Audience? –MoHLTC funded? –Telemedicine users vs. non-users?

17. Needs Assessment/Capacity Survey What we need from you –Endorse/Support the completion of this Needs Assessment –Identify any other organizations that should be included in this survey

18. Next Steps Contact OATC to present and identify best practices Conduct Survey and Analyze Present key findings and recommendations at August Steering Committee meeting Is there anything else?

19. Thank you for your time and attention! Require Additional Information? Please contact: Central West LHIN Regional Manager Paul Pittman ppittman@otn.ca 1-866-454-6861 x4501 or visit www.otn.ca