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Health Telematics UnitGlobal e-Health Research and Training Program
The Alberta SuperNet – Impact on Health Services Delivery
Dr. Penny Jennett – Principle Investigator
Co-Investigators: Dr. M. Yeo, Dr. R. Scottwww.ucalgary.ca/telehealth
American Telemedicine Association 2004 Annual Meeting & Exposition
Tampa, Florida May 2-5, 2004
PJ - ATA Tampa, Florida May 2-5, 2004 2
Overview
BackgroundPurposeMethodsResults Impact Readiness
ChallengesConclusions Next Steps
4700 linkages
422 communities
Federally funded
Multi-sectored
14 multi-disciplinary researchers from 4 universities
Broadband – ISPs - 10 times dial-up - 560 kb
What is the Alberta SuperNet?
PJ - ATA Tampa, Florida May 2-5, 2004 4
BackgroundEight sub-projects
1. Public consultation
2. Distance learning
3. Disaster emergency
4. Health
5. Discrete choice
6. Virtual clusters
7. In home/community
8. Libraries
PJ - ATA Tampa, Florida May 2-5, 2004 5
Purpose
To determine the Key Informant views of: Healthcare organizations/care sites (e.g. CEOs,
administrators); Healthcare practitioners (e.g. physicians,
nurses, rehabilitation therapists); and Consumers (e.g. Patients/clients, public)
on the impact of the SuperNet as a transmission mode for e-health applications/solutions.
PJ - ATA Tampa, Florida May 2-5, 2004 6
Questions
What is the perceived or actual impact of using the SuperNet to deliver health services?How will the delivery of health services affect the status quo?How ready are the various stakeholder groups to use the SuperNet?What indicators can be used to measure the impact of the SuperNet?How might the delivery of health services via the SuperNet affect patient safety and confidentiality?How do project findings impact the various strategic policy levels?
PJ - ATA Tampa, Florida May 2-5, 2004 7
MethodSelection of Participants
Key Informants Representative sample of 14 key health sector informants
was selected from the participating communities, in consultation with the Provincial Telehealth Director.
6 organizational/administrators4 health care providers2 patients/consumers2 provincial telehealth program
All 14 key informants selected were interviewed (100%
response rate)
PJ - ATA Tampa, Florida May 2-5, 2004 8
Results
Impact (Positive and Negative) on:Usual Care
Current Telehealth Services
Readiness
PJ - ATA Tampa, Florida May 2-5, 2004 9
ResultsImpact on Usual Care
Positive: Provide greater access to care, particularly for elderly
and physically disabled. Improve the quality of care; timeliness of care; and
appropriateness of care. Better use of resources; more appropriate use
hospital beds and providers of care. Capacity building for rural health care providers. Provide greater continuity of care from tertiary level
facilities to care in rural communities.
PJ - ATA Tampa, Florida May 2-5, 2004 10
Results Impact on Usual Care (Cont’d)
Negative: Fear that providers and services will be lost in rural
communities. Disruption of patient-provider relationship / Impersonal. Change in processes and way healthcare is delivered. Pushing the system harder at both provider and
community ends. Rural communities caring for more acute patients. Redundancy will need to be built into the system.
PJ - ATA Tampa, Florida May 2-5, 2004 11
Results (cont’d)Impact on Current Telehealth Services
Positive : Possible to reach Alberta Communities that could not
be reached before, via telehealth. Increase in telehealth consultations. Higher bandwidth will make more, higher quality, e-
health services available. Increased flexibility will facilitate the use of telehealth
as a tool in clinical practice. Sharing of diagnostic information will be immediate. Can be cost-effective if done within context of all other
IT requirements.
PJ - ATA Tampa, Florida May 2-5, 2004 12
Results (cont’d)Impact Current Telehealth Services
Negative: Telehealth services currently in place are ISDN and will require
transition to IP. Need for infrastructure changes – gateways, gatekeepers,
bridges, etc. requires significant up front planning in collaboration with IT/IS.
Going to have to learn to do things differently. If telehealth, via IP is not reliable, could impact patient
outcomes, and telehealth services negatively. Privacy and confidentiality issues, particularly with wireless and
EHRs. Lack of experience with providing telehealth via the SuperNet.
PJ - ATA Tampa, Florida May 2-5, 2004 13
Results (Cont’d)Readiness to Use SuperNet (n=14)
Group Not Ready
Partially Ready
Ready Uncertain
Organizations/ Senior Administrators
3
(20%)
8
(53%)
2
(13%)
1
(7%)
Health Care Providers
4
(27%)
5
(33%)
4
(27%)
1
(7%)
Patients/Public 4
(27%)
8
(53%)
2
(13%)
PJ - ATA Tampa, Florida May 2-5, 2004 14
Challenges
Informed Awareness Costs
SustainabilityBusiness Case
Technical Infrastructure
ReliabilityGateway; bridge;
interface Security/Privacy
People Staffing Education Support Readiness
PJ - ATA Tampa, Florida May 2-5, 2004 15
Conclusions
Converging high capacity Internet health services with usual and current telehealth services has both positive and negative implications, including potential socio-economic impact (e.g. capacity building, and more efficient use of resources) across several levels.Key Informants have varied views as to the state of readiness.
PJ - ATA Tampa, Florida May 2-5, 2004 16
Next Steps
NEXT STEPS: Triangulation of results: household telephone
interviews, town halls, symposium, and health questionnaire results
Dissemination of e-Health Sector Sub-Project findings.
Integration of findings of e-health sub-project with other sub-projects.
PJ - ATA Tampa, Florida May 2-5, 2004 17
Summary
BackgroundPurposeMethodsResults Impact Readiness
ChallengesConclusions Next Steps
Health Telematics UnitGlobal e-Health Research and Training Program
Thank You!
Dr. Penny Jennett
Health Telematics UnitGlobal e-Health Research and Training Program
www.ucalgary.ca/telehealth