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Provincial HIV CollaborativeNorthern Health (NH)
Smithers Team
Provincial HIV CollaborativeNorthern Health (NH)
Smithers Team
Lee Anne Hodge JohnsonPrimary Care Developer Bulkley Valley
Daphne Hart MD, General Practice, Smithers
in collaboration with
Jennifer Hawkes Northern Health
Clinical Pharmacy Specialist in HIVPrince George
Lee Anne Hodge JohnsonPrimary Care Developer Bulkley Valley
Daphne Hart MD, General Practice, Smithers
in collaboration with
Jennifer Hawkes Northern Health
Clinical Pharmacy Specialist in HIVPrince George
•Geographic Isolation•Geographic Isolation
ImprovementImprovement
•Four Objectives set for Smithers
• Presentation of March 2011 HIV Primary Care Guidelines to Health Care Providers
• Access to Infectious Diseases Consultation by Telehealth
• Access to HIV Pharmacy Consultation by Telehealth
• Facilitate development of Multidisciplinary Integrated Team Based Care
•Four Objectives set for Smithers
• Presentation of March 2011 HIV Primary Care Guidelines to Health Care Providers
• Access to Infectious Diseases Consultation by Telehealth
• Access to HIV Pharmacy Consultation by Telehealth
• Facilitate development of Multidisciplinary Integrated Team Based Care
ImprovementImprovement
•Objective that improvement relates to....
•Access to Northern Health HIV Pharmacy consultation by Telehealth
•Objective that improvement relates to....
•Access to Northern Health HIV Pharmacy consultation by Telehealth
ImprovementImprovement
•Change tested that worked.....
•In July and August 2011
•Three antiretroviral naive individuals had a consultation with the NH HIV Pharmacist by Telehealth prior to commencing antiretroviral medications.
•Prior to this time no direct Pharmacy consultation was accessible.
•Change tested that worked.....
•In July and August 2011
•Three antiretroviral naive individuals had a consultation with the NH HIV Pharmacist by Telehealth prior to commencing antiretroviral medications.
•Prior to this time no direct Pharmacy consultation was accessible.
ImprovementImprovement
•HIV Pharmacy Telehealth process involved
1. Use of Existing NH Telehealth infrastructure
2. Development of administrative forms
• HIV Pharmacy Telehealth Request form (Request for Telehealth, Referral to HIV Pharmacist
• System map of Blood Born Pathogens (BBP) Booking Process
• Memorandum of Understanding between NH Telehealth and the BBP Telehealth Initiative Group
•HIV Pharmacy Telehealth process involved
1. Use of Existing NH Telehealth infrastructure
2. Development of administrative forms
• HIV Pharmacy Telehealth Request form (Request for Telehealth, Referral to HIV Pharmacist
• System map of Blood Born Pathogens (BBP) Booking Process
• Memorandum of Understanding between NH Telehealth and the BBP Telehealth Initiative Group
3.Sessional Physician in Smithers initiated the referral, attended to interview, facilitated patient attendance, provided the medical information in advance.
4.NH HIV Pharmacist in Prince George facilitated the Telehealth connection, conducted the interview, and provided a consultation letter for the referring physician and Family Physician.
3.Sessional Physician in Smithers initiated the referral, attended to interview, facilitated patient attendance, provided the medical information in advance.
4.NH HIV Pharmacist in Prince George facilitated the Telehealth connection, conducted the interview, and provided a consultation letter for the referring physician and Family Physician.
ChallengeChallenge
•Move from a carefully orchestrated person dependent trial process to a sustainable process easily accessed by all Health Care Providers and individuals living with HIV in Smithers
•Move from a carefully orchestrated person dependent trial process to a sustainable process easily accessed by all Health Care Providers and individuals living with HIV in Smithers
Continuing ChallengesContinuing Challenges
•Next Steps....
•Await approval of forms by NH Document Centre
•Make forms available on NH intranet
•Spread awareness of access to the process
•Encourage follow up appointments
•Develop a sustainable plan regarding the roles and responsibilities for the process in Smithers
•Next Steps....
•Await approval of forms by NH Document Centre
•Make forms available on NH intranet
•Spread awareness of access to the process
•Encourage follow up appointments
•Develop a sustainable plan regarding the roles and responsibilities for the process in Smithers
Lessons LearnedLessons Learned
•Pharmacy consultation by Telehealth is possible
•Patients seemed engaged and there is interest in and support for the process
•Telehealth requires 48 hours notice. No urgent response.
•Video linked interviews offer something positive that telephone interviews cannot provide.
•Pharmacy consultation by Telehealth is possible
•Patients seemed engaged and there is interest in and support for the process
•Telehealth requires 48 hours notice. No urgent response.
•Video linked interviews offer something positive that telephone interviews cannot provide.
Lessons LearnedLessons Learned
•The process developed for Smithers is applicable to other small rural communities in NH with Telehealth infrastructure.
•Meeting the objective of accessing Infectious Diseases consultation by Telehealth has been facilitated by the current work on accessing Pharmacy by Telehealth
•The process developed for Smithers is applicable to other small rural communities in NH with Telehealth infrastructure.
•Meeting the objective of accessing Infectious Diseases consultation by Telehealth has been facilitated by the current work on accessing Pharmacy by Telehealth
for Northern Health September 2011for Northern Health September 2011
•Geographical isolation•Geographical isolation
