Champlain CCAC
Virtual Care and Patient Engagement Opportunities for
Home and Community Care
OCE Advancing Health Partnering Forum
May 8, 2015
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A Quick Overview of Home and Community Care in Ontario
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
PurposeCCAC 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)
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A Quick Overview of Home and Community Care in Ontario
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
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Client Populations Served
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Current Home and Community Care Trends
Increased prominence within the Health System
Increasing Client Acuity
Increasing demands; Increased need for coordination across health providers
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Home and Community Care - ChallengesUnique 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
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Existing eHealth Solutions and Current Gaps in Solution
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
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Problem Statement/Opportunity Spaces
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.)
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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
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The Way Forward
Client/ Caregiver
Champlain CCAC
Deryl RasquinhaVP – Performance & StrategyChamplain CCACTel: 613-745-8124 ext. 5933E-Mail: [email protected]
Paul BoissonneaultCIOChamplain CCACTel: 613-745-8124 ext. 5949E-Mail: [email protected]
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