leveraging ehealth in education and practice: opportunities, challenges, lessons learned (so far…)
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The University of Georgia Institute for Evidence Based Health Professions Education Conference March 30 th , 2012. Leveraging eHealth in Education and Practice: Opportunities, Challenges, Lessons Learned (so far…). Kendall Ho, MD FRCPC Associate Professor, Emergency Medicine - PowerPoint PPT PresentationTRANSCRIPT
Leveraging eHealth in Education and Practice:Opportunities, Challenges, Lessons Learned (so far…)
Kendall Ho, MD FRCPCAssociate Professor, Emergency MedicineDirector, eHealth Strategy OfficeFaculty of Medicine, University of British Columbia
The University of GeorgiaInstitute for Evidence BasedHealth Professions Education ConferenceMarch 30th, 2012
Health System pressures…Evidence based care models?Increase service capacity?Health access for the underserved?Improve cost effectiveness?Patient satisfaction, engagement, & safety?Hospital/health system management?Anticipating future transformative care?
Health System & Academia
How can we (students, faculty,
universities) contribute?
STUDY & SERVICE
Advantage: eHealth
DefinitionUsing Information Technologies:• Health service delivery• Education• Research• Knowledge Translation
AgendaLearning in practice: ContextTechnology Enabled Learning considerationsUBC eHealth journeyQuestions, comments
Life Long Learning Continuum
Undergraduate (4 yrs)
Post-graduate (4-6 yrs)
Professional (20+ yrs)
Learning in Practice: Challenges
Knowledge/skills
New Knowledge
Knowledge deterioration
9
Stages of Change
Pre-contemplative
Contemplative
PreparationAction
Maintenanceof change
LIFELONG
LEARNING
From Knowledge to Competence
Knows
Shows how
Knows how
Does
Learning Dynamics
Individual System
HP Education Context: SummaryVolume of knowledge/evidenceStages of learning & reflectionFrom knowledge to competenceTied to health system (& work)
K Ho Technology Enabled Learning 11.2009
13ADVANTAGE: Information & Communication Technologies
• Accessibility & Portability• Multimedia• Reproducibility• Automaticity (data processing)• Rule based decision branching• Repository
Technology Enabled Learning?
TEL Archetypes/Models:1. Videoconferencing, webinars2. Automated CE, learning objects 3. Cased Based: Web cases, simulations4. Facilitation: electronic Community of
Practice5. Self assessment: learning portfolios6. System reflection: public health data
Dynamic Case Audits
• Tonsillar Abscess Mx
Simulators
• Resuscitation• EHR implementation
Disease Surveillance Dashboard
http://www.hc-sc.gc.ca/pphb-dgspsp/dsol-smed/
Example:
TEL Archetypes/Models:1. Videoconferencing, webinars2. Automated CE, learning objects 3. Cased Based: Web cases, simulations4. Facilitation: electronic Community of
Practice5. Self assessment: learning portfolios6. System reflection: public health data
DATA/HI INTENSITY
Making TEL Stick, Consider…
Media (VC, Internet, computer, podcasting, tablets, smart phones, Web 2.0, …)Engagement: push, pull, interactivity, facilitation, co-creation, "lurkers"Practice integration: workflow, habits, contextsStage of learners
Stages of Change & TELPre-contemplative
videoconferencing, webinars
Contemplative Automated CE, learning objects
Preparation Case based learning, simulations
Action Discussion, eCOP, self audit
Habit Formation
Learning portfolio, systems reflection
DATA/HI INTENSITY
TEL: What if….The system crashes?Data loss?The capacity does not suffice?Security breach?Student technical difficulties?Student technical literacy?Technology access is limited?
UBC eHealth Strategy Office Journey…“ICT to enable academic mission:
Education, Research, Knowledge Translation”
Technology Enabled
Knowledge Translation
Decision Support
TEKT @ UBC eHealth: 5 Directions
TelehealthEmergency telehealthTele-dermatologyTele-pathologyTele-mental health
Clinical Practice GuidelinesClinical practice guidelines on PDA!Condensed Guidelines are viewable on both
Windows PocketPC (mobile) and Palm24 guidelines available on PDA. Including:
AsthmaCardiovascular DiseaseChronic Kidney Disease
COPDDiabetes
Depression
Heart Failure CareHepatitis BHepatitis C
HypertensionOsteoarthritis
Rheumatoid Arthritis
Biometrics Monitoring
ECGMicroscopyRetinal screeningNano-technologies
Decision Support
Team Based Care
TEKT @ UBC eHealth: 5 Directions
Technology Enabled AD
using IT technologies (e.g. Internet, computer, PDAs) to conduct AD.
Evidence 2 Excellence: E2E for EMBC Emerg. Depts.MoH, HAsStandard of careTriaging, clinical,
operationsCare Mapping: IPElectronic community (eCoP)
http://www.evidence2excellence.ca/
Decision Support
Team Based Care
Patient Engagement
TEKT @ UBC eHealth: 5 Directions
31Health Forum, Vancouver
www.iconproject.org
Other PossiblitiesText messagingAppsBiometrics monitoring
Blood pressurePedometerWeightOxygen saturation…
Decision Support
Team Based Care
Patient Engagement
Evidence Based Policy
TEKT @ UBC eHealth: 5 Directions
Evidence Based PolicyProvincial
Tele-mental healthPublic engagement in eHealth
NationalEHR training in academiaAboriginal eHealth benefits evaluation
International Telehealth for the underservedMobility of eHealth professionals
WHO Global eHealth ObservatoryRural telemedicine literature review09/10 country surveysKey telemedicine trendsRecommendations
www.who.int/goe/publications/ehealth_series_vol2/en/index.html
1/14/2011
Published
Decision Support
Team Based Care
Patient Engagement
Evidence Based Policy
Evaluation
TEKT @ UBC eHealth: 5 Directions
5 Evaluation AreasQuality of CareHealth AccessCost EffectivenessEnd user satisfactionUsability
HI Capacity: Blueprint
Medicine, Nursing, Pharmacy, …
K-12 Pre-HP Health SystemClinician
Health Informatician
Health Consumer
HI, Comp Sc, Engineering, Library science…
Min. of Education, Schools, …Govt., NGOs
Translational informaticsGenomicsMetabolomicsProteomicsPharmaconomicsPopulomics
eHealth in Learning & Practice
Integrate TEL to learning and self reflectionIntegrate EHR to practice and self auditMonitoring & surveillance for system changePortable computing & mobile HealthSocial media & Web 2.0
e H e a l t h S t r a t e g y O f f i c e
Web: www.eHealth.med.ubc.caFacebook: on.fb.me/ehealthstrategyTwitter: www.twitter.com/ehealhtstrategy
Collaboration Welcome!