Healthcare working smarter

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What is OTN?

One of the world’s largest and most active Telemedicine networks.

An independent, not-for-profit organization funded by the Government of Ontario.

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What is telemedicine?

Use of innovative technologies to bring clinical care and/or education to patients and health care professionals. across the province.

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Tele-diagnostic instruments

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Where is OTN?

Virtually everywhere!

Programs & services delivered collaboratively at more than 1,400 sites using 2,600 telemedicine systems.

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Telemedicine Site LocationsHospitals

First Nations Communities

Medical and Nursing Schools

Cancer Centres

Psychiatric Hospitals

ORNGE

CCO, CIHI

Professional Associations (OMA, OHA, RNAO, CPSO)

Family Health Teams

Rural Nurse Practitioners

Specialists’ Offices and Homes

Public Health Units

LHIN Offices

Long-Term Care Homes

Community Mental Health Facilities

Community Care Access Centres

Community Living Centres

Addiction Treatment Centres

Eating Disorder Clinics

Cardiac Rehab Centre

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Who uses OTN?

Physicians and allied HCPs

Health care organizations

Patients and Families

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Professional supportThe practice of telemedicine is recognized by a number of regulated health professional organizations, including:– College of Physicians and Surgeons of Ontario (CPSO);

– College of Nurses of Ontario (CoN);

– College of Audiologists & Speech Language Pathologists of Ontario (CALSPO):

– College of Dietitians of Ontario (CDO);

– College of Occupational Therapists of Ontario (COTO);

– College of Physiotherapists of Ontario (COPO); and

– College of Psychologists of Ontario (CPO).

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2011/12 Clinical Utilization

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Top Therapeutic Areas of Care: Ontario

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OTN Vision

Telemedicine will be a mainstream channel for health care delivery and

education.

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Implementing the Vision: 2015

1,000,000+ patients served, with improved access to better integrated, quality care.

40,000+ telehomecare patients annually with increased self-management skills and reduced utilization of more expensive health system resources.

25,000+ healthcare providers using telemedicine to collaborate around patient care, best practices and health education

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OTN Virtual Channels

Healthcare Office Acute Care

Learning Home & Community Care

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Healthcare office

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Types of Referrals

Family practice to specialist.

Specialist to specialist.

Referrals to allied healthcare specialists eg. nurse practitioners, dieticians, speech language pathologists.

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Specialty care use of Telemedicine

Most commonly used for initial consults & follow-ups.

Telemedicine studios at all hospitals in the province.

Majority have an on-site telemedicine coordinator to support and ensure technical quality of appointments

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Store Forward Telemedicine

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Tele-Ophthalmology & Retinal Screening

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PCVC

Personal Computer VideoconferencingPCVC is software that makes it possible for health care

providers to use videoconferencing for initial and/or follow-up patient consultations from the convenience of their personal computer.

Pilot Project targeting Consulting Physicians

Webcam + headset or noise cancellation speaker

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Patient benefits of Telemedicine

Better access to a broad range of clinical programs and services.

Timely diagnosis and treatment.

Improved health outcomes.

Reduced cost, risk and inconvenience of travel.

Care closer to home.

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2012 Patient survey results

91%

92%

96%

91%

would use telemedicine again.

were satisfied with their telemedicine visit.

could see the health care provider clearly.

could talk about the same information that they would have talked about in person.

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Physician billing

Simple, direct-to-OHIP billing.

Physician remuneration: – Fee-for-service amounts +

special telemedicine premiums.

Complete details at www.otn.ca.

Acute CareProvincial 24/7 On-call:

Tele-stroke

Sign language services

Burn

Regional Programs:

Crisis psychiatry

Critical care

Trauma

Long-term care

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Learning

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Learning via OTN

Improves access to education for HCPs in urban/rural areas.

Reduces isolation experienced by HCPs in rural/remote settings.

http://learning.otn.ca/

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Webcasting Centre

Search for webcasts by topic, presenter or date

Participate over the internet

Interact with instructors using text features

Search for webcasts by topic, presenter or date

Participate over the internet

Interact with instructors using text features

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Webconferencing

Room for up to 100 participants; unlimited hours;

Interactive tools: chat, polling, webcam video and audio.

Significant return on investment

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Webconferncing ROI Calculator

Based on OTN Webconference User Survey

*62 km average travel avoidance per participant

*$.50/km travel cost

*$31 per participant per event travel cost avoided

OTN Webconferencing

Return on Investment Calculator

Participants/Month 20

Annual Travel Cost Avoided $7,440

Enter number of participants who travel to meetings or for education here.

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Home & Community Care

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Telehomecare/CDM Study Outcomes

Self-reported data from 813 enrolled patients with CHF and COPD

64 – 66 % decrease in hospital admissions72 – 74% reduction in emergency

department visits16 – 33% decrease in number of

primary care physician visits95 – 97% reduction in walk-in clinic

visitsHigh levels of patient and provider

satisfaction

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Membership in OTN

Enables access to world’s largest collaborative community of telemedicine-enabled organizations.– Allows participation in clinical, educational & health

care administrative events.

Integrating telemedicine into your organization:– enhances delivery of care; – is a cost-effective means of providing staff

development and knowledge; and– enables you to host or attend regional and provincial

meetings.

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“Green” benefits

Use of Telemedicine resulted in:

– avoidance of more than $44M in Northern Health Travel Grants;

– avoidance of more than 208 million km of patient travel (or 5151 trips around the earth!);

– elimination of more than 57 kg of pollutant load;

– saving of 23 million L of fuel.

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OTN’s commitment to Members

Complete interoperability across Ontario.

Province-wide support for clinical, educational and administrative events via a unified technical service desk.

Contact Centre to assist with scheduling events.

A scheduling portal enabling online scheduling and studio management.

Online publication of available education events.

Webcasting services to record and view live and archived educational and administrative events.

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Training for Telemedicine

OTN provides users with comprehensive training, support and advice in:

– Network protocols, procedures & policies;

– Network management;

– Selection and deployment of video technology; – Providing clinical & educational services.

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OTN’s support services

7am to 7pm Service Desk (with after hours on-call coverage)

Scheduling

Training

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Membership fees

No Membership fees for LHIN-accountable organizations.

Some fees apply for non-LHIN accountable organizations.

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Privacy

OTN protects all personal health information consistent with the requirements of the Personal Health Information Protection Act, 2004.

For more information, you may contact OTN’s Privacy Office:– Email: privacy@otn.ca – Phone: 1-866-454-6861

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Thank you!

For additional information about OTN,

please visit

www.otn.ca