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Telehomecare

Telehomecare. TELEHOMECARE Central West LHIN Steering Committee William Osler Health System Bonnie Burnes Andrea Martin Allison Philpot May 29, 2013. Central West LHIN Steering Committee Bonnie Burnes William Osler Health System May 29, 2013. Telehomecare in Central West LHIN.

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Telehomecare

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  1. Telehomecare TELEHOMECARE Central West LHIN Steering Committee William Osler Health System Bonnie Burnes Andrea Martin Allison Philpot May 29, 2013 Central West LHIN Steering Committee Bonnie Burnes William Osler Health System May 29, 2013

  2. Telehomecare in Central West LHIN • Program Hosted by William Osler Health System • Progress to date: • Funding for fiscal 2012-13 confirmed on January 2, 2013 • Program officially launched January 28, 2013 • Five nurses and one Coordinator hired • Issues including software inefficiencies have been resolved • E-referral model originally contemplated more complex • Referral and Enrollment trending upward • Originally stated Patient Targets included: • 75 patients by March 31 - 59% of this was reached • 250 by July – at current rate, may not be reached

  3. Telehomecare in Central West LHIN • Program Hosted by William Osler Health System • Lessons Learned to date: • Starting with “sickest” patient not the ideal target group • Home visit design – learning curve • External Working Group – major support to program initially • Internal IT involvement – absolutely required to achieve program efficiencies • Hospital model works – discharge planners a significant source of referrals • Engagement role – required and critical to ongoing referral process

  4. Telehomecare in Central West LHIN • Program Hosted by William Osler Health System TOTAL NUMBER OF REFERRALS: 153 TOTAL NUMBER OF ENROLLMENTS: 84 (55%) TOTAL NUMBER PENDING: 25 (waiting for connection with patient or MD) TOTAL NUMBER OF DISCHARGES: 14 (4 expired, 4 admitted to acute care, 4 admitted to nursing home, 1 too sick to continue, 1 didn’t like program) INELIGIBLE or DECLINED REFERRALS: 44(29%) Died during referral: 19 No interest: 17 No phone/line: 4 Too sick/palliative: 4 Major referrers: Wise Elephant FHT; Headwaters Heath Care Centre, Osler Discharge Planners Pending referrals expected: DAFHT; Rexdale CHC, CCAC

  5. Telehomecare in Central West LHIN • Program Hosted by William Osler Health System

  6. Telehomecare in Central West LHIN Enrollment Strategy 1- Targeted Adoption

  7. Telehomecare in Central West LHIN Enrollment Strategy 1- Targeted Adoption (con’t)

  8. Telehomecare in Central West LHIN • Enrollment Strategy 2- Broad Awareness

  9. Telehomecare in Central West LHIN • Enrollment Strategy 2- Broad Awareness (con’t)

  10. Telehomecare in Central West LHIN Enrollment Strategy 3 – Key Champions

  11. Telehomecare in Central West LHIN • Enrollment Strategy 4- Executive Leads

  12. Telehomecare in Central West LHIN • Program Hosted by William Osler Health System • Next Steps: • Requested Engagement Lead role in 2013-14 budget; no confirmation yet • Hire Engagement Lead • Continue Targeted Adoption • Pursue Broad Awareness • Foster Relationships with Key Champions and Executive Leads

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