Telehealth Wheelchair Seating Consultation and Mentoring - PowerPoint PPT Presentation

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Telehealth Wheelchair Seating Consultation and Mentoring

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HR clinic 1st level one clinic approved in rural Alberta, AADL program ... (Didsbury, Canmore, Strathmore, Black Diamond, Vulcan, Claresholm, Okotoks, High River) ... – PowerPoint PPT presentation

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Title: Telehealth Wheelchair Seating Consultation and Mentoring


1
Telehealth Wheelchair Seating Consultation and
Mentoring
  • Calgary Health Region (Rural)
  • Jacquie Bryce BSc.P.T., MHS
  • Betty Whitney B.S.R.
  • Doug Gorin B.Sc. P.T.

2
Presentation Overview
  • Background/history of w/c clinics
  • Telehealth project highlights milestones
  • Results Key Learning within project
  • Discussion of need to integrate sustainability
    planning to ensure future service

3
Background/History of Clinic
  • HR clinic 1st level one clinic approved in rural
    Alberta, AADL program
  • Eventually became a regional service
  • Most clinics (approximately 12 annually),
    occurred at HR site
  • Therapists travel time limited access to service
    for other area sites
  • Team felt that clients needs not met

4
Client Centered Rehabilitation
  • INDIVIDUAL CLIENT
  • -Informed participation in goal setting and
    decision making
  • -Outcome evaluation from client perspective
  • -Effective communication
  • -Family involvement
  • -Comfort, skin, mobility, swallowing, pulmonary,
    visual field, hand function
  • Colt (2001)
  • SERVICE / SYSTEM LEVEL
  • -Interdisciplinary approach
  • -Coordination / continuity
  • -Accessibility
  • -System evaluation from service perspective
  • -Response to client feedback
  • areas where current system might be improved

5
From...
6
To
7
Telehealth Wheelchair Seating Project Goals
  • Improve access to wheelchair seating
    prescription
  • Enhance learning and skill among practitioners
  • Build system capacity and ability to better
    manage complex seating needs

8
Description
  • Videoconferencing is being used to enhance the
    availability of seating services within the rural
    area of Calgary Health Region (Didsbury, Canmore,
    Strathmore, Black Diamond, Vulcan, Claresholm,
    Okotoks, High River)
  • Expertise is being shared from the High River
    site to the remote referring sites

9
Project Highlights
  • Infrastructure (process) developed
  • Inventory of existing resources and gaps
  • Hiring of temporary program assistant
  • Mock Clinic Day eleven therapists and three
    technicians (vendors) trained in use of
    telehealth equipment and assessment process
  • Cabling of referring rehabilitation service sites
  • Purchased equipment (pressure mapping, camera,
    tripods, lighting)
  • Two therapists attend AADL seating course one
    therapist to attend national conference
  • Project evaluation developed with U of C
    Telehealth Faculty of Medicine

10
Results and Key Learnings
  • Since first telehealth clinic on April 1st,
    2004, we have assessed 30 new clients by
    telehealth
  • Energy
  • Synergy
  • Everyone benefits

11
Results and Key Learnings
  • OVERALL IMPROVED EFFICIENCY
  • ACCESSIBILITY
  • IMPROVED CLIENT ACCESS AND THROUGHPUT (gtS, LESS
    SYSTEM REQUIREMENTS)
  • TIMELY MANAGEMENT OF COMPLEX CASES (ltWAIT TIME)
  • PROCESS ESTABLISHED IN REGION
  • INCREASED RESOURCES (EQUIPMENT SUPPORT)

12
Results and Key Learnings
  • OVERALL IMPROVED SERVICE
  • BETTER ENGAGEMENT AND COLLABORATION (referring
    therapists/ family/ vendors)
  • IMPROVED CLINICAL EVALUATION PROCESS (experts
    able to concentrate solely on the evaluation
    therapists energized by process)
  • INCREASED VOLUME OF CLIENTS MEANS DEVELOPMENT AND
    MAINTENANACE OF EXPERTISE AMONG CLINICIANS
  • RURAL TO RURAL SERVICE MODEL ALLOWS FOR IMPROVED
    JOB SATISFACTION AND FLEXIBILITY IN MEETING
    UNIQUE ATTRIBUTES OF RURAL PRACTICE

13
Results and Key Learnings
And of Course There Will be Surprises And
Perhaps Even a Few Dust Ups
14
Results and Key Learnings
  • AMBITIOUS GOAL SETTING
  • PROJECTIONS TOO HIGH
  • - REVISED ESTIMATE OF NUMBERS OF CLIENTS TO BE
    SERVED ORIGINAL NUMBERS TOO HIGH NOT REALISTIC
    (time line very tight for grant proposal,
    original estimate called for an increased
    capacity of threefold)

15
Results and Key Learnings
  • BUILD BETTER SUPPORT FOR PROJECT
  • MORE CONSULTATION WITH STAKEHOLDERS
  • TIGHT TIME FRAME BETWEEN CALL FOR GRANT PROPOSALS
    AND SUBMISSION MADE ADEQUATE CONSULTATION
    CHALLENGING.
  • This created a few bumps along the way
  • Addressed concerns raised by AADL program
    regarding scope of project and integration with
    their processes
  • Concerns with human resource use at sites
    (booking, preparation for clinics, using
    referring site staff)
  • Increased hours by experts

16
Key Messages
  • Grant has fulfilled its seed role, telehealth
    wheelchair seating clinics proven a viable option
  • Sustainability of service will require ongoing
    support
  • Clinical rehabilitation applications using
    telehealth significant good potential for
    further development

17
Future? What happens after grant runs out?
  • SUSTAINABILITY OF VIDEOCONFERENCING FOR SEATING
    NEEDS
  • REPLACEMENT STAFF AT HR SITE
  • ONGOING TRAINING NEEDS
  • ONGOING EVALUATION OF SERVICE (DATA COLLECTION
    AND ANALYSIS)
  • REFERRING SITES, SUPPORT FOR BOOKING AND CLINIC
    SET-UP

18
(No Transcript)
19
Thank you
  • Questions
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