Virtual Care: New Skills for Organizations and Professionals Tuesday, March 1st, 2016

Transcription

1 Virtual Care: New Skills for Organizations and Professionals Tuesday, March 1st, 2016 Mark Casselman, CEO COACH: Canada s Health Informatics Association

2 Conflict of Interest Mark Casselman, M.Sc. Has no real or apparent conflicts of interest to report.

3 Summary The rapid growth of virtual care is transforming the way health care is accessed and delivered Emerging technologies and new models for connected care in the community and home are moving patients, clinicians, and technology closer together As a result of this shift, new organizational capabilities and professional skills are needed Help identify new skills and learning required to deliver virtual care and connected health, and build upon the COACH Health Informatics Professionals (HIP) Career Matrix and HIP Role Profiles

4 Learning Objectives Identify professional skills and organizational capabilities required to deliver virtual care Recognize emerging opportunities for virtual care delivery, and understand the post-implementation impact on people, process, and technology Apply a framework to describe and analyze health informatics professional role profiles within the context of virtual care and connected health

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6 COACH: Canada s Health Informatics Association COACH has Members COACH is represented in all 10 provinces and all 3 territories. COACH also has members in

7 The rapid increase in volume and diversity of digital health tools is shifting expectations... Emerging technologies and new models for connected care in the community and home are moving patients, clinicians, and technology closer together Patient portals Personal group organization Disease management tools e-booking & scheduling tools e-requests & Rx renewals Remote patient monitoring e-visits, telemedicine mhealth / wearables / wellness Health education Gamification Online health reviews Social networking & data sharing Health fitness performance

8 However, traditional health care delivery & consumer digital health (mostly) operate as distinct ecosystems...?

9 And, virtual care is evolving along an emerging continuum Transaction-focused Person to person Clinician to clinician Clinician- Patient Team (including patient) Relationship-focused Virtual clinic Multi-service Single setting (or sector) Relationship-based Multi-service Connects sectors and settings Data and devices Personalized, patient-centric in both directions!

10 Virtual Care (noun): Any interaction between patients and/or members of their circle of care, occurring remotely, using any forms of communication or information technologies, with the aim of facilitating or maximizing the quality and effectiveness of patient care. Source: Virtual Care: A Framework for a Patient-Centric System, Women s College Hospital Institute for Health Systems Solutions and Virtual Care (WIHV)

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14 Dynamic tensions and socio-technical shifts are influencing adoption of consumer digital health and virtual care Information assets Centralized ---- Decentralized Workflow dynamics Enterprise ---- Professional Power shift Enterprise ---- Consumer Changing context Hospital ---- Home

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16 Professionals, teams, and organizations must consider what novel skills and capabilities are needed to deliver virtual care effectively Health informatics (HI) is the intersection of core practice areas: Clinical Management IM / IT How is the HI profession evolving within the context of virtual care and connected consumer health?

17 Telehealth is providing valuable early lessons learned about virtual care delivery Telehealth and virtual care options are rapidly evolving across Canada More broadly available and more technologically diverse services offered 2015 Canadian Telehealth Report Increasingly, mobile health technology is complementing institution-based and desktop-based telehealth endpoints.

18 Telehealth adoption and use continues to grow as a key support to our changing healthcare environment Growth areas since 2013 report: 45.7% more clinical sessions 41.5% more endpoints 78% increase in patient & provider education sessions Observing shift in endpoint from facility-based to desktop to mobile

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21 A number of key challenges must be addressed Access to tools Privacy High-user needs Interoperability esafety Partnerships & data sharing Clinician engagement Health literacy Demonstrated ROI Busines s models Data Accurac y

22 COACH HIP Role Profiles This document contains a role profile for 65 job titles (traditional), to name a few: Chief Medical Informatics Officer ehealth Program Director ehealth Strategist PMO Manager Program Manager Project Manager Trainer Product Specialist Process Improvement Analyst Research Coordinator Data Integrity Analyst Privacy Analyst Standards Analyst Security Specialist Service Manager.

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25 Clinical & Health Services Does care team design and practice support virtual care? How is virtual care data used to support diagnostic journey?

26 Health System Strategy What partnerships are required to deliver care in the future? How will we balance strategic investment of capital across physical and virtual projects? What is our approach to monitoring and understanding regulatory & political environment?

27 Project Management Are multi-disciplinary teams built into system in rigorous way? Who analyzes and manages socio-technical interactions? What skills / training is necessary to shift in the direction of health informatics facilitation?

28 Organizational Management Are there emerging models for virtual care governance? What staff training and education is needed for virtual care? What is the process and change management effort required to move from physical to virtual?

29 Analysis & Evaluation What is the impact of enhanced data sharing and data liberation? Iterative experimentation and learning vs. RCT? Selection of business case and benefits evaluation frameworks?

30 Information Management What are the implications of data sharing and liberation? Skills needed to leverage emerging standards? Impact of collecting patientgenerated data?

31 Information Technology Infrastructure requirements and expertise for virtual care? Hardware and application management in new delivery model? How does IT balance evolving security and access models?

32 How might the roles of HI professionals evolve to support virtual care delivery? Transition specialist Intelligence Augmenter Director, Decentralized Asset Management Health Coach Business Analyst, Patient Workflow Personal Health Informatics Analyst #virtualcareroles

33 And how will we address challenges to continue bringing together traditional health care delivery & consumer digital health ecosystems??

34 Questions

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36 Please use this blank slide if more space is required for charts, graphs, etc. To remove background graphics, right click on selected slide, choose Format Background and check Hide background graphics.