BCATPR Workshop 2014: Telehealth, eHealth and mobile health advances in BC and beyond Monday, May 26, 2014 St. Paul’s Hospital, Vancouver, British Columbia Register today at www.bcatpr.ca/workshops This is the 7th annual telehealth workshop of the BC Alliance on Telehealth Policy and Research. Telehealth is a growing field that uses telecommunication technologies to deliver healthcare services to patients at a distance. Join other researchers, health professionals, students, patients, and industry leaders for British Columbia’s premier multidisciplinary workshop in telehealth, mobile health technologies and eHealth initiatives for health and chronic disease management. Workshop Program 11:30 am - 12:30 pm Registration Opens, Stand-up Lunch, Poster Session Poster Session / Exhibit Hall opens at 9:00 am for set-up 12:30 pm – 12:40 pm Opening Remarks 12:40 pm - 1:15 pm Jodi Glassford eReferral and transforming Alberta’s referral experience 1:15 pm - 1:50 pm Paul Terry The Big Data challenge – balancing privacy rights with medical innovation 1:50 pm - 2:25 pm John Falconer Apple iPad “Face Time” support for rural stroke care 2:25 pm – 3:10 pm Poster Session/Networking coffee break 3:10 pm - 3:45 pm Scott Lear Using the Internet to deliver cardiac rehabilitation: Results of the virtual cardiac rehabilitation program 3:45 pm - 4:20 pm Melanie Murray WelTel at Oak Tree: Text messaging support to improve HIV+ patient care and outcomes 4:20 pm - 4:30 pm Closing Remarks Speaker Sessions Dr. John Falconer, Neurologist; Clinical Associate Professor, Neurology, University of British Columbia; Director, eHealth Research Office, UBC Southern Medical Program Apple iPad “Face Time” support for rural stroke care Current medical care for patients with acute stroke symptoms recommends urgent assessment by a neurologist upon arrival in the Emergency Department. Dr. Falconer will discuss a unique pilot project that makes this possible for patients living in rural communities across Interior Health. The project uses Apple’s iPad and Face Time video conferencing application to link a round-the-clock Neurology Physician Group at Kelowna General Hospital to Emergency Departments in five select primary and secondary health centres across Interior Health. The evaluation for this project is very robust and consists of patients, emergency physicians, patient transportation, neurologists, IMIT, a satisfaction survey, stroke utilization statistics, Face Time consult numbers and consult outcomes, as well as changes in treatment and cost savings. Jodi Glassford, Director, Closed Loop Referral Management, eReferral and Alberta Referral Pathways, Alberta Health Services. eReferral and transforming Alberta’s referral experience Alberta Netcare eReferral is transforming patient referrals by developing standardized referral processes and by automating provincially-based care pathways. The eReferral platform is built within the Alberta Netcare Portal, the province-wide electronic health record. Currently, the platform is accessible through a web portal, with planning underway to integrate it with a variety of scheduling systems, EMRs and the Personal Heath Portal for patients. The platform has also been designed to eventually manage all care transitions (i.e. labs, homecare, and specialty care) throughout the patient referral experience. Ms. Glassford will discuss the inner workings of eReferral, and how it is increasing efficiency while helping patients and providers choose their best care options. Dr. Scott Lear, Team Leader, BCATPR; Director, Community Health Solutions (CHS); Professor, Faculty of Health Sciences, Simon Fraser University; Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research, St. Paul’s Hospital Using the Internet to deliver cardiac rehabilitation: Results of the virtual cardiac rehabilitation program Cardiac rehabilitation programs (CRP) are medically-supervised, multi-disciplinary secondary prevention programs for patients with cardiovascular disease. They have proven to be a cost-effective way of improving lifestyle behaviours and reducing risk factors, cardiovascular events and premature mortality in patients. Despite the known benefits of CRP, attendance is low: as little as 10% to 30% of eligible patients attend these programs. One of the key barriers to attendance is geographical proximity, as CRPs are commonly located in large urban centres. The BCATPR therefore developed the ‘virtual’ cardiac rehabilitation program (vCRP) website, which uses the Internet to deliver cardiac rehabilitation over a four-month period to patients residing in small urban and rural areas. Dr. Lear will present the methodology and findings from this successful program. Dr. Melanie Murray, Assistant Professor, Division of Infectious Diseases, University of British Columbia WelTel at Oak Tree: Text messaging support to improve HIV+ patient care and outcomes Analysis of the cascade of care for HIV+ individuals reveals that there is still much work to do in improving retention in HIV care and adherence to antiretroviral medications. It is well known that rates of poor or non-adherence are high, and that high adherence and good engagement in care are critical to attaining HIV viral suppression, decreasing morbidity, mortality and preventing new infections. The use of mobile phone technology to deliver health care has been shown to assist in patient adherence to prolonged treatment regimens and monitoring of care. The WelTel intervention involves sending participants a weekly text message asking them “How are you?”, and having a nurse triage and respond to problems that patients identify on an ongoing basis. After a successful pilot study of acceptability and feasibility of the intervention in our clinic setting, we are currently enrolling a repeated measures study of the intervention with the aim of demonstrating intervention effectiveness in improving engagement in care and adherence to antiretroviral medications for patients living with HIV. Dr. Paul Terry, President and CEO, PHEMI Health Systems The Big Data challenge – balancing privacy rights with medical innovation Privacy By Design is the international global privacy framework advancing the view that the future of privacy cannot be assured solely by compliance with legislation and regulation; rather, privacy assurance must ideally become an organization’s default mode of operation. Yet many question how the world of Big Data, deep analytics and research can coexist with the demand for individual privacy. This session will explore how the foundational principles of Privacy by Design can be addressed in Big Data solutions when architected into technology products from the ground up. Dr. Paul Terry will explore how individuals’ privacy rights can co-exist with healthcare organizations’ legitimate medical interests and objectives based on patient consent. This ground-up approach to privacy works symbiotically with clinicians’ needs for complex data analysis. Treating data as digital assets means that healthcare data can be enriched and analyzed for meaningful statistics and patterns, with privacy enforcement underpinning the process. Poster Sessions Development of glucose meter in the form of smartphone accessory for automated glucose data logging and management on smartphones Austin Lee; Shield Diagnostics TeleRoboCare: Design of practical Internet-connectivity for low-cost personalized robotics Shahram Payandeh, George Xu, Cliff Edward, Timofey Nosov, Soheil Keshmiri; School of Engineering Science, Simon Fraser University Exploring E-Mental Health Preferences of Generation Y Marissa Mar, Erika Neilson, Iris Torchalla, Allison Laing, Michael Krausz; Addictions and Concurrent Disorders Research Group, Centre for Health and Evaluation Outcome Sciences (CHEOS), University of British Columbia WalkAlong.ca - Developing an Empowering Site for Youth with Emotional Challenges Nicole Gehring, Marissa Mar; Centre for Health and Evaluation Outcome Sciences (CHEOS), University of British Columbia e-Mental Health experiences and expectations: A survey of youth in Canada Felicia Wetterlin, Marissa Mar, Erika Neilson, Greg Werker, Michael Krausz; Centre for Health and Evaluation Outcome Sciences (CHEOS), University of British Columbia LungFIT: Smartphone Application for Pulmonary Rehabilitation Christen Chan, Pat Camp; Pulmonary Rehabilitation Research Laboratory, University of British Columbia and Institute for Heart + Lung Health Mobile Health : The Enabler to Patient Empowerment Lynda Brown-Ganzert, Maggie Morrison; Curatio The use of text messaging to improve the hospital-community transition and prevent readmission in patients with cardiovascular disease (Txt2Prevent) Emily Ross, Brodie Sakakibara, Martha Mackay, Mustafa Toma, Harriette Van Spall, David Whitehurst, Alyson HaganJohnson, Scott Lear; Department of Biomedical Physiology and Kinesiology and Faculty of Health Sciences, Simon Fraser University TeleRenal Care: Wins for the Providers and Clients Mya Aylott, Margarita Loyola, Serena Foldy, Rhonda Brown, Jill Henderson, Gary Frank; Island Health Pushing the boundaries of video with innovation: challenges and insights Margarita Loyola, Serena Foldy, Mya Aylott, Gary Frank, Jill Henderson, Rhonda Brown; Island Health Registration Register today at www.bcatpr.ca/workshops. Registration rates include lunch and refreshments, and are as follows: Regular: $30* Student: $20* *plus GST About the BCATPR The BCATPR is a multi-disciplinary research team working in the area of health-related services using telecommunications technologies. This alliance is a joint partnership consisting of academic institutions and provincial health authorities committed to providing relevant evidence and capacity building for integration of sustainable telehealth care services into routine health care practices within British Columbia. We are the only research team in British Columbia to study the use of Internet-based technology for the management of chronic diseases. For more information, please visit www.bcatpr.ca. www.bcatpr.ca