Tag: eConsult

Making Positive Impressions Through our Methods of Care

On March 2, 2018, Brian Pollard, Assistant Deputy Minister, Licensing and Policy Branch, Long-Term Care Division, Ministry of Health and Long-Term Care (MOHLTC) and two of his senior staff members visited Saint-Louis Residence. Hosted by the Ontario Centre for Learning, Research and Innovation in Long-Term Care (CLRI) at Bruyère, positive impressions were made through discussions and project demonstrations. The engaging visit covered a broad range of programming and collaboration.

The afternoon began with brief overviews from Guy Chartrand (CEO, Bruyère Continuing Care) and Heidi Sveistrup (President, Bruyère Research Institute). The introductory part of the meeting was rounded out by Zsofia Orosz (Manager, Ontario CLRI at Bruyère), highlighting some exciting and innovative initiatives that are advancing with Ontario CLRI support.

One area Zsofia touched on was the Ontario CLRI’s collaboration with La Cité Collégiale and the Registered Nurses’ Association of Ontario that helps improve oral care delivery. Read more about the oral care partnership. Another initiative covered was deprescribing, an effort to safely reduce and/or optimize medication use to meet life’s changes. Visit deprescribing.org for more details.

Many other projects running at the Orléans campus impact residents’ lives positively. Dr. Clare Liddy (Clinician Investigator, Bruyère Research Institute) discussed the benefits of the Champlain BASE™ eConsult Service. As a joint initiative between the Bruyère Research Institute, the Champlain Local Health Integration Network and the Winchester Memorial District Hospital, this electronic consultation service connects primary care practitioners with specialists to reduce wait times. The participation of the Ontario CLRI ensures that the needs and realities of long-term care are fully considered as the Champlain BASE™ eConsult expands across the province. Dr. Liddy’s engaging presentation prompted an animated conversation with the MOHLTC representatives. Visit the Ontario CLRI website for a recent update and to watch a webinar by Dr. Liddy.

ADM and volunteer with CWA bike

Bruyère is benefitting from the influx of new volunteer pilots like Rob, proudly wearing the Bruyère red volunteer t-shirt.

Projects-in-Action!

Following these rich discussions, the group moved to participate in project demonstrations. The first demonstration was of Cycling Without Age (CWA). CWA helps seniors stay active and connected with their communities, making it possible for those with mobility challenges to get back on bicycles and enjoy nature. CWA uses a special three-wheeled rickshaw bike, a “trishaw”. A two-seater passenger carriage is in the front, while a volunteer “pilot” sits on a bike in the back and propels the trishaw forward. Through collaboration with a community partner, Bruyère is now running the CWA program at both of its long-term care homes. The Ontario CLRI contributed to a program evaluation and developed a brief brochure that homes can use to learn about setting up their own CWA program. For more information, download the brochure or to watch a recent webinar.

MOHLTC testing out Motiview

The MOHLTC guests enjoyed testing the Motiview technology for themselves.

The second project demonstration was of Motiview, an innovation combining the benefits of cycling for physical and emotional well-being. The Motiview Solution brings together an audio and video library with a stationary, user-adapted bicycle. Adaptable to each user’s requests, virtual bicycle trip through familiar surroundings encourage reminiscence as the user pedals. Motiview reduces the perception of difficulty, monotony, and discomfort associated with cycling, while enhancing participation and the experience. Funding from the Centre for Aging + Brain Health Innovation enables the multi-institutional team to test this technology in an Ontario context, including at Saint-Louis Residence and the John and Jennifer Ruddy Geriatric Day Hospital at Élisabeth Bruyère Hospital. In the long-term care setting, the focus is on the social aspects and reminiscences.

All were wowed by the demonstrations and impressed by the initiatives built on collaboration, research, and willingness to test ideas. The Assistant Deputy Minister and his staff expressed great eagerness to return and tour Élisabeth Bruyère Residence next time. À bientôt!

Champlain BASE™ eConsult – The Necessary Solution to Unnecessary Wait Times

Limited access to specialist care remains a major barrier to health care in Canada. The consultation-referral process is complex and involves many factors that can limit the effectiveness and efficiency of patient care. Patients, Primary Care Providers and specialists express high levels of frustration about poor access and too-long wait lists.  Patients often wait months to see specialists, facing frustration and sometimes worsening conditions, only to learn for example that all they needed was a medication change. The risks of delays only increase as a person ages and as they become frailer.

Barriers to specialist care

What barriers do LTC home residents face to access specialist care?

 

 

 

 

 

 

Long-term care residents face multiple barriers to accessing care, as a growing number of residents suffers from Alzheimer’s disease or other dementias, complex health issues, multimorbidity, and physical frailty. These conditions increase the need for specialist care and at the same time reduce the residents’ ability to easily go to see specialists. A recent report from the Canadian Institute for Health Information noted that 25% of elderly Canadian patients waited over 2 months for specialist care, and 37% went to hospital emergency departments for treatments their PCP could have provided. These figures place Canada last among the 11 countries surveyed.[1]

AN INTEGRATED SOLUTION:

Given that wait times are affected by multiple factors, Ontario needs an integrated solution. This is where the Champlain BASE™ eConsult Service comes into play.

Champlain BASE™ eConsult is a secure, online platform connecting primary care providers (PCP) to specialists. The PCPs are able to consult with specialists on any questions they may have about their patient and receive a response from the specialist in a timely manner, never longer than seven days. With over 100 specialties available, the PCP can submit their patient-specific questions along with any supporting documents or photographs. Experience shows that this connection often eliminates the need for the patient to visit the specialist at all, as now the PCP can provide the care that their patient needs.

eConsult process diagram

A solution: eConsult

 

This service is highly successful in the Champlain region across the primary care community. In collaboration with the Ontario Centre for Learning, Research and Innovation in Long-Term Care (CLRI) at Bruyère, the Champlain BASE™ eConsult service is now implementing the service in 2-4 long-term care homes in the Ottawa and surrounding area.

I know eConsult works. Down the road maybe they will get it [to help] caregivers of [residents with] long running diseases like Alzheimers, M.S. and Parkinson’s whose caregivers [and…] for whom it is hard to move their loved ones [particularly] in the later stages.“ – Family member who attended the National eConsult Forum in Ottawa on December 11, 2017.

Most recently, eConsult’s primary care lead Dr. Clare Liddy was featured in a webinar series hosted by the Ontario CLRI. On February 6, 2018, Dr. Liddy discussed the implementation of the Champlain BASE™ eConsult service in Ontario’s long-term care homes. The goal is to improve integration of care, patient safety, and quality of life for complex aging residents. Opening with an informative and engaging overview, Dr. Liddy explained the need for specialist access in LTC, the benefits of eConsult, the current project, and how homes can get involved.

Watch a recording of the webinar to learn more about the Champlain BASE™ eConsult Service and how it is being implemented in long-term care in Ontario.

A shorter version of this article first appeared in AdvantAge Ontario‘s Action Update, a monthly newsletter for AdvantAge Ontario members.


[1] Canadian Institute for Health Information. How Canada Compares: Results From The Commonwealth Fund’s 2016 International Health Policy Survey of Adults in 11 Countries — Accessible Report. Ottawa, ON: CIHI; 2017