Canadian Healthcare Technology Logo
  • Issues
    • Current Print Issue
    • Print Archive
  • Advertise
    • Publishing Schedule
    • Circulation
    • Unit Sizes and Rates
    • Mechanical Requirements
    • Electronic Advertising
    • White Papers
  • Subscribe
    • Print Edition
    • e-Messenger
    • White Papers
  • Events
  • Vendors
  • About Us

GE Revolution Ascend

GE Revolution Ascend

Enovacom EPC

Enovacom EPC

Telehealth

Video tech reduces no shows in New Brunswick

July 22, 2020


Krisan PalmerDr Anthony NjokuFREDERICTON, NB – To ensure that a weekly caseload of 2,500 addictions and mental-health patients could continue to be seen by healthcare professionals when COVID-19 caused people to stay at home, Horizon Health quickly shifted to a virtual solution. A live video solution was proposed, and Krisan Palmer (pictured on left), virtual care manager and clinical lead was tasked with overseeing the rapid rollout of the Virtual Care Platform to almost 700 mental health clinicians across Horizon.

“My role is to act as the liaison between the IT folks and clinicians, advocating for both the patient and the clinician to ensure technologies meet their clinical needs or they will not be adopted,” she said. “As a nurse, I know how frustrating technology can be at times when front line staff is given something to use with little or no input from the end-user.”

A secure video Virtual Care Platform had already been in use within Horizon in conjunction with other specialties and Horizon’s mobile app, but it had not yet been fully deployed for real-time interactive video sessions. The pandemic prompted the rapid deployment of this aspect, incorporating Zoom, to Horizon’s 700 mental health practitioners.

Dr. Anthony Njoku (pictured on right) is Horizon’s chief of psychiatry for the Fredericton area and is no stranger to technology. He has been using video conferencing to see clients throughout Atlantic Canada at Horizon’s Operational Stress Injury Clinic (OSI) in Fredericton.

An operational stress injury (OSI) is any constant psychological problem resulting from operational duties performed while serving in the Canadian Forces (CF) or as a member of the RCMP. Traditional appointments require clients to travel to a nearby hospital or clinic to use a video conference room. The new Virtual Care Platform means clients can log in for their video sessions using their phone, tablet, or computer from the comfort of their homes.

Dr. Njoku remembers the common thinking for years had been that psychiatric treatment must occur in the hospital. Instead, the wide use of the Virtual Care Platform for personal video sessions is proving to be more convenient for the client and one that reduces the anxiety.

“Now with COVID, this technology has taken things to a new level,” said Dr. Njoku. “It’s opening up service delivery and meeting clients at their point of need-wherever they are.”

Dr. Anjum Faridi, a child and adolescent psychiatrist for Horizon’s Saint John area and his three colleagues treat hundreds of youth. Dr. Faridi prefers his initial session with his clients to be in-person, as it allows him to better understand the dynamics and to pick up on non-verbal cues. For this reason, Dr. Faridi admits he was somewhat apprehensive about using the new technology initially, but since adopting it, he has seen the many benefits firsthand.

“Moving to virtual was a seamless progression to this norm,” he said. “I just click the link and connect.”

Dr. Faridi and hundreds of his mental health clinician colleagues have found that the clients and their families have enthusiastically embraced the transition to virtual care.

As a result, the number of missed appointments compared to in-person appointments has dropped to almost zero. For example, in January, before virtual care was implemented, almost 14 percent of clients across Horizon either cancelled or did not attend; in April it was half that, or seven percent. Clients who called ahead to cancel in January amounted to 3.5 percent of clients whereas in April, it was less than a tenth of that with .33 percent cancelling their virtual appointments.

Dr. Faridi notes it eliminates transportation issues and provides clients more privacy.

Roger Vincent’s nine-year-old son Xavier has been in treatment for Oppositional Defiance Disorder (ODD) since 2016. Xavier sees a counsellor weekly. It took a couple of sessions before the technology was able to hold Xavier’s attention, but he is now very comfortable with it.

“The counsellor would call him on Zoom and Xavier would go to his room with the iPad and do a session with the counsellor,” said Roger. “Xavier also had a psychiatric consultation with Dr. Faridi last week and we did it from home and it worked well.”

In the pre-pandemic world, Xavier would see his counsellor weekly at school. His psychiatric appointments were more involved. They required Roger to leave work, pick up Xavier, attend his appointment, drop him off at school, and return to work-an ordeal that could take two or more hours. As a parent, Roger finds the Virtual Care Platform, an “incredible convenience.”

“In certain circumstances, especially in the world we’re living in currently, having the online option of Zoom is phenomenal,” said Roger. “The outcome and the result are exactly the same, minus the inconvenience.”

Most practitioners and clients agree. While it has been a necessary tool during COVID-19, the Addictions and Mental Health team expects Virtual Care to be a prominent part of their toolkit even after things begin to return to normal.

The applications are endless and Krisan Palmer’s passion for improved access to health care for patients and clients means she won’t rest until this technology is more broadly available across many health disciplines.

Cardiac Rehab and Heart Function clinics now have access and Krisan is currently in the process of deploying the technology in Public Health and Horizon’s Community Health Centres, with Oncology needs to be assessed soon after.

Clinicians use it for individual sessions as well as for group sessions and clinical team meetings. Patients and clients can also now send information to their clinicians using the Horizon Health Virtual App, available for download from Apple or Google Play.

Palmer sees Virtual Care as more than a tool for live interaction; it is also as a means to move data such as from an electronic stethoscope or pictures or videos of wounds for diagnosis.

“Right now, the focus is on the direct virtual encounter,” said Palmer. “As people get more comfortable and as needs are identified, we can incorporate ways to move this medical data in a timely, secure, and confidential manner.”

While the pandemic created loads of challenges to the healthcare system, it has been an unexpected motivation liberating Horizon to experiment with innovative technologies.

For Palmer, technology is only as good as the people it serves. As a former nurse, she still carries the bedside compassion that drew her to her career and experiences a strong sense of reward when it improves the lives of patients and clients.

“Clinical needs are what should drive the technology,” she said. “No one has time to fuss with workarounds in technology because it takes time away from patient care.”

PreviousNext

CHT print [900×150]

CHT print [900x150]

News and Trends

  • NS improves care by deploying Command Centres
  • Panel identifies threats from faxes, snooping, cyber-attacks
  • Bringing portable X-ray imaging to Canada’s remote communities
  • In Ontario, real steps are being taken to reach EHR interoperability
  • Care-givers need improved technology to reduce stress in the LTC sector
More from the Print Edition

Subscribe

Subscribe

Free of charge to Canadian hospital managers and executives in nursing homes and home-care organizations. Learn More

Follow us on Social Media!

Follow us on Social Media!

Softworks

Softworks

Nihi Spring 2023

Nihi Spring 2023

Advertise with us

Advertise with us

Sectra [Feb]

Sectra [Feb]

Change Healthcare [2]

Change Healthcare [2]

Infoway [March2023]

Infoway [March2023]

Zebra [Mar2023]

Zebra [Mar2023]

RealTime

RealTime

CHT print [900×150]

CHT print [900x150]

Advertise with us

Advertise with us

Sectra [Feb]

Sectra [Feb]

Change Healthcare [2]

Change Healthcare [2]

Infoway [March2023]

Infoway [March2023]

Zebra [Mar2023]

Zebra [Mar2023]

RealTime

RealTime

Contact Us

Canadian Healthcare Technology
1118 Centre Street, Suite 207
Thornhill, Ontario, Canada L4J 7R9
Tel: 905-709-2330
Fax: 905-709-2258
info2@canhealth.com

  • Quick Links
    • Current Print Issue
    • Print Archive
    • Events
    • Vendors
    • About Us
  • Advertise
    • Publishing Schedule
    • Circulation
    • Unit Sizes and Rates
    • Mechanical Requirements
    • Electronic Advertising
    • White Papers
  • Subscribe
    • Print Edition
    • e-Messenger
    • White Papers
  • Resources
    • White Papers
    • Writers’ Guidelines
    • Privacy Policy
  • Topics
    • Administrative Solutions
    • Clinical Solutions
    • Companies
    • Continuing Care
    • Diagnostics
    • Education & Training
  •  
    • Electronic Records
    • Government & Policy
    • Infrastructure
    • Innovation
    • People
    • Privacy and Security

© 2023 Canadian Healthcare Technology

The content of Canadian Healthcare Technology is subject to copyright. Reproduction in whole or in part without prior written permission is strictly prohibited. Send all requests for permission to Jerry Zeidenberg, Publisher.

Search Site

Error: Enter a search term

  • Issues
    • Current Print Issue
    • Print Archive
  • Advertise
    • Publishing Schedule
    • Circulation
    • Unit Sizes and Rates
    • Mechanical Requirements
    • Electronic Advertising
    • White Papers
  • Subscribe
    • Print Edition
    • e-Messenger
    • White Papers
  • Events
  • Vendors
  • About Us