Peel Health

DOT InnovationDOT Innovation

Introduction of VideoIntroduction of Video--DOT DOT

in Peel Region, Ontarioin Peel Region, Ontario

Rita Raghuwanshi and Nhung Dang

Health Outreach Workers

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Tuberculosis (TB)

• What it TB?

• How does it Spread?

• Is it contagious?

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TB Cases in Region of Peel

• 90 % foreign-born

• Languages spoken

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TB in Peel

Case Management in 2011

135 active cases

Case Management in 2012

130 active cases

Peel has the 2nd highest rate of active TB in Ontario

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Directly Observed Therapy (DOT)

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Preparation:

• Literature Review

• Environmental Scan

• Legal consultation

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Video-Directly Observed Therapy

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Video Phone station

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Criterion:Criterion:

• Good vision

• Ability to communicate effectively

• Has been on standard DOT for a minimum of 4 weeks

• Stable address with good lighting and an appropriate location for the videophone

• Internet access

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Criterion ContCriterion Cont’’dd

• Demonstrate compliance with DOT schedule meeting times and treatment plan

• Can accurately identify the TB medications and how they should be taken

• Demonstrate sound knowledge of the medication they are taking including dosage and possible side effects

• Has a clear understanding of the need for treatment

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BackgroundBackground

• Pilot started August 2010

• 6 months duration

• Combination of V-DOT and Face –to- Face

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Benefits and Challenges of V-DOT

Benefits

• Flexible off hours scheduling

• Increase in privacy

• Convenient and overall easy to use

• Reduction in staff travel time and expenses

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Benefits and Challenges of V-DOT

Challenges

• Problem with network connection

• Configuration of the clients home and network connection

• One modem (router) in the home

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V-DOT Program to-date

• 4 Health Outreach workers/ 2 Shifts

• 18 video phones in current rotation

• Travel time saved since inception of the program 38697 minutes

• Mileage saved since inception $17,412.20

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Acknowledgements - 2010

• Crystal Fernette, Manager CDCM

• Jewrenia Walsh, Supervisor TB1

• Lisa Fernandes, Supervisor TB2

• Augustina Nagberi-Asseez, RPA

• Norm Lim, ISTS

• Kevin Moore, ISTS

• Isabelle Mogck, Director CD

• Nassau County Public Health

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For more info or questions please contact-

• Rita Raghuwanshi- 905-791-7800 Ex. 2492

Rita.raghuwanshi@peelregion.ca

• Nhung Dang – 905- 791-7800 Ex. 2681

Nhung.dang@peelregion.ca