Leveraging eHealth in Education and Practice: Opportunities, Challenges, Lessons Learned (so far…)...
Transcript of Leveraging eHealth in Education and Practice: Opportunities, Challenges, Lessons Learned (so far…)...
Leveraging eHealth in Education and Practice:Opportunities, Challenges, Lessons Learned (so far…)
Kendall Ho, MD FRCPCAssociate Professor, Emergency MedicineDirector, eHealth Strategy OfficeFaculty of Medicine, University of British Columbia
The University of Georgia
Institute for Evidence Based
Health Professions Education Conference
March 30th, 2012
Health System pressures…
Evidence based care models?
Increase service capacity?
Health access for the underserved?
Improve cost effectiveness?
Patient satisfaction, engagement, & safety?
Hospital/health system management?
Anticipating future transformative care?
Health System & Academia
How can we (students, faculty,
universities) contribute?
STUDY & SERVICE
Advantage: eHealth
Definition
Using Information Technologies:• Health service delivery• Education• Research• Knowledge Translation
Agenda
Learning in practice: Context
Technology Enabled Learning considerations
UBC eHealth journey
Questions, comments
Life Long Learning Continuum
Undergraduate (4 yrs)
Post-graduate (4-6 yrs)
Professional (20+ yrs)
Learning in Practice: Challenges
Knowledge/skills
New Knowledge
Knowledge deterioration
9
Stages of Change
Pre-contemplative
Contemplative
PreparationAction
Maintenance
of change
LIFE
LONG
LEARNING
From Knowledge to Competence
Knows
Shows how
Knows how
Does
Learning Dynamics
Individual System
HP Education Context: Summary
Volume of knowledge/evidence
Stages of learning & reflection
From knowledge to competence
Tied to health system (& work)
K Ho Technology Enabled Learning 11.2009
13
ADVANTAGE: Information & Communication Technologies
• Accessibility & Portability
• Multimedia
• Reproducibility
• Automaticity (data processing)
• Rule based decision branching
• Repository
Technology Enabled Learning?
TEL Archetypes/Models:
1. Videoconferencing, webinars
2. Automated CE, learning objects
3. Cased Based: Web cases, simulations
4. Facilitation: electronic Community of Practice
5. Self assessment: learning portfolios
6. System reflection: public health data
Dynamic Case Audits
• Tonsillar Abscess Mx
Simulators
• Resuscitation
• EHR implementation
Disease Surveillance Dashboard
http://www.hc-sc.gc.ca/pphb-dgspsp/dsol-smed/
Example:
TEL Archetypes/Models:
1. Videoconferencing, webinars
2. Automated CE, learning objects
3. Cased Based: Web cases, simulations
4. Facilitation: electronic Community of Practice
5. Self assessment: learning portfolios
6. System reflection: public health data
DATA/HI INTENSITY
Making TEL Stick, Consider…
Media (VC, Internet, computer, podcasting, tablets, smart phones, Web 2.0, …)
Engagement: push, pull, interactivity, facilitation, co-creation, "lurkers"
Practice integration: workflow, habits, contexts
Stage of learners
Stages of Change & TEL
Pre-contemplative
videoconferencing, webinars
Contemplative Automated CE, learning objects
Preparation Case based learning, simulations
Action Discussion, eCOP, self audit
Habit Formation
Learning portfolio, systems reflection
DATA/HI INTENSITY
TEL: What if….
The system crashes?
Data loss?
The capacity does not suffice?
Security breach?
Student technical difficulties?
Student technical literacy?
Technology access is limited?
UBC eHealth Strategy Office Journey…
“ICT to enable academic mission:
Education, Research, Knowledge Translation”
Technology Enabled
Knowledge Translation
Decision Support
TEKT @ UBC eHealth: 5 Directions
Telehealth
Emergency telehealth
Tele-dermatology
Tele-pathology
Tele-mental health
Clinical Practice Guidelines
Clinical practice guidelines on PDA!
Condensed Guidelines are viewable on both Windows PocketPC (mobile) and Palm
24 guidelines available on PDA. Including:
AsthmaCardiovascular DiseaseChronic Kidney Disease
COPDDiabetes
Depression
Heart Failure CareHepatitis BHepatitis C
HypertensionOsteoarthritis
Rheumatoid Arthritis
Biometrics Monitoring
ECG
Microscopy
Retinal screening
Nano-technologies
Decision Support
Team Based Care
TEKT @ UBC eHealth: 5 Directions
Technology Enabled AD
using IT technologies (e.g. Internet, computer, PDAs) to conduct AD.
Evidence 2 Excellence: E2E for EM
BC Emerg. Depts.
MoH, HAs
Standard of careTriaging, clinical,
operations
Care Mapping: IP
Electronic community (eCoP)
http://www.evidence2excellence.ca/
Decision Support
Team Based Care
Patient Engagement
TEKT @ UBC eHealth: 5 Directions
31Health Forum, Vancouver
www.iconproject.org
Other Possiblities
Text messaging
Apps
Biometrics monitoringBlood pressure
Pedometer
Weight
Oxygen saturation
…
Decision Support
Team Based Care
Patient Engagement
Evidence Based Policy
TEKT @ UBC eHealth: 5 Directions
Evidence Based PolicyProvincial
Tele-mental healthPublic engagement in eHealth
NationalEHR training in academiaAboriginal eHealth benefits evaluation
International Telehealth for the underservedMobility of eHealth professionals
WHO Global eHealth Observatory
Rural telemedicine literature review
09/10 country surveys
Key telemedicine trends
Recommendations
www.who.int/goe/publications/ehealth_series_vol2/en/index.html
1/14/2011
Published
Decision Support
Team Based Care
Patient Engagement
Evidence Based Policy
Evaluation
TEKT @ UBC eHealth: 5 Directions
5 Evaluation Areas
Quality of Care
Health Access
Cost Effectiveness
End user satisfaction
Usability
HI Capacity: Blueprint
Medicine, Nursing, Pharmacy, …
K-12 Pre-HP Health SystemClinician
Health Informatician
Health Consumer
HI, Comp Sc, Engineering, Library science…
Min. of Education, Schools, …
Govt., NGOs
Translational informatics
Genomics
Metabolomics
Proteomics
Pharmaconomics
Populomics
eHealth in Learning & Practice
Integrate TEL to learning and self reflection
Integrate EHR to practice and self audit
Monitoring & surveillance for system change
Portable computing & mobile Health
Social media & Web 2.0
e H e a l t h S t r a t e g y O f f i c e
Web: www.eHealth.med.ubc.ca
Facebook: on.fb.me/ehealthstrategy
Twitter: www.twitter.com/ehealhtstrategy
Collaboration Welcome!