Training Guide - MBTelehealth · Telehealth and Benefits ... and program specific education events....

Training Guide Foundations TRC4 Remote

Rev 22Jan2020

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Table of Contents Course Objectives ......................................................................................................................................... 4

MBT Services ................................................................................................................................................. 5

Telehealth and Benefits ................................................................................................................................ 6

Event Types ................................................................................................................................................... 8

Scheduling Types ........................................................................................................................................... 9

New Bookings.............................................................................................................................................. 10

Centralized Scheduling – Important Tips .................................................................................................... 13

Check Before You Connect .......................................................................................................................... 14

Privacy ......................................................................................................................................................... 16

Common Equipment Types ......................................................................................................................... 17

Quick Reference Guide ............................................................................................................................... 21

Remote Control TRC4 .................................................................................................................................. 22

Touchscreen Units ...................................................................................................................................... 24

Layout Options ............................................................................................................................................ 25

Camera Positions and Presets ..................................................................................................................... 26

Connection Types ........................................................................................................................................ 27

Site to Site Connections .............................................................................................................................. 28

Multi-site Connections ................................................................................................................................ 29

Out of Province/Network ............................................................................................................................ 30

Far End Control ........................................................................................................................................... 31

Peripheral Devices and Video Sources ........................................................................................................ 32

eConsult ...................................................................................................................................................... 37

MyMBT Messaging ...................................................................................................................................... 41

Telehealth Support ..................................................................................................................................... 42

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Tips for Presenters and Participants ........................................................................................................... 43

Additional Resources .................................................................................................................................. 45

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Course Objectives

Course Objectives Understand what telehealth is and how it is used Learn about common equipment types Learn the basics of connecting and using the equipment Learn about various peripheral devices Learn the process of scheduling different types of events Understand best practices for facilitating or participating

in a telehealth event

Rev 22Jan2020

Telehealth is the use of information and communication technology to connect people to health care expertise at a distance. The Telehealth Foundations course is an introduction to telehealth and is designed to provide telehealth site contacts and other on site staff key information required to manage telehealth at their facility.

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MBT Services

MBT Services

• secure, real-time, room-basedMBTelehealthVideoconferencing

• secure, real-time, anywhere with high speed internet MyMBT Video

• secure text messaging and image sharing between clinical staff

MyMBTMessaging

eConsult(Store and Forward)

• secure electronic referral from primary care provider to a specialist

MBTelehealth Videoconferencing offers secure, real-time room-based videoconferencing. MyMBT Video offers secure, real-time videoconferencing anywhere a high speed internet connection exists. MyMBT Messaging provides a platform for secure text messaging and image sharing between clinical staff. eConsult (Store and Forward) allows a primary care provider to send secure electronic referrals to a specialist.

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Telehealth and Benefits

Telehealth connects people to health-care expertise at a distance

Information and communication

technology

See, hear and talk to health-care providers

in real time

Rural and northern areas

receive services without leaving their community

Telehealth is the use of information and communication technology to connect people to health-care expertise at a distance. (A secure, high-speed video link is used to connect a patient to health-care professionals at another site within the province, within the country or even somewhere around the world.) You are able to see, hear and talk to health-care providers in real time. A patient is able to see, hear and talk to their care provider on a television monitor within their local health-care facility to discuss results from their last set of tests for example. Rural and northern areas receive services without leaving their community. It allows access to care while remaining close to family, friends and community supports at a time when added emotional and physical help may be needed. It reduces the hardship and inconvenience of being away from work and home.

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Benefits of Telehealth

Improved access to specialized services

Provides access to continuing education

Saves time, money and risks associated with travel

Reduces admin costs for regions

Some of the high level benefits of telehealth include: Improved access to specialized services that may not be available in every community. Provides access to continuing education for health-care professionals. Saves time, money and risks associated with travel for both the patient and the health-care system. Reduces administrative costs for regions in relation to travel.

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Event Types

Event Types

Clinical

Education and Rounds Conference Administration and Meetings

Televisitation

Case Conference, Discharge Planning, Group Sessions

Non Clinical

Clinical events - any event involving a patient. •Clinical events help to increase access to services that may otherwise be unavailable in a person’s home community. Some examples of clinical events are: specialist consultations, follow-up appointments, client teaching, case conferencing and discharge planning Education events - events that allow health-care professionals to stay at their own sites and/or in their own communities while continuing professional development. •Some examples of education events include: Continuing Medical Education, on-going nursing education, grand rounds offered by the University of Manitoba, and program specific education events. •MBTelehealth can also connect outside of Manitoba for National and International events. Additional charges may apply, for example, the current billing rate is $75/hour for the event as of 2016. Administrative events - events held for the purpose of conducting meetings and interviews. •Holding these types of events using telehealth reduces travel time for administrators and increases their ability to participate in multiple meetings all over the province regardless of distance. •Some examples of events that fall under the administrative events type are: regional planning meetings, joint committee meetings and inter-provincial interviews. Televisitation - an event where a patient who is on an extended stay in hospital is able to connect with family/friends in their home community.

•One example of a televisitation could be when a mother with a new baby in the

Neonatal Intensive Care Unit is able to connect with the father who has returned

home to take care of other children or for work commitments.

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Scheduling Types

Scheduling Types

Centralized Scheduling

• Requests submitted using booking forms

Self Scheduling

• Creating your own event in scheduling system

Site Contacts

• Register your site in an open registration event

Events can be scheduled in three ways: centralized scheduling, self-scheduling or self-registration. With centralized scheduling, all requests are submitted using Booking Forms which are available on the website. Once submitted, the MBTelehealth Schedulers will review availability and respond to you within 2 working days. Self-scheduling is done using the MBTelehealth scheduling system which is a web-based application that allows MBT to give access to users in order to schedule their own events; either clinical or non-clinical. Site contact access allows users with basic access to the scheduling application to add their sites to an existing event. This is used most often for sites who identify an interest in a particular topic or education session. The site contact is able to log in and add their site to the event without having to go through the central schedulers. It’s typically site contacts who self-register. There are many self-schedulers that book telehealth events (ex: at rural sites), it’s important for site contacts to review newly scheduled events. For more information on access, contact your Facilitator-eHealth Solutions.

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New Bookings

New Bookings

Where do I find the forms?

There is a contact phone number for each MBT site on the Locations tab of the MBT website.

You can access the booking forms on the Homepage of our website https://mbtelehealth.ca/

Who do I book with?

The forms are found by clicking on the Clinical and Non-Clinical section of the Home page on the MBT website. Clinical form: • If a patient is attending the session, it is considered “clinical” so you would use the clinical

booking form (this includes televisitation). Non-Clinical form: • If a patient is not attending, then you would use the non-clinical form (eg education & rounds

or admin & meetings) • If the event is for discharge planning or a case conference with no patient attending, you

would use the non-clinical form; however, you would check the “clinical” radio button under the topic session

The billing information on the bottom of the non-clinical form needs to be filled out in certain instances; such as for out of network sessions. Click on the Locations tab and then the site for contact information.

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https://mbtelehealth.ca/files/clinical-booking-form.pdf

Important tips about Clinical Booking Forms: • fill out the client information section correctly so that the correct patient will be booked in the

system, and so that there is not a duplicate patient record created • if you do not know your telehealth site, it’s better to leave that field blank rather than put in an

incorrect site number

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https://mbtelehealth.ca/files/non-clinical-booking-form.pdf

Important tips about Non-Clinical Booking Forms: • confirm attendance at your site before you submit the booking form • ensure you fill out the site & room fields - if the schedulers receive a form without these fields

filled in, they will have to call you and you will need to re-submit the form; the booking will not be completed until they receive the correct form

• host/presenter/person booking on their behalf selects the layout for a multi-site event

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Centralized Scheduling – Important Tips

Centralized Scheduling – Important Tips

• Clinical booking forms must be faxed• Non Clinical forms can be faxed or emailed• Requests must be received before noon on the day prior to event

Same Day Events

An event booked between noon the day before the event and the scheduled start time

Always contact MBT schedulers for all same day additions, changes or cancellations

It is the responsibility of the requestor to confirm attending site’s approval and identify the room/codecs for event

Booking Forms • requests must be received before noon on the day prior to event • pay attention to the Video Conference Unit (VCU) that you are scheduled to connect to because connecting to the wrong VCU will connect you to the wrong event Clinical booking forms must be faxed only (not emailed) because they contain personal health information. Non Clinical forms can be faxed or emailed. Same Day Events - an event booked between noon the day before the event and the scheduled start time. • Always contact MBT schedulers for all same day additions, changes or cancellations. Additions – both sites must be available and trained in using the telehealth equipment • It is the responsibility of the requesting sites to confirm the correct rooms/codecs for the

event. • The requester must call the site contacts to ensure they approve of the same day addition

and are willing to support the event as required (i.e., delivery of equipment, assisting the patient to the room and helping to connect if needed).

Additions that are out of province – best efforts to connect the same day will be made by MBT staff • It is not always possible due to circumstances beyond our control. The requester must

provide contact information for the other site in order to facilitate this request. Changes and cancellations - contact the MBT schedulers to inform them of any changes or cancellations • The MBT scheduling system needs to be updated and the appropriate parties need to be

notified.

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Check Before You Connect

Pressing “Call” to connect is…

the same as opening the door to a clinic room or meeting room.

Locating the 5 digit number is…

like walking down the hallway and looking for the correct room number.

Call

Check before you connectDouble check the 5 digit number and the Video Conference Unit (VCU) number that you are connecting to. Remember! Some towns/cities have multiple telehealth locations.

clinic room meeting room

This information applies to both clinical and non-clinical events: • Know what type of session you’re having – site to site or multi-site. • Locate the 5 digit number for the site/equipment that you are connecting to, enter it using the

keypad on the remote, and confirm the 5 digit number against your paperwork once again before you press the Call button to connect. Do not keep trying to connect to different rooms at the site until you see someone on the other end. If you are unsure of the room, please contact the MBT schedulers.

• Troubleshooting tip - if you’re in a room and the equipment connects and it is not your call, disconnect the call by pressing the red button on the remote.

Clinical • Remember, by connecting into the wrong room you may be interrupting someone else's

confidential clinical appointment (in some instances, it may not even be a telehealth event as the rooms are used for other clinical in-person appointments.

Non-clinical • Make sure you leave the meeting room on time as you may be interrupting the next person’s

session (meeting or appointment) • Bring your confirmation to the room with you so that you know which site you are to connect

to.

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Know who you’re connecting to

Confirmation

Whiteboard

Clinic List

These reports can be found in iScheduler

Self-serveconnectioninformation

You will need to know what site and piece of equipment you will be connecting to. You can find that information on one of the reports shown above. Check iScheduler daily and always ensure you’re relying on current information. For example, the equipment and/or the room may have changed since you received your initial confirmation. Find the 5 digit number for the site and equipment that you are connecting to – the number is found in brackets behind the VCU # on each of the reports. • Whiteboard - shows non-clinical and clinical events • Confirmation - received from iScheduler when an event is booked • Clinic List - shows clinical events If you have missed the connection to your multi-site event and you are registered for the event, you can use the self-serve option to connect: • Find the connection information on the whiteboard • Dial the appropriate number as shown on the whiteboard and enter the PIN when prompted

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Privacy

BE PRIVACY-WISE

• Mute your microphone when you are not speaking or are watching a presentation

• Use videoconferencing equipment in an appropriate and confidential location

• Always consider the camera and microphone as live

Mute your microphone when you are not speaking or are watching a presentation to cut down on background noise. This also protects the privacy of clients and their personal health information – others in close proximity may be discussing confidential matters and may not realize they can be overheard. Use videoconferencing equipment in an appropriate and confidential location to maintain the privacy of your clients and their personal information. •make sure room doors are closed •ensure the mobile equipment isn’t placed in an open area •when using MyMBT Videoconferencing (desktop video), ensure others around cannot overhear your conversation or view your computer screen Always consider the camera and microphone as live. This will help ensure there are no sidebar conversations taking place where patient information may be overheard by other sites. Everyone attending the event Important! Even though the session is taking place via videoconference, it should be treated the same as an in-person meeting or clinical appointment.

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Common Equipment Types

Common Equipment TypesMobile Cart or Fixed System MyMBT Video

(Powered by Cisco Jabber)

These are the most common videoconference options, but you may have other types of equipment at your site. Mobile carts have all 5 main components mounted onto the cart with wheels so that it can be used in multiple rooms for multiple applications within a facility as long as the room has a dedicated telehealth network drop.

The fixed system is wall mounted and has all the same equipment but is permanently installed in a designated room. Fixed systems can be used with large monitors as boardroom solutions or with smaller monitors in clinic spaces to reduce the amount of moving that is required with mobile carts. The MyMBT (Powered by Jabber) solution includes a webcam on your computer and a connection to telehealth from your desk. MyMBT also has mobile capabilities that will allow users to video conference from their mobile devices.

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Mobile DeviceDesktop

MyMBT Video(Powered by Cisco Jabber)

Mobile Device

MyMBTVideo

• The MyMBT Video service offers a different way of connecting to telehealth sites. • The application can be launched from your desktop or mobile device, wherever a high speed

internet connection exists. • It provides secure, real-time videoconferencing that can be used for both clinical and non-

clinical telehealth events. • If you are the “attendee” site while using MyMBT Video, you will need to accept the call, they

system will not auto-answer. • If you’re connecting to 3 or more sites, you need to book the event in iScheduler. Note: There is a Frequently Asked Questions document available if required.

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Equipment – 5 Main Components

Camera

Remote

Codec

TRC4

Screen/Monitor

TabletopMicrophone

Telehealth equipment consists of 5 primary components. While the components will be consistent, there are different models in place at various sites so your equipment may look a little different than the pictures show.

The Camera is a high-quality imaging device used to transmit near end images to the far end site.

The Codec is responsible for the compression of outgoing video, audio and data, the decompression of the incoming information and the transmission of this information between endpoints. The codec acts as the central processor for the videoconference system.

The Screen or Monitor is a commercial grade monitor used to display images from the near end and far end sites. The user controls what is displayed through the codec and remote control.

The Remote Control is used to manage the image display, place calls, adjust the volume, navigate screens and select options. It controls all functions of the videoconference equipment.

The microphone sends the audio information; there are table top, microphones affixed to the mobile carts as well as ceiling microphones. Note: Some equipment may also have a router. When connected to an MBTelehealth drop, the router provides a secure connection back to the MBTelehealth network.

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Connecting equipment

Power Outlet

MBT

• Plug in the power cable and the network cable and turn on the videoconference equipment

• Pick up the remote to wake up the system – everything should be plugged in already

Mobile

MBTelehealthdrop

Fixed

Telehealth equipment connections involve plugging in a power cable and an network cable. For fixed and desktop solutions – everything is usually already plugged in but you’ll need to have access to the remote. Pick up the remote to wake up the system. For mobile systems - the power cable is plugged into a standard power outlet. The network cable is plugged into an MBTelehealth drop that is configured for use on the MBTelehealth network. These drops will be identified by labels (often MBT or telehealth). Once you have those two cables connected you can turn on your videoconference equipment. One other thing to note is that some units are connected to a power bar which has a power button that controls the entire unit. Make sure the router, codec and monitor are all turned on before trying to make a connection.

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Quick Reference Guide

Hands on training & Quick Reference

Guide Review

Quick Reference Guide • All sites have a quick reference guide for each videoconference unit that identifies all of the

necessary steps to set up and connect the equipment • The QRG is intended to provide a reminder of what has been covered in the equipment

section of this presentation as well as some additional information you may find helpful • Contact your Facilitator-eHealth Solutions if more guides are required

All QRGs can be located on the Training tab of the MBT website.

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Remote Control TRC4

Remote Control – TRC4

Video SourcesMain Camera

Volume

Presentation

Camera Controls

Mic On/Off

Presets

Used to place calls, adjust volume, navigate screens and select options

Camera presets are predetermined camera positions

Essentially controls all functions of the videoconference equipment

Zoom +/-

End Call keyCall key

5 digit number

The Remote Control is used to place calls, adjust the volume, navigate screens and select options. It essentially controls all functions of the videoconference equipment. • Video Source buttons allow you to display images from peripheral devices such as patient

cameras, document cameras and laptops • Main Camera is the input button that refers to the camera on top of the codec. It is the

default video source • Mic On/Off mutes and unmutes your microphone • Volume controls the sound • Presentation allows you to toggle between the main camera and PC video sources • Camera Controls or Arrow keys are used to change the view of your camera allowing you

to move the camera left, right, up and down. Use these to ensure you are on screen for the far end site to see

• Zoom +/- button allows you to zoom in or out on an image while the camera automatically refocuses to ensure a clear image

• Call to place a call • End Call press to end the call when the session is over • Camera Presets are pre-determined camera positions which are useful when images from

different camera positions are to be viewed by the far end site. They are set up prior to the start of a telehealth event and are used to switch camera positions without having to manually move the camera

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Home Screen Icons

Prior to connection

During connection

The home screen displays different options prior to calls than it does when you’re connected to another site.

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Touchscreen Units

Unit is available as a desktop, mobile cart or fixed unit

Tap the screen to switch between computer monitor and video screen

Microphone mute button, loudspeaker volume controls and USB socket are on the side of the unit.

Touchscreen unit does not require a remote control

Microphone ineach leg

Power On/Off

Touchscreen Units (DX80)

Camera with privacy shutter

Loudspeaker

Touchscreen

• The DX80 is a touchscreen unit and therefore does not require a remote control. • This unit is available as a desktop, mobile cart, or fixed unit. • You can switch between video screen and computer monitor by tapping the screen.

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Layout Options

Layout Options – TRC4

Layout displays picture in picture (PIP) image of what you are sending to far end site.

Selfview allows you to swap PIP with full screen image. (Use this to display your presentation full screen for local attendees.)

Multi-site event layout options

TRC4 The layout button controls a picture in picture image of what you are sending to the far end site. •There are five options for the location of the image; all four corners of the monitor as well as “turned off” •Pressing the layout button moves you through each of the options •It is recommended that you always press the layout button after connecting to ensure you are aware of what you are sending to the far end site The Selfview button allows you to swap Picture in Picture (PIP) of near and far end images with a full screen image. •This is also used to display your presentation full screen for local attendees •When you have a picture in picture view of yourself on screen and then press the Selfview button, you will see that the near end image will appear in the big window and the far end image will appear in the smaller window •This is helpful for presentations where you have other people attending in the same room and also when using a patient camera so you can view the image you are sending to the far site more easily •Pressing the self-view button repeatedly allows you to switch the images back and forth Multi-site event layout options The default layout is 1+7 but the host/presenter can select a different layout option when the event is booked.

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Camera Positions and Presets

Recommended camera positionsSign• Off screen camera view - users can move about room without being on

camera• Identifies the sites that are connected

Participant• Close up view of focal person (patient, provider, presenter)• Allows far sites to see person clearly

Room• Provides a view of the entire room• Identifies everyone in attendance

Presets allow you to switch back to other views quickly. MBTelehealth recommends the use of 3 standard camera presets. The remaining number pad buttons can be used to set up alternative camera presets to suit the needs of the event.

“Sign” view • It’s an off screen camera view that allows users to move about the room without being on

camera • It identifies the sites that are connected. The sign can be placed on a table (tent sign) or

hung on a wall • The camera should always be set to the sign view before connecting to an event “Participant” view • This is a close up view of the focal person(s) of the event (such as the patient, provider or

presenter) • This view allows far sites to see the person clearly • A good rule of thumb is to frame the participants from the waist up

“Room” view • This provides a view of the entire room and identifies everyone in attendance • Part of video conference etiquette includes making the sites you are connected to aware of

everyone involved in the event • This view is also helpful for question and answer periods

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Connection Types

Connection TypesThese connections can be used for Clinical, Admin, Education or Televisitation

Multi-Site

Involves 3 ormore sites

Site to Site

Connecting to a site not on the MBT

network

Direct connection between 2 sites

(host or attendee)

Out of Province/Network

In addition to the different event types, there are also different connection types. These connections can be used for all of the event types.

The first and most common connection type is a Site to Site connection which is a direct connection between two sites. The event is connected using the telehealth address book or by dialing a number provided for an out of province site.

Multi-Site Connections are events that involve 3 or more sites. The event is connected automatically by MBTelehealth using a multi-point connection unit or MCU, which is also referred to as a bridge.

An Out of Province or out of Network Connection involves connecting to a site that is not on the MBTelehealth network. This can be a connection to another provincial telehealth network or to a local Manitoba site that is not a network member. Out of province connections can be site to site or multi-site. These connections are completed by dialing the a long distance number that is provided with your event confirmation. Out of province multi-site connections are automatically connected by the MCU just like all other multi-site events.

Quick Reference Guides are available on the website as well as in each telehealth room to assist you with your event.

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Site to Site Connections

Type the 5 digit number using

the keypad

Confirm you have entered the

correct number

Press the green Call button to

Connect

Site to Site Connection – 2 sites

A site to site connection is a direct connection between 2 sites. • If you are the host site, you will be making the call • If you are the attendee site, the other site will call you and the system will auto-answer the

call Once you’ve scheduled your event, follow the steps on the QRG to make the connection.

• Enter the 5 digit number for the site/equipment you are connecting to using the keypad on

the remote. (The 5 digit number is found in brackets behind the VCU#) • Confirm the 5 digit number once again and then press the green Call button on the remote

to connect. Press the red End Call button on the remote at the end of every call.

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Multi-site Connections

Multi-Site Connection – 3 or more sites

Plug in and turn on equipment prior

to session

All sites are connected to the

event automatically

• Multi-site sessions will be connected automatically at the scheduled start time.• If you are registered for the event and it is already in progress and you are NOT

connected, you can join by using the connection information shown on the Whiteboard.

• Multi-site sessions will be automatically disconnected at the scheduled end time.

The Multi-site connection is an automatic connection that takes place when 3 or more sites are scheduled for the same event. •Plug in and turn on the equipment prior to the session •All of the sites will be connected to the event automatically – meaning, you do not need to use the phone book to connect to any of the sites, even if you are the attending site •If you miss the connection, you can connect to the call by using the dial-in information found on the Whiteboard or Confirmation. •If you still are not able to connect, call the Service Desk.

Note: Multi-site (MCU) sessions will be connected to the event automatically at the scheduled start time and automatically disconnected at the scheduled end time. Press the red End Call button on the remote at the end of every call. Also – if no attendees show up after 10 minutes ensure you disconnect the call. By ensuring all calls are disconnected – you are protecting patient privacy.

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Note: for out of province connections you will be given a dial in number

Type the dial in number using

the keypad

Press the green Call button to

connect.

For out of province connections, you will be given a dial in number (it will be a 13 digit number). Follow the steps on the QRG to make your connection. Out of Province calls: • Pick up the remote and type in the dial in # that you have been provided using the keypad

on the remote. (use the Cancel button on the remote if you make an error) • Press the green Call button on the remote to place the call. Press the red End Call button on the remote at the end of every call.

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Far End Control

Far End Control – TRC4 remote

Site to Site• Allows you to take over control of far end

camera• Press Far End button and use camera

controls to move camera• Press Far End button again to re-enable

control of your own camera

Multi-Site• This is the default layout

• The host/presenter/person booking on their behalf selects the layout option when the event is booked

Far End control functions differently for site to site and multi-site events.

TRC4

The Far End control button functions differently depending on whether you are connected to a site to site event or a multi-site event.

Site to Site In a site to site event, the Far End control button allows you to take over control of the far end camera. This is useful when the person at the other site is unfamiliar with the equipment or if you need a better view. You should always ask permission before taking far end camera control • To use far end control, press the Far End button on the remote control (a Far End banner

will appear across the top of the monitor) and then use the camera controls to move the camera to the desired position.

• Press the Far End button again to re-enable control of your own camera and turn far end control off

Multi-Site In a multi-site event you will see the default layout on the screen (1+7). Other layout options can be selected when the event is booked.

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Peripheral Devices and Video Sources

Peripheral Devices

Laptop

Patient Camera

Otoscope

Peripheral devices are additional pieces of equipment that connect to the back of the codec. They offer additional display options or are used in a telehealth consultation to provide additional information to a health care provider. Laptops - used to display presentations and collaborate on documents Patient Cameras - used to display close up images of a patient’s body (ex: wounds, skin, surgical incisions) Otoscope – used for ear, nose and throat (ENT) examinations over telehealth; it has excellent imagery for lower sinus and upper throat examinations Other Devices - MBTelehealth also has other devices located at certain facilities throughout the province (for information on locations and access, contact your Facilitator-eHealth Solutions) Document Camera – isn’t used anymore, but in previous years it was used for showing paper copies, printed text/pictures, 3-dimensional objects such as a person’s hand, and transparencies to far end sites

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Video Sources and Inputs

Each video source button on your remote referencesa video input on the back of your codec

VGA Cable DVI Cable HDMI Cable

Video Sources • Each video source button on the TRC4 remote references a video input located on the back

of your codec. On the TRC6 remote, the Share feature is used to show the images on the screen from the connected peripheral

• The video inputs on the back of your codec allow you to connect various peripheral devices to your video conference equipment for display to the far end site(s)

• The type of connection used depends on the peripheral device; the four types of cables used to connect peripheral devices to video conference equipment are shown below

VGA Cable • has a 15–pin connector that carries analog video signals • used to connect laptops and PCs to the video conference equipment Display Port • digital audio/video connection used to connect laptops to videoconference equipment

HDMI Cable • an HDMI cable connects digital audio/video devices to each other so that data can be

transmitted from one device to the other; used to connect peripherals

There are multiple inputs and outputs located on the back of the codec that are used to connect peripheral devices.

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Peripheral Device - LaptopA laptop can be connected to the videoconference codec so a user can display presentations, videos or documents for other sites.

VGA or HDMI Cable

TRC4 TRC6

Laptop A laptop can be connected to the videoconference codec so that a user can display presentations, videos or documents to other sites. By sharing documents, you can collaborate with other sites. This image shows a laptop connected to a fixed video conference solution • Once connected, press the Presentation button to display your laptop image on screen. • You can also use Main Cam and PC Video Source buttons to do the same thing. • Press the Presentation button again to return to the Main Camera view. • Press the Selfview button to display your presentation full screen at your site. • Press it again to return to normal display. Trouble shooting • If your laptop does not display on the screen after pressing the presentation button, press the

Window key + P key on your keyboard and select “Duplicate”. You may also need to change the resolution of your laptop to 1280x720.

• If you are sharing a presentation and it suddenly disappears, you may need to press Share presentation in call again as another site may have accidentally tapped Share on their end.

.

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Peripheral Device – Patient Camera (GlobalMed) With Fixed Equipment (TRC6)

DVI-D to DVI-D

• Patient cameras are used to examine objects in fine detail.

• Used in telehealth for dermatology, wheelchair seating or gait assessments for example.

HDMI to HDMI mini

Patient Cameras are used to examine objects in fine detail. They are used in telehealth for dermatology, wheelchair seating or gait assessments for example.

• This image shows the GlobalMed patient camera connected to a fixed video conference

unit, but it can also be used with a mobile cart as well (VX Clinical/Edge 95). • The camera is plugged into a power source and the s-video cable connects the camera to

the codec. • The image from the patient camera can be viewed by selecting the applicable source from

the menu items on the remote control.

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Peripheral Device – Patient Camera (GlobalMed) with mobile cart

DVI-D to DVI-D

• Patient cameras are used to examine objects in fine detail.

• Used in telehealthfor dermatology, wheelchair seating or gait assessments for example.

HDMI to HDMI mini

Edge 95 cartTRC4

TRC6

Patient Cameras are used to examine objects in fine detail. They are used in telehealth for dermatology, wheelchair seating or gait assessments for example.

• This image shows the GlobalMed patient camera connected to a fixed video conference

unit, but it can also be used with a mobile cart as well (Edge 95 for TRC4 remote). • The camera is plugged into a power source and the s-video cable connects the camera to

the codec. • The image from the patient camera can be viewed by selecting the applicable source from

the menu items on the remote control.

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eConsult

eConsult - how it works

Specialist reviews

information and replies

PCP follows up with patient

Information is sent securely

to the Specialist

PCP sees patient and determines

need for Specialist

• Technology that allows a health-care provider to securely send files such as documents, lab

results, x-rays and digital images of a patient’s health condition and a patient’s history to a specialist

• After viewing these pictures, the specialist may be able to diagnose and suggest treatment for the patient without seeing the patient in person

• The system notifies the specialist by an electronic message when a referral is submitted • The specialist logs in to view the referral and respond. The referring provider is also notified

electronically when a response is available In order to use eConsult (Store and Forward), both the rural clinic/hospital and the specialist need to have the appropriate access in iScheduler. The following specialties are currently available as of Nov 2018: • Dermatology

• Dr. Hurst (adult & pediatrics) • Dr. Keddy-Grant (pediatrics)

• Geriatric Medicine • Dr. Elizabeth Rhynold, Geriatrician in Prairie Mountain Health Region

• Infectious Diseases

Dr. Embil (adults only)

• Nephrology

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• Group of physicians out of Seven Oaks and St. Boniface Hospitals

• Orothopedics • Manitoba Orthopedic Trauma Group • For NMU sites only at this time

• Otolaryngology • Dr. Bernard Thess (adults and pediatrics)

• Pediatric Concussion • Dr. Michael Ellis, Neurosurgeon, out of the Pan Am Concussion Program

• Pediatric Orthopedics

• Dr. Thompson (HSC) • Plastic Surgery (Hand and Facial Trauma)

• Dr. Petropolis (HSC) • Dr. Sigurdson (HSC)

• Respirology

Dr. Ainslie (adults only)

• Wound Management – First Nations Communities • Tanya Girouard-Stringer, RN, BN (nurse specialized in Wound Ostomy Continence

Management Each specialty has specific inclusion and exclusion criteria. eConsult is for non-urgent consults. Current sites as of April 17, 2019: PMH - 13; NRHA - 8; FNIHB - 9; Southern - 10; IERHA - 5; WRHA (Churchill) – available in all regions and continuing to add more sites Brandon Clinic, Brokenhead Ojibway Health Centre, Churchill Health Centre, Clinique Notre-Dame Clinic, Cross Lake Nursing Station, Dauphin Medical Clinic, East Borderland Primary Health Care, East Parkland Medical Group, Emerson Clinic, Eriksdale Wellness Centre, Erikson Primary Care Clinic. Flin Flon Clinic, Garden Hill Nursing Station, Gillam Hospital, Ginew Wellness Centre, Gladstone Health Centre,

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Glenboro Medical Clinic, Grand Rapids Nursing Station, Hamiota Medical Clinic, Lac Du Bonnet District Health Centre, Lakeshore General Hospital, Lundar Health Centre Clinic, Medical Clinic - Centre de bien-etre St. Claude, Medical Corporation, Melita Medical Clinic, Montcalm Health Centre, Norway House Cree Nation Clinic, Norway House Indian Hospital, Opaskwayak Health Authority Pembina Manitou Health Centre, PMH Mobile Clinic, Rivers Medical Clinic. Rossburn Medical Clinic, Snow Lake Health Centre, Somerset Clinic, Souris Medical Associates, St. Laurent Community Health Centre, St. Theresa Point Nursing Station, Ste. Rose General Hospital, Swan Lake First Nation Health Centre, Swan Lake Medical Clinic The Pas Clinic, Thompson Clinic, Thompson General Hospital, Vita Medical Clinic, Wawanesa Medical Clinic, Whitewater Clinic, Winnipegosis Medical Clinic,

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eConsult Benefits

Accessible

• Increased access to specialist care for patients

• Access to specialist knowledge for PCPs

Patient Satisfaction

• Patient continues to receive care from their PCP directly

Efficient• Web-based software can be

accessed anywhere in Canada• Specialists can respond at any time

Some of the high level benefits of eConsult are: • Offers patients increased access to specialist care where it is not readily available. • Provides PCPs increased access to specialist knowledge that they may be able to apply in

future. • Offers improved patient satisfaction by allowing patients to receive specialist care without

having to leave their home community. • All interactions while receiving care remain with the primary care provider who they may have

an existing relationship with. • The application used for eConsult is web-based and can be accessed anywhere in Canada

with an internet connection. • Specialists have the flexibility to respond as they are available.

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MyMBT Messaging

MyMBT Messaging

MyMBT Messaging provides a single platform for secure group communication across multiple sites, both inside and outside of health-care settings. Clinical staff are able to collaborate in real time, supporting clinical decision making across the continuum of care. This tool is intended for transient communications and does not replace standard patient documentation. • text photos and patient information securely to other health-care professionals • instantly request a callback • create and text groups and care teams • send messages from multiple devices at the same time Some of the high level benefits of MyMBT Messaging are: • Accessible across multiple platforms – can be used from any computer, tablet or mobile

device. All messages, settings, photos, and notifications sync in real-time across every desktop and device.

• Provides efficiency in communication between health-care professionals by providing:

• real-time secure collaboration • easy access to clinical directory • confirmation that messages have been opened • auto-reply options • customizable notification settings to reflect urgency of the message and your

availability

• Offers convenience by integrating seamlessly into the clinical workflow and providing an easy-to-use tool to send quick messages.

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Telehealth Support

Telehealth SupportService Desk

-Available for real time support-Includes technical concerns and troubleshooting for videoconference events

Urgent 204-940-8500 Option 4, Option 1 or toll-free 1-866-999-9698 Option 4, Option 1

Non Urgent [email protected]: Monday to Thursday 0730 - 2100

Friday 0730 - 1700

Scheduling support204-940-8500 Option 4, Option 2 or toll-free 1-866-999-9698 Option 4, Option 2

or email [email protected]: Monday to Friday from 0800 – 1700 (closed on stat holidays)

The Telehealth Service Desk is available for real time support of all MBTelehealth operational activities. This includes technical concerns and troubleshooting for videoconference events.

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Tips for Presenters and Participants

Tips for presenters and participants

• Be aware of your scheduled start and end times – ending late impacts others who may need the equipment.

• Mute your microphone when you are not speaking to reduce background noise

• Set up presentation early to allow time for technical issues

• Introduce attendees at start of event, explain how to mute the microphone and how you will manage questions and answers

These tips are helpful for anyone participating in a videoconference event: • set up presentation early to allow time for technical issues • be aware of your scheduled start and end times – ending late impacts others who may need

the equipment. (Remember! Multi-site events will end automatically at the scheduled time, whether you’re finished your session or not, so leave time to wrap up the session before you’re disconnected.)

• introduce attendees at start of event, explain how to mute the microphone and how you will manage questions and answers

• mute your microphone when you are not speaking to reduce background noise

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Tips for presenters and participants

• When asking questions direct them at each attending site individually to avoid multiple responses at the same time

• Speak naturally as though you are in the same room as the other sites

• Pause between speakers to accommodate slight audio delay

• If you appear blurry on screen, use the arrow keys and zoom button to adjust the camera

• when asking questions direct them at each attending site individually to avoid multiple responses at the same time

• speak naturally as though you are in the same room as the other sites • pause between speakers to accommodate slight audio delay • if you appear blurry on screen, use the arrow keys and zoom button to adjust the camera

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Additional Resources

Additional Resources

Visit our website for additional information • Quick Reference Guides• Training material• Telehealth standards, procedures and forms• Frequently Asked Questions and What’s new• MBTelehealth Staff Listing

https://.mbtelehealth.ca

Contact your Digital Solutions Facilitator forgeneral information about MBTelehealth Services

Training Guide - MBTelehealth · Telehealth and Benefits ... and program specific education events....

Documents

Transcript of Training Guide - MBTelehealth · Telehealth and Benefits ... and program specific education events....