V-Pilot PP presentation updated- for IPAC...
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Peel Health DOT Innovation DOT Innovation Introduction of Video Introduction of Video - - DOT DOT in Peel Region, Ontario in Peel Region, Ontario Rita Raghuwanshi and Nhung Dang Health Outreach Workers
Transcript of V-Pilot PP presentation updated- for IPAC...
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
Peel Health
Tuberculosis (TB)
• What it TB?
• How does it Spread?
• Is it contagious?
Peel Health
TB Cases in Region of Peel
• 90 % foreign-born
• Languages spoken
Peel Health
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
Peel Health
Directly Observed Therapy (DOT)
Peel Health
Preparation:
• Literature Review
• Environmental Scan
• Legal consultation
Peel Health
Video-Directly Observed Therapy
Peel Health
Video Phone station
Peel Health
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
Peel Health
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
Peel Health
BackgroundBackground
• Pilot started August 2010
• 6 months duration
• Combination of V-DOT and Face –to- Face
Peel Health
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
Peel Health
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
Peel Health
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
Peel Health
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
Peel Health
For more info or questions please contact-
• Rita Raghuwanshi- 905-791-7800 Ex. 2492
• Nhung Dang – 905- 791-7800 Ex. 2681
