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Written by Rob Williams
 on December 16, 2015
Elderly man with health care provider
In my previous post I reviewed some of the ways Telemedicine is being used across the province to support care of the elderly. In this post I’ll review findings from articles that explore the use and benefits of telemedicine in geriatrics. A recent article published by Baycrest, compares a face-to-face session versus a telemedicine session for clinic-based group cognitive behavioural therapy (CBT) with adults who suffer from depression and anxiety. The results of which show that group CBT can be delivered in a technology...
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Written by Rob Williams
 on November 24, 2015
Elderly man with daughter and grandson
There are tremendous opportunities for telemedicine use in the care of the elderly in both urban and rural settings. Typically, as people age they become mentally and physically infirm, which can make travelling distances problematic. This makes care of the elderly ideally suited for multiple streams of telemedicine. OTN’s early applications of telemedicine for the elderly were to support elderly people in long-term care homes. Initially, OTN worked with long-term care homes to enable video, which allowed providers to consult over Videoconference and eliminated the need for the resident to travel. This was quickly adopted into cognitive assessments with geriatric psychiatry. Videoconferencing lends itself well to people who need...
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Written by Sharon Airhart
 on October 27, 2015
Elderly woman with caregiver using Telehomecare
Among the many score of floral tributes at my great grandfather’s funeral – he had eight devoted children – was a full-sized rocking chair made entirely of flowers.  Leaning against one arm of the chair, a floral version of his cane.  They were emblematic of the last decade of his life; it was the way we always knew him, saw him.  He was 88 when he died. I often think of his life and his death as I chat with various sandwich-generation friends who are exhausted and defeated by the responsibility they feel for their aging parents. How different are their parents’ last chapters than my great-grandfather’s or even my grandparents’.  Having worked hard all of their lives, they were...
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Posted in TelehomecareTagged: caregiver, COPD, CHF, Geriatric
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Written by Sharon Airhart
 on September 18, 2015
This is not a paid political advertisement. It has not been authorized by anybody. But it is relevant to the federal election. Bemoaning the general lack of reference to health care in the campaigning so far, the Canadian Medical Association (CMA) recently published an article – Election 2015: Health Issues Primer – about five things that should be on the federal election campaign agenda – but aren’t. I am pleased to report that telemedicine – and by that, I mean OTN! – is already having an impact on three of the five healthcare issues. Mental Health The Mood Disorders Society of Canada...
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Written by Sharon Airhart
 on August 4, 2015
I probably shouldn’t be telling this story. It starts in 1968. According to (brilliant) researcher, surgeon and writer Atul Gawande, in that year, The Lancet published findings that represent one of the most important medical advances of the last century. It was just this: David R. Nalin and Richard A. Cash, American researchers in Dhaka during a cholera outbreak, added sugar to salt and water hydration and administered it orally to 29 patients. Cholera deaths: zero. Sugar, it seems, helps the gut absorb fluids. Cholera pandemics killed millions in the nineteenth century. Even after intravenous fluids reduced mortality to 30 per cent in the early years of the twentieth century, globally, most people died, especially in places where...
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Written by Rob Williams
 on July 30, 2015
Extension for Community Healthcare Outcomes, better known as Project ECHO, is a multi-disciplinary collaborative model of medical education and care management that helps increase access to specialty care and “de-monopolizes” specialized services. The model facilitates a virtual peer-to-peer group via video conference for primary care providers and empowers them with new knowledge to manage challenging patients with selective types of complex chronic diseases. Project ECHO started in 2003 by looking at Hepatitis C, and has since evolved to include supporting patients with HIV, chronic pain, rheumatoid arthritis, and other chronic complex diseases. These diseases are often a challenge for a...
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Written by Ed Brown
 on June 5, 2015
There are some incredible innovators and leaders among Ontario’s healthcare community who have advanced the use of telemedicine in the province. We wanted to take a moment to give them some well-deserved recognition. The Champions of Telemedicine Award was established to celebrate the outstanding contributions of these leaders within each of the 14 Ontario LHINs, and a leader within Ontario’s aboriginal community. OTN’s front-line staff and community partners nominated individuals for this award, and then Champions were selected based on their achievements in the following areas: Demonstrates leadership among peers and inspires the adoption of telemedicine in their practice, hospital, program or community to help...
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Written by Sharon Airhart
 on May 27, 2015
Jesse Hirsh and Ed Brown at OTN's Hackathon at MaRS Discovery District on March 30, 2015.
If you see a guy holding a white hockey puck to his forehead, that’ll be Jesse Hirsh. If you see a guy checking his heart rate on his watch, that’ll be Ed Brown. At OTN’s fabulously successful March 30 Hackathon, Jesse interviewed Ed about the future of connected, virtual health care. The first topic on the agenda was the engaged patient. That segued rather quickly to comparisons of personal health monitoring devices. Jesse showed the audience his Scanadu Scout. It looks like a hockey puck and measures blood pressure, heart rate, temperature and blood oxygen levels, sending the data to your iPhone. Ed, who has a Peak Basis watch that monitors heart rate, among other things, pulled out his smart phone, calling it the...
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Written by Sharon Airhart
 on March 25, 2015
Hand holding picture
I’ve had jobs that made me cry – don’t ask – but this may be the first time I’ve had a job that caused me to make other people cry. With a lot of help from other team members, I make videos and write stories about Telehomecare. I talk to patients and their family caregivers, their nurses or respiratory therapists and doctors. From time to time, we visit patients in their homes. That’s where Telehomecare connects them with a clinician who monitors their vital signs remotely and coaches them about how to live their best possible life. Then we tell their stories on screen, in news stories and on our web site so that people – and health care providers – learn about the program and how it can...
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Written by Rob Williams
 on March 3, 2015
In December 2014, The College of Physicians and Surgeons of Ontario (CPSO) reviewed and updated their Telemedicine policy, providing clarity on general expectations for telemedicine and specific expectations for practicing telemedicine across borders. I had the privilege of being part of the working group that developed the policy, along with CPSO Council, staff, and other external experts. For more than a year, the working group met regularly and took an in-depth review of the state of telemedicine around the world, including the positions and policies of other Colleges, provinces, territories, as well as international positions in other countries like the US,...
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