Transcript 7 Smithers HIV Coll Team final

Provincial HIV Collaborative
Northern Health (NH)
Smithers Team
Lee Anne Hodge Johnson
Primary Care Developer Bulkley Valley
Daphne Hart MD,
General Practice, Smithers
in collaboration with
Jennifer Hawkes
Northern Health
Clinical Pharmacy Specialist in HIV
Prince George
•Geographic Isolation
Improvement
• Four Objectives set for Smithers
•
Presentation of March 2011 HIV Primary Care Guidelines to Health
Care Providers
•
Access to Infectious Diseases Consultation by Telehealth
• Access to HIV Pharmacy Consultation by Telehealth
•
Facilitate development of Multidisciplinary Integrated Team Based
Care
Improvement
• Objective that improvement relates to....
• Access to Northern Health HIV Pharmacy
consultation by Telehealth
Improvement
• Change tested that worked.....
• In July and August 2011
• Three antiretroviral naive individuals had
a consultation with the NH HIV
Pharmacist by Telehealth prior to
commencing antiretroviral medications.
• Prior to this time no direct Pharmacy
consultation was accessible.
Improvement
• HIV Pharmacy Telehealth process involved
1. Use of Existing NH Telehealth infrastructure
2. Development of administrative forms
•
HIV Pharmacy Telehealth Request form (Request for Telehealth,
Referral to HIV Pharmacist
•
System map of Blood Born Pathogens (BBP) Booking Process
• Memorandum of Understanding between NH Telehealth and the
BBP Telehealth Initiative Group
3.Sessional Physician in Smithers initiated the referral, attended to
interview, facilitated patient attendance, provided the medical
information in advance.
4.NH HIV Pharmacist in Prince George facilitated the Telehealth
connection, conducted the interview, and provided a consultation letter
for the referring physician and Family Physician.
Challenge
• Move from a carefully orchestrated person
dependent trial process to a sustainable
process easily accessed by all Health Care
Providers and individuals living with HIV
in Smithers
Continuing Challenges
•
Next Steps....
•
Await approval of forms by NH Document
Centre
•
Make forms available on NH intranet
•
Spread awareness of access to the process
•
Encourage follow up appointments
•
Develop a sustainable plan regarding the
roles and responsibilities for the process in
Smithers
Lessons Learned
•
Pharmacy consultation by Telehealth is
possible
•
Patients seemed engaged and there is
interest in and support for the process
•
Telehealth requires 48 hours notice. No
urgent response.
• Video linked interviews offer something
positive that telephone interviews cannot
provide.
Lessons Learned
• The process developed for Smithers is
applicable to other small rural communities
in NH with Telehealth infrastructure.
•
Meeting the objective of accessing Infectious
Diseases consultation by Telehealth has been
facilitated by the current work on accessing
Pharmacy by Telehealth
for Northern Health September 2011
•Geographical isolation