{"id":8747,"date":"2020-02-04T17:15:16","date_gmt":"2020-02-04T22:15:16","guid":{"rendered":"https:\/\/otn.ca\/?page_id=8747"},"modified":"2020-02-06T12:05:39","modified_gmt":"2020-02-06T17:05:39","slug":"models-care-profiles-soins-virtuels-pour-le-retablissement-des-patients-cardiaques","status":"publish","type":"page","link":"https:\/\/otn.ca\/fr\/providers\/ohts\/models-care-profiles-soins-virtuels-pour-le-retablissement-des-patients-cardiaques\/","title":{"rendered":"Mod\u00e8le de profils de soins | Soins virtuels pour le r\u00e9tablissement des patients cardiaques"},"content":{"rendered":"<p>[et_pb_section bb_built=\u00a0\u00bb1&Prime; specialty=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; module_alignment=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb1200px\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb custom_padding=\u00a0\u00bb20px|||\u00a0\u00bb inner_width_tablet=\u00a0\u00bb50px\u00a0\u00bb inner_max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;][et_pb_row _builder_version=\u00a0\u00bb3.23.3&Prime; 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header_4_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_5_text_shadow_horizontal_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_vertical_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_blur_strength=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime; text_text_align=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb]<\/p>\n<h1>Soins virtuels pour le r\u00e9tablissement des patients cardiaques<\/h1>\n<p>Le Programme de soins cardiaques virtuels de l\u2019Institut de cardiologie de l\u2019Universit\u00e9 d\u2019Ottawa (ICUO) offre un soutien infirmier virtuel aux patients cardiaques qui ont besoin de soins actifs pour la gestion des m\u00e9dicaments, la r\u00e9gulation du volume des fluides, la surveillance des signes vitaux et l\u2019acc\u00e8s \u00e0 l\u2019\u00e9ducation des patients apr\u00e8s le cong\u00e9 de l\u2019h\u00f4pital.<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=\u00a0\u00bb3.23.3&Prime; 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module_class=\u00a0\u00bbprofile-details\u00a0\u00bb]<\/p>\n<p>\n<strong>Organisation responsable:<\/strong> Institut de cardiologie de l\u2019Universit\u00e9 d\u2019Ottawa (ICUO) <\/p>\n<p><strong>Nom du programme:<\/strong> Programme de soins cardiaques virtuels <\/p>\n<p><strong>R\u00e9gions de soins:<\/strong> Soins cardiaques <\/p>\n<p><strong>Partenaires en soins de sant\u00e9:<\/strong> L\u2019ICUO s\u2019est associ\u00e9e \u00e0 d\u2019autres h\u00f4pitaux communautaires et \u00e0 des fournisseurs de services de soins de sant\u00e9 au r\u00e9seau local d\u2019int\u00e9gration des services de sant\u00e9 (RLISS) de Champlain pour offrir aux patients l\u2019acc\u00e8s au programme dans toute la r\u00e9gion <\/p>\n<p><strong>Nom du fournisseur:<\/strong> <a href=\"https:\/\/lifecaresolutions.resideo.com\/lifestream-products\/genesis-touch\/\" rel=\"noopener noreferrer\" target=\"_blank\">Genesis Touch de Resideo Life Care Solutions<\/a><\/p>\n<p>[\/et_pb_text][et_pb_code admin_label=\u00a0\u00bbCode: Donut Chart\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; 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header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]<\/p>\n<h2 class=\"h2-heading\">Mod\u00e8le<\/h2>\n<p>Le programme de soins cardiaques virtuels est con\u00e7u pour fournir des soins virtuels aux patients cardiaques. Le programme comprend deux modalit\u00e9s, y compris la surveillance \u00e0 distance des patients et l\u2019appel automatis\u00e9. \u00c0 l\u2019int\u00e9rieur du programme de soins cardiaques virtuels, il y a des services pour les patients apr\u00e8s-op\u00e9ration, les patients atteints d\u2019arythmie, le renoncement au tabac, le syndrome coronarien aigu et les patients souffrant d\u2019insuffisance cardiaque. Ce programme permet d\u2019attribuer la technologie appropri\u00e9e au bon patient. <\/p>\n<p><strong>Programme de soins virtuels pour l\u2019insuffisance cardiaque\u202f: Surveillance \u00e0 domicile (3 \u00e0 4\u202fpremiers mois) <\/strong><br \/>\nLe programme de surveillance \u00e0 domicile pour l\u2019insuffisance cardiaque est l\u2019un des programmes sp\u00e9cialement con\u00e7us pour les patients qui ont besoin d\u2019une surveillance quotidienne. Ce mod\u00e8le de soins actifs est bas\u00e9 sur un mod\u00e8le de soins de transition et fournit des soins apr\u00e8s le cong\u00e9 et entre les visites m\u00e9dicales lorsque les patients sont \u00e0 risque. Tous les fournisseurs de soins de sant\u00e9 de l\u2019ICUO peuvent orienter les patients vers ce programme. Une ordonnance ou une recommandation du m\u00e9decin est requise pour les h\u00f4pitaux communautaires. Ce mod\u00e8le n\u2019exige aucune visite \u00e0 domicile ni aucune indemnit\u00e9 de l\u2019Assurance-sant\u00e9 de l\u2019Ontario. L\u2019inscription prend de 5 \u00e0 10\u202fminutes \u00e0 l\u2019h\u00f4pital, o\u00f9 les patients apprennent \u00e0 installer et \u00e0 utiliser l\u2019\u00e9quipement avant de rentrer chez eux. Les patients signent une entente avec une infirmi\u00e8re afin qu\u2019ils transmettent leurs signes vitaux quotidiennement \u00e0 un moment donn\u00e9.  <\/p>\n<p>Le programme de surveillance \u00e0 domicile utilise des appareils qui poss\u00e8dent des enregistrements vocaux et fournit des instructions simples pour s\u2019assurer que les signes vitaux et d\u2019autres renseignements sont bien saisis. Les renseignements sur les signes vitaux sont ensuite transmis automatiquement \u00e0 un poste central de l\u2019ICUO, o\u00f9 ils sont examin\u00e9s par des infirmi\u00e8res sp\u00e9cialis\u00e9es en cardiologie. Les infirmi\u00e8res demandent aux patients d\u2019effectuer une \u00e9valuation et une intervention suppl\u00e9mentaire, au besoin. On pose \u00e9galement plusieurs questions cliniques aux patients; les r\u00e9ponses sont cod\u00e9es en priorit\u00e9 en rouge, jaune et vert et elles re\u00e7oivent des interventions en fonction des besoins. <\/p>\n<p>Pour les patients identifi\u00e9s dans les h\u00f4pitaux communautaires, une infirmi\u00e8re locale leur fournit l\u2019\u00e9quipement et la formation n\u00e9cessaires. Une infirmi\u00e8re sp\u00e9cialis\u00e9e de l\u2019ICUO suit le patient et communique avec son m\u00e9decin par l\u2019entremise de renseignements partag\u00e9s sur le formulaire de recommandation. L\u2019ICUO forme \u00e9galement le personnel hospitalier et fournit un soutien continu en mati\u00e8re d\u2019\u00e9ducation et d\u2019\u00e9quipement, au besoin. <\/p>\n<p><strong>Mod\u00e8le d\u2019appels automatis\u00e9 et de r\u00e9ponse vocale interactive (1 \u00e0 12\u202fmois) <\/strong><br \/>\nCe mod\u00e8le utilise un syst\u00e8me TelAsk qui appelle ou envoie automatiquement des messages textes aux patients toutes les deux semaines pour assurer un soutien \u00e9ducatif continu. Les questions sont pos\u00e9es dans un format \u00ab\u202foui\u202f\u00bb ou \u00ab\u202fnon\u202f\u00bb et sont saisies soit par la conversion de la voix au texte, soit par des touches sur le t\u00e9l\u00e9phone. Selon les r\u00e9ponses, un clinicien sera signal\u00e9 afin de donner suite \u00e0 un appel, au besoin. <\/p>\n<p>Les patients qui ont subi une chirurgie cardiaque \u00e0 l\u2019ICUO sont automatiquement inscrits au programme. Le mod\u00e8le de r\u00e9ponse vocale interactive fonctionne pendant les heures de travail r\u00e9guli\u00e8res. Cependant, les patients peuvent communiquer avec un coordonnateur en soins infirmiers \u00e0 tout moment pendant l\u2019appel. Si un patient a besoin d\u2019aide imm\u00e9diate, l\u2019ICUO a un coordonnateur en soins infirmiers disponible 24\u202fheures sur 24, 7\u202fjours sur 7 (non sp\u00e9cifique au mod\u00e8le).<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb3.23.3&Prime; custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_text admin_label=\u00a0\u00bbText: Outcomes\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; text_text_shadow_horizontal_length=\u00a0\u00bbtext_text_shadow_style,%91object Object%93&Prime; text_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb text_text_shadow_vertical_length=\u00a0\u00bbtext_text_shadow_style,%91object Object%93&Prime; 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header_5_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_vertical_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_blur_strength=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]<\/p>\n<h2 class=\"h2-heading\">R\u00e9sultats<\/h2>\n<p><strong>Surveillance \u00e0 domicile  <\/strong><\/p>\n<ul>\n<li>Am\u00e9lioration de la qualit\u00e9 de vie et du statut fonctionnel des patients atteints d\u2019IC et d\u2019angor <\/li>\n<li>Les patients ont trouv\u00e9 la technologie facile \u00e0 utiliser et se sont dits tr\u00e8s satisfaits de cette approche aux soins <\/li>\n<li>Les patients pr\u00e9f\u00e8rent parler \u00e0 l\u2019infirmi\u00e8re par t\u00e9l\u00e9phone plut\u00f4t que par vid\u00e9oconf\u00e9rence <\/li>\n<\/ul>\n<p><strong>Appel automatis\u00e9 et r\u00e9ponse vocale interactive <\/strong><\/p>\n<ul>\n<li>R\u00e9duction de 51\u202f% des r\u00e9admissions \u00e0 l\u2019h\u00f4pital aux trois mois <\/li>\n<li>R\u00e9duction de 45\u202f% des r\u00e9admissions \u00e0 l\u2019h\u00f4pital une fois par an  <\/li>\n<\/ul>\n<p>Source\u202f: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18206525\" rel=\"noopener noreferrer\" target=\"_blank\">Woodend, A. K., Sherrard, H., Fraser, M., Stuewe, L., Cheung, T., &#038; Struthers, C. (2008). Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart &#038; Lung, 37(1), 36-45.<\/a> (en anglais seulement)<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb3.23.3&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_code admin_label=\u00a0\u00bbCode: Outcomes\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; z_index_tablet=\u00a0\u00bb500&Prime; disabled=\u00a0\u00bbon\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb]<\/p>\n<div class=\"chart-container\"><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"chart-row\"><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"chart-donut\"><svg width=\"100px\" height=\"100px\" viewBox=\"0 0 42 42\" class=\"donut\">\n\t<circle class=\"donut-hole\" cx=\"21\" cy=\"21\" r=\"15.91549430918954\" fill=\"#fff\"><\/circle>\n\t<circle class=\"donut-ring\" cx=\"21\" cy=\"21\" r=\"15.91549430918954\" fill=\"transparent\" stroke=\"#d2d3d4\" stroke-width=\"6\"><\/circle>\n  <text x=\"50%\" y=\"50%\" text-anchor=\"middle\" stroke=\"#6A6A6A\" stroke-width=\".2\" dy=\".3em\" font-size=\".5em\">33%<\/text>\n\t<circle class=\"donut-segment\" cx=\"21\" cy=\"21\" r=\"15.91549430918954\" fill=\"transparent\" stroke=\"#0078c9\" stroke-width=\"6\" stroke-dasharray=\"33 67\" stroke-dashoffset=\"25\"><\/circle>\n  <\/svg><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"chart-description\">\n<p>The average NICU length of stay (LOS) for infants discharged home in the program was 8.1 days lower than the control group <strong>(approximately 33% lower than the overall average NICU LOS)<\/strong>. (https:\/\/doi.org\/10.1111\/chd.12693)<\/p>\n<\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"chart-row\"><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"chart-donut\"><svg width=\"100px\" height=\"100px\" viewBox=\"0 0 42 42\" class=\"donut\">\n\t<circle class=\"donut-hole\" cx=\"21\" cy=\"21\" r=\"15.91549430918954\" fill=\"#fff\"><\/circle>\n\t<circle class=\"donut-ring\" cx=\"21\" cy=\"21\" r=\"15.91549430918954\" fill=\"transparent\" stroke=\"#d2d3d4\" stroke-width=\"6\"><\/circle>\n  <text x=\"50%\" y=\"50%\" text-anchor=\"middle\" stroke=\"#6A6A6A\" stroke-width=\".2\" dy=\".3em\" font-size=\".5em\">57%<\/text>\n\t<circle class=\"donut-segment\" cx=\"21\" cy=\"21\" r=\"15.91549430918954\" fill=\"transparent\" stroke=\"#0078c9\" stroke-width=\"6\" stroke-dasharray=\"57 43\" stroke-dashoffset=\"25\"><\/circle>\n  <\/svg><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"chart-description\">\n<p>Percentage of oral feeds increased significantly in the remote patient monitoring infant group, from a 12% increase prior to discharge to a <strong>57% increase at home<\/strong>, indicating the benefit of developing full oral skills outside the hospital setting.<\/p>\n<\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] -->[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb3.23.3&Prime; 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header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]<\/p>\n<h2 class=\"h2-heading\">Modification requise pour soutenir le mod\u00e8le<\/h2>\n<p>Le mod\u00e8le cardiaque de l\u2019ICUO exige une dotation particuli\u00e8re pour appuyer le mod\u00e8le op\u00e9rationnel\u202f: <\/p>\n<ul>\n<li>1 infirmi\u00e8re sp\u00e9cialis\u00e9e <\/li>\n<li>2 infirmi\u00e8res autoris\u00e9es <\/li>\n<li>1 infirmi\u00e8re inscrite \u00e0 temps partiel <\/li>\n<li>1 commis \u00e0 temps plein <\/li>\n<li>1 responsable m\u00e9dical  <\/li>\n<\/ul>\n<p>2.5 \u00e9quivalents temps plein (ETP) ont \u00e9t\u00e9 form\u00e9s pour surveiller les patients soit par le biais d\u2019un programme de surveillance \u00e0 distance, soit par l\u2019interm\u00e9diaire de la r\u00e9ponse vocale interactive et afin d\u2019interagir virtuellement avec eux.<br \/>\nUne infirmi\u00e8re autoris\u00e9e peut surveiller et g\u00e9rer 75\u202fpatients par jour. <\/p>\n<p>Le Programme de t\u00e9l\u00e9sant\u00e9 cardiaque de l\u2019ICUO a \u00e9t\u00e9 financ\u00e9 initialement par une subvention d\u2019innovation (la Fondation Richard\u202fIvey). Des fonds suppl\u00e9mentaires ont \u00e9t\u00e9 re\u00e7us dans le cadre de l\u2019initiative Vieillir \u00e0 domicile, qui a permis l\u2019expansion vers d\u2019autres h\u00f4pitaux dans le RLISS.  <\/p>\n<p>Lorsque vous utilisez l\u2019appel automatis\u00e9, vous devez r\u00e9duire le nombre de questions d\u2019algorithme pour maintenir les patients int\u00e9ress\u00e9s. <\/p>\n<p>L\u2019int\u00e9gration des donn\u00e9es de surveillance \u00e0 distance dans un dossier m\u00e9dical \u00e9lectronique (DME) est essentielle pour s\u2019assurer que les m\u00e9decins sont int\u00e9gr\u00e9s et ont acc\u00e8s aux donn\u00e9es des patients en temps r\u00e9el.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb3.23.3&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_text admin_label=\u00a0\u00bbText : Adoption Rate\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; 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header_4_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_4_text_shadow_blur_strength=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93&Prime; header_4_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_5_text_shadow_horizontal_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_vertical_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_blur_strength=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]<\/p>\n<h2 class=\"h2-heading\">Taux d&rsquo;adoptoin<\/h2>\n<p>Plus de 3\u202f000\u202fpatients ont fait l\u2019objet d\u2019un suivi \u00e0 ce jour. En octobre\u202f2019\u202f: <\/p>\n<ul>\n<li>104 patients font l\u2019objet d\u2019une surveillance \u00e0 domicile <\/li>\n<li>1\u202f924 patients sont suivis d\u2019une r\u00e9ponse vocale interactive <\/li>\n<\/ul>\n<p>Mod\u00e8le de surveillance de la t\u00e9l\u00e9sant\u00e9 de l\u2019ICUO\u202f: <\/p>\n<ul>\n<li>300 sites en Am\u00e9rique du Nord ont adopt\u00e9 un mod\u00e8le semblable aux syst\u00e8mes d\u2019appel automatis\u00e9s de l\u2019ICUO <\/li>\n<li>Des mod\u00e8les similaires de surveillance \u00e0 domicile et d\u2019appel automatis\u00e9 ont \u00e9t\u00e9 mis en \u0153uvre dans 10\u202fprovinces <\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_margin=\u00a0\u00bb||15px|\u00a0\u00bb padding_top_1=\u00a0\u00bb0px\u00a0\u00bb padding_right_1=\u00a0\u00bb0px\u00a0\u00bb padding_bottom_1=\u00a0\u00bb0px\u00a0\u00bb padding_left_1=\u00a0\u00bb0px\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; 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header_2_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_2_text_shadow_vertical_length=\u00a0\u00bbheader_2_text_shadow_style,%91object Object%93&Prime; header_2_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_2_text_shadow_blur_strength=\u00a0\u00bbheader_2_text_shadow_style,%91object Object%93&Prime; header_2_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_3_text_shadow_horizontal_length=\u00a0\u00bbheader_3_text_shadow_style,%91object Object%93&Prime; header_3_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_3_text_shadow_vertical_length=\u00a0\u00bbheader_3_text_shadow_style,%91object Object%93&Prime; header_3_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_3_text_shadow_blur_strength=\u00a0\u00bbheader_3_text_shadow_style,%91object Object%93&Prime; header_3_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_4_text_shadow_horizontal_length=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93&Prime; header_4_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_4_text_shadow_vertical_length=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93&Prime; header_4_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_4_text_shadow_blur_strength=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93&Prime; header_4_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_5_text_shadow_horizontal_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_vertical_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_blur_strength=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93&Prime; header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]<\/p>\n<h3>Pour en savoir davantage \u00e0 propos de ces solutions ou pour toutes autres questions, veuillez nous contacter.<\/h3>\n<p><a id=\"contactexpand\" class=\"btn btn-green\">Nous joindre<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=\u00a0\u00bb|||||true\u00a0\u00bb custom_margin=\u00a0\u00bb||15px|\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; border_radii=\u00a0\u00bbon|6px|6px|6px|6px\u00a0\u00bb custom_css_main_element=\u00a0\u00bbdisplay: none;\u00a0\u00bb collapsed=\u00a0\u00bboff\u00a0\u00bb disabled=\u00a0\u00bboff\u00a0\u00bb max_width=\u00a0\u00bb960px\u00a0\u00bb width_phone=\u00a0\u00bb50px\u00a0\u00bb max_width_phone=\u00a0\u00bb1280px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime; module_class=\u00a0\u00bbshowcontactform\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_code admin_label=\u00a0\u00bbCode: Contact Form\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; module_class=\u00a0\u00bbcontactform-cta\u00a0\u00bb max_width=\u00a0\u00bb780px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7353-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/8747#wpcf7-f7353-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"7353\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7353-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div role=\"dialog\" aria-modal=\"true\" aria-label=\"Contact us form\">\n\t<div class=\"close-header\" role=\"button\" id=\"contactclose\" tabindex=\"0\" aria-label=\"close button\">\n\t\t<p><i class=\"fas fa-times\"><\/i>\n\t\t<\/p>\n\t<\/div>\n\t<h3 id=\"form-header\">N\u2019h\u00e9sitez pas \u00e0 poser des questions sur cette solution, les meilleures pratiques et la fa\u00e7on de la faire fonctionner pour vous.\n\t<\/h3>\n\t<div class=\"et_pb_contact\">\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half\"><label for=\"first-name\"> Pr\u00e9nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"50\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"first-name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"pr\u00e9nom\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last\"><label for=\"last-name\"> Nom de famille*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"50\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"last-name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"nom de famille\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half\"><label for=\"title-name\">Titre<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title-name\"><input size=\"40\" maxlength=\"20\" class=\"wpcf7-form-control wpcf7-text\" id=\"title-name\" aria-invalid=\"false\" placeholder=\"votre titre professionnel\" value=\"\" type=\"text\" name=\"title-name\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last\"><label for=\"organization\"> Organisation*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"organization\"><input size=\"40\" maxlength=\"50\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"organization\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"nom de l\u2019organisation que vous repr\u00e9sentez\" value=\"\" type=\"text\" name=\"organization\" \/><\/span> <\/label>\n\t\t<\/p>\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half\"><label for=\"your-email\"> Adresse de courriel*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"50\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"your-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"example@mail.com\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t\t<\/p>\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last\"><label for=\"phone-no\"> Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"sublbl\"> (facultatif)<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-no\"><input size=\"40\" maxlength=\"15\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"phone-no\" aria-invalid=\"false\" placeholder=\"1 - (000) 123-1234\" value=\"\" type=\"tel\" name=\"phone-no\" \/><\/span> <\/label>\n\t\t<\/p>\n\t\t<p class=\"et_pb_contact_field et_pb_contact_field_6 et_pb_contact_field_last\"><label for=\"your-message\"> Votre message*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"500\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"your-message\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"N\u2019INSCRIVEZ aucun renseignement de sant\u00e9 confidentiel, de nature d\u00e9licate ou personnel lorsque vous remplissez le pr\u00e9sent formulaire, par exemple, num\u00e9ro de carte d\u2019assurance-maladie, date de naissance, sympt\u00f4mes, ou autre.\" name=\"your-message\"><\/textarea><\/span><span><span class=\"wpcf7-character-count down\" data-target-name=\"your-message\" data-starting-value=\"500\" data-current-value=\"500\" data-maximum-value=\"500\">500<\/span> \/ 500 caract\u00e8res<\/span> <\/label><span id=\"wpcf7-69da546c9c509-wrapper\" class=\"wpcf7-form-control-wrap honeypot-525-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69da546c9c509-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69da546c9c509-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"honeypot-525\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><span id=\"wpcf7-69da546c9c555-wrapper\" class=\"wpcf7-form-control-wrap honeypot-494-wrap\" ><input id=\"wpcf7-69da546c9c555-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"honeypot-494\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"off\" \/><\/span>\n\t\t<\/p>\n\t\t<div class=\"et_contact_bottom_container\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-green\" id=\"submit-btn\" type=\"submit\" value=\"Envoyer\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"text-center\">Avertissement : N\u2019envoyez aucun renseignement de sant\u00e9 personnel.\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><script>\njQuery('#contactclose').click(function() {\n document.getElementById('contactexpand').setAttribute('aria-expanded','false');\n jQuery('.contactform-box').css(\"display\",\"block\");\n jQuery('.showcontactform').css(\"display\",\"none\");\n 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header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93&Prime; header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;]<\/p>\n<h2 class=\"h2-heading\">Disclaimer<\/h2>\n<p>OTN is an independent, not-for-profit organization funded by the Government of Ontario. The views expressed here are the views of OTN, or the respective authors if a third-party, and do not necessarily reflect those of the Province. For further information, please note the Proprietary Rights detailed within the OTN Terms of Service available at\u00a0<u><a class=\"external-link\" title=\"https:\/\/otn.ca\/terms-conditions\/\" href=\"https:\/\/otn.ca\/terms-conditions\/\" rel=\"nofollow\">https:\/\/otn.ca\/terms-conditions\/<\/a><\/u><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb3.23.3&Prime; box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime;][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_code admin_label=\u00a0\u00bbCode: Featured Tiles\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; z_index_tablet=\u00a0\u00bb500&Prime; module_class=\u00a0\u00bbotn-featured-tile-container\u00a0\u00bb]<div class=\"otn-featured-tile\"><div class=\"otn-featured-tile-image\" style=\"background-image: url('\/wp-content\/uploads\/2019\/05\/Dr-Lewis.png');\" ><\/div><div class=\"otn-featured-tile-content\"><p class=\"h3-heading\">Improving Diabetes Outcomes<\/p><p>Jefferson Health found postive outcomes for both patients and themselves with Livongo.<\/p><a href=\"https:\/\/training.otn.ca\/mod\/resource\/view.php?id=11146\" target=\"_blank\" class=\"btn btn-green\" rel=\"noopener\" aria-label=\"Improving Diabetes Outcomes\">Discover How<\/a><\/div><\/div><!-- [et_pb_line_break_holder] --><div class=\"otn-featured-tile\"><div class=\"otn-featured-tile-image\" style=\"background-image: url('\u00bb\/wp-content\/uploads\/2019\/05\/Dr-Dawe.png');\" ><\/div><div class=\"otn-featured-tile-content\"><p class=\"h3-heading\">\u00bbVirtual<\/p><p>\u00bbOttawa<\/p><a href=\"\u00bbhttps:\/\/training.otn.ca\/mod\/resource\/view.php?id=11214&Prime;\" target=\"_blank\" class=\"btn btn-green\" rel=\"noopener\" aria-label=\"\u00bbVirtual\">\u00bbLearn<\/a><\/div><\/div><!-- [et_pb_line_break_holder] -->[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_code admin_label=\u00a0\u00bbCode: IE 11 counter fix\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; saved_tabs=\u00a0\u00bball\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime; global_module=\u00a0\u00bb8118&Prime;]<script><!-- [et_pb_line_break_holder] -->\/*TODO: Move this code into otn-js.js file as this global module is only a hotfix in production *\/<!-- [et_pb_line_break_holder] -->jQuery(function() {<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\t\/\/ On pages that use the Counter tile components...<!-- [et_pb_line_break_holder] -->\tif(jQuery('.flex-counter').length) {<!-- [et_pb_line_break_holder] -->\t\tsetCounterTileHeights(false);<!-- [et_pb_line_break_holder] -->\t\tjQuery(window).resize(function() {<!-- [et_pb_line_break_holder] -->\t\t\tsetCounterTileHeights();<!-- [et_pb_line_break_holder] -->\t\t\twindow.setTimeout(function(){setCounterTileHeights();},500); \/\/ Run again to ensure tiles are sized appropriately<!-- [et_pb_line_break_holder] -->\t\t});<!-- [et_pb_line_break_holder] -->\t}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\t\/\/ ** CSS Grid isn't supported for what we need it to do in IE11, so a JS solution was needed<!-- [et_pb_line_break_holder] -->\tfunction setCounterTileHeights(resetHeights) {<!-- [et_pb_line_break_holder] -->\t\tif(!resetHeights) jQuery('.flex-counter .et_pb_number_counter').css('height','');<!-- [et_pb_line_break_holder] -->\t\tjQuery('.flex-counter').each(function() {<!-- [et_pb_line_break_holder] -->\t\t\tvar maxHeight = 0,<!-- [et_pb_line_break_holder] -->\t\t\t\ttiles = jQuery('.et_pb_number_counter', jQuery(this));<!-- [et_pb_line_break_holder] -->\t\t\ttiles.each(function() {<!-- [et_pb_line_break_holder] -->\t\t\t\t\/\/innerHeight = jQuery(this).children('.percent').innerHeight() + jQuery(this).children('.title').innerHeight() + 15;<!-- [et_pb_line_break_holder] -->\t\t\t\tif((jQuery(this).children('.title').innerHeight() +65) > maxHeight) maxHeight = (jQuery(this).children('.title').innerHeight() +65);<!-- [et_pb_line_break_holder] -->\t\t\t});<!-- [et_pb_line_break_holder] -->\t\t\ttiles.css('height',maxHeight+'px');<!-- [et_pb_line_break_holder] -->\t\t});<!-- [et_pb_line_break_holder] -->\t}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->});<!-- [et_pb_line_break_holder] --><\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section bb_built=\u00a0\u00bb1&Prime; specialty=\u00a0\u00bboff\u00a0\u00bb 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header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\" text_text_align=\"center\" custom_margin=\"||10px|\"]\r\n\r\n<h1>Virtual Care For Recovering Cardiac Patients <\/h1>\r\n<p>The Cardiac Virtual Care (CVC) Program at the University of Ottawa Heart Institute (UOHI) provides virtual nursing support for cardiac patients who require an acute intervention for medication management, fluid volume regulation, vital-sign monitoring and access to patient education post hospital 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header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\" module_class=\"profile-details\"]\r\n\r\n<p><strong>Lead Organization:<\/strong> University of Ottawa Heart Institute (UOHI) <\/p>\r\n<p><strong>Program Name:<\/strong> Cardiac Virtual Care Program <\/p>\r\n<p><strong>Area of Care:<\/strong> Cardiac Care <\/p>\r\n<p><strong>Health Care Partners:<\/strong>UOHI has partnered with other community hospitals and providers in Champlain LHIN to offer patients access to the program across the region <\/p>\r\n<p><strong>Vendor:<\/strong> <a href=\"https:\/\/lifecaresolutions.resideo.com\/lifestream-products\/genesis-touch\/\" rel=\"noopener noreferrer\" target=\"_blank\">Resideo Life Care Solutions Genesis Touch<\/a> <\/p>\r\n\r\n[\/et_pb_text][et_pb_code admin_label=\"Code: Donut Chart\" _builder_version=\"3.23.3\" z_index_tablet=\"500\" custom_css_main_element=\"display: flex;||justify-content: center;\" disabled=\"on\" disabled_on=\"on|on|on\"]<div class=\"profile-chart\"><!-- [et_pb_line_break_holder] -->[Donut-Chart-1 text=\"Faster than an in-person visit.\" percent=\"87\" color=\"#0078c9\"]<div class=\"chart-text\">Faster than an in-person visit<\/div><!-- [et_pb_line_break_holder] --><\/div>[\/et_pb_code][\/et_pb_column][et_pb_column type=\"1_2\"][et_pb_number_counter _builder_version=\"3.23.3\" title=\"reduction in hospital readmissions at one year (Automated Calling\/IVR program)\" number=\"45%\" text_shadow_horizontal_length=\"text_shadow_style,%91object Object%93\" text_shadow_horizontal_length_tablet=\"0px\" text_shadow_vertical_length=\"text_shadow_style,%91object Object%93\" text_shadow_vertical_length_tablet=\"0px\" text_shadow_blur_strength=\"text_shadow_style,%91object Object%93\" 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header_5_text_shadow_horizontal_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_horizontal_length_tablet=\"0px\" header_5_text_shadow_vertical_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_vertical_length_tablet=\"0px\" header_5_text_shadow_blur_strength=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_blur_strength_tablet=\"1px\" header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"]\r\n\r\n<h2 class=\"h2-heading\">Objectives<\/h2>\r\n<ul>\r\n \t<li>Improve access to specialized cardiac care using technology as patients transition from hospital to community<\/li>\r\n \t<li>Reduce hospital readmissions<\/li>\r\n \t<li>Improve patient quality of life and health status<\/li>\r\n \t<li>Provide care closer to home<\/li>\r\n \t<li>Leverage new digital technology to increase support to patients<\/li>\r\n<\/ul>\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"3.23.3\" custom_padding=\"0px|||\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Text : Model\" _builder_version=\"3.23.3\" text_text_shadow_horizontal_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_horizontal_length_tablet=\"0px\" 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header_text_shadow_vertical_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_vertical_length_tablet=\"0px\" header_text_shadow_blur_strength=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_blur_strength_tablet=\"1px\" header_2_text_shadow_horizontal_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_horizontal_length_tablet=\"0px\" header_2_text_shadow_vertical_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_vertical_length_tablet=\"0px\" header_2_text_shadow_blur_strength=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_blur_strength_tablet=\"1px\" header_3_text_shadow_horizontal_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_horizontal_length_tablet=\"0px\" header_3_text_shadow_vertical_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_vertical_length_tablet=\"0px\" header_3_text_shadow_blur_strength=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_blur_strength_tablet=\"1px\" header_4_text_shadow_horizontal_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_horizontal_length_tablet=\"0px\" header_4_text_shadow_vertical_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_vertical_length_tablet=\"0px\" header_4_text_shadow_blur_strength=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_blur_strength_tablet=\"1px\" header_5_text_shadow_horizontal_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_horizontal_length_tablet=\"0px\" header_5_text_shadow_vertical_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_vertical_length_tablet=\"0px\" header_5_text_shadow_blur_strength=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_blur_strength_tablet=\"1px\" header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"]\r\n\r\n<h2 class=\"h2-heading\">Model<\/h2>\r\nThe Cardiac Virtual Care Program (CVC) is designed to provide virtual care to cardiac patients. The program is comprised of two modalities, including remote patient monitoring and automated calling.\r\n\r\nThis program is only eligible for the following patients:\r\n<ul>\r\n \t<li>Heart failure (HF) patients with one readmission\/one month or two readmissions\/in six months (NYHA III\/IV)<\/li>\r\n \t<li>Patients with new HF diagnosis<\/li>\r\n \t<li>Patients recovering from cardiac surgery<\/li>\r\n \t<li>Patients requiring vital sign\/ arrhythmia monitoring<\/li>\r\n \t<li>Any cardiac patient requiring frequent monitoring or trending of information to facilitate optimal clinical management<\/li>\r\n<\/ul>\r\nA fundamental part of this program is to ensure that the right technology is assigned to the right patient.\r\n\r\n<strong>Heart Failure Virtual Care Program: Telehome Monitoring (first 3 to 4 months) <\/strong>\r\nThe Telehome Monitoring Program for Heart Failure, is one of the specifically designed programs for patients who require daily monitoring. This acute-intervention model is based on a transitional care model and provides care after discharge and between medical visits when patients are at risk. All UOHI health care providers can refer patients to this program. An MD order\/referral is required for community hospitals. This model does not require any home visits, or any OHIP fees. Enrollment takes 5 to 10 minutes in the hospital, where patients are taught to install and use the equipment before going home. Patients sign an agreement with a nurse that they will transmit their vitals daily at a specific time.\r\n\r\nThe Telehome Monitoring Program uses devices which have recorded voice prompts and provides simple instructions to ensure vital signs and other information are captured properly. Vital-sign information is then transmitted automatically to a central station at UOHI, where it is reviewed by expert cardiac nurses. Nurses call patients for further assessment and intervention, as required. Patients are also asked several clinical questions; responses are priority coded as red, yellow and green priority and they receive interventions based on need.\r\n\r\nFor patients identified in community hospitals, a local contact nurse provides them with the equipment and training. An UOHI expert nurse follows the patient and communicates with their physician through information shared on the referral form. UOHI also trains hospital staff and provides ongoing educational support and equipment support, as needed.\r\n\r\n<strong>Automated Calling \/ Interactive Voice Response Model (IVR) (1 to 12 months) <\/strong>\r\nThis model uses a TelAsk system that automatically calls or texts patients every two weeks to ensure ongoing educational support. Questions are posed in a \u201cyes\u201d or \u201cno\u201d format and captured either through voice-to-text or key pads on the phone. Depending on responses, a clinician will be flagged to follow up with a call, as needed.\r\n\r\nPatients who have had cardiac surgery at UOHI are automatically enrolled into the program. The IVR model runs during regular work hours. However, patients can contact a nursing coordinator at any time during the call. If a patient needs immediate assistance, UOHI has a nursing coordinator available 24\/7 (not specific to the model).\r\n\r\n<strong>Technology Type:<\/strong>\r\nPatient Remote Monitoring\r\nUses Resideo\u2019s Genesis Touch on a Samsung Galaxy Tablet monitor with additional devices as necessary including Bluetooth enabled; blood pressure cuff, weigh scale, pulse oximeter, and ECG Cards.\r\n\r\nClinician Remote Monitoring\r\nClinicians use a dashboard to view patient data gathered from the aforementioned devices. Through this dashboard they can: receive alerts and review responses to questions, see trending reports and clinicians can select questions for patients to answer from a base of 150 questions.\r\n\r\nAutomated Calling \/ IVR\r\nWith the Automated Calling system, the patient receives a call, email or text. Yes\/No responses to questions are triaged via an algorithm and generate alerts for the clinical team to contact the patient.\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"3.23.3\" custom_padding=\"0px||0px|\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Text: Outcomes\" _builder_version=\"3.23.3\" text_text_shadow_horizontal_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_horizontal_length_tablet=\"0px\" text_text_shadow_vertical_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_vertical_length_tablet=\"0px\" text_text_shadow_blur_strength=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_blur_strength_tablet=\"1px\" link_text_shadow_horizontal_length=\"link_text_shadow_style,%91object Object%93\" 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header_2_text_shadow_vertical_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_vertical_length_tablet=\"0px\" header_2_text_shadow_blur_strength=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_blur_strength_tablet=\"1px\" header_3_text_shadow_horizontal_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_horizontal_length_tablet=\"0px\" header_3_text_shadow_vertical_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_vertical_length_tablet=\"0px\" header_3_text_shadow_blur_strength=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_blur_strength_tablet=\"1px\" header_4_text_shadow_horizontal_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_horizontal_length_tablet=\"0px\" header_4_text_shadow_vertical_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_vertical_length_tablet=\"0px\" header_4_text_shadow_blur_strength=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_blur_strength_tablet=\"1px\" header_5_text_shadow_horizontal_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_horizontal_length_tablet=\"0px\" header_5_text_shadow_vertical_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_vertical_length_tablet=\"0px\" header_5_text_shadow_blur_strength=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_blur_strength_tablet=\"1px\" header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"]\r\n\r\n<h2 class=\"h2-heading\">Outcomes<\/h2>\r\nTelehome Monitoring  \r\n<ul>\r\n\t<li>Improved quality of life and functional status in both HF and angina patients <\/li>\r\n\t<li>Patients found technology easy to use and expressed high levels of satisfaction with this approach to care <\/li>\r\n\t<li>Patients preferred to speak to the nurse by phone instead of via videoconference<\/li>\r\n <\/ul>\r\n\r\nAutomated Calling \/ IVR \r\n\t<ul>\r\n<li>51 per cent reduction in hospital readmissions at three months <\/li>\r\n\t<li>45 per cent reduction in hospital readmissions at one year <\/li>\r\n<\/ul>\r\n\r\nSource: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18206525\" rel=\"noopener noreferrer\" target=\"_blank\">Woodend, A. K., Sherrard, H., Fraser, M., Stuewe, L., Cheung, T., & Struthers, C. (2008). Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart & Lung, 37(1), 36-45. <\/a>\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"3.23.3\" custom_padding=\"0px|||\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"][et_pb_column type=\"4_4\"][et_pb_code admin_label=\"Code: Outcomes\" _builder_version=\"3.23.3\" z_index_tablet=\"500\" disabled=\"on\" disabled_on=\"on|on|on\"]<div class=\"chart-container\"><!-- [et_pb_line_break_holder] --><div class=\"chart-row\"><!-- [et_pb_line_break_holder] --><div class=\"chart-donut\">[Donut-Chart-1 percent=\"33\" color=\"#0078c9\"]<\/div><!-- [et_pb_line_break_holder] --><div class=\"chart-description\"><p>The average NICU length of stay (LOS) for infants discharged home in the program was 8.1 days lower than the control group <strong>(approximately 33% lower than the overall average NICU LOS)<\/strong>. (https:\/\/doi.org\/10.1111\/chd.12693)<\/p><\/div><!-- [et_pb_line_break_holder] --><\/div><!-- [et_pb_line_break_holder] --><div class=\"chart-row\"><!-- [et_pb_line_break_holder] --><div class=\"chart-donut\">[Donut-Chart-1 percent=\"57\" color=\"#0078c9\"]<\/div><!-- [et_pb_line_break_holder] --><div class=\"chart-description\"><p>Percentage of oral feeds increased significantly in the remote patient monitoring infant group, from a 12% increase prior to discharge to a <strong>57% increase at home<\/strong>, indicating the benefit of developing full oral skills outside the hospital setting.<\/p><\/div><!-- [et_pb_line_break_holder] --><\/div><!-- [et_pb_line_break_holder] --><\/div><!-- [et_pb_line_break_holder] -->[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"3.23.3\" custom_padding=\"0px|||\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Text : Change Required to Support Model\" _builder_version=\"3.23.3\" text_text_shadow_horizontal_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_horizontal_length_tablet=\"0px\" text_text_shadow_vertical_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_vertical_length_tablet=\"0px\" text_text_shadow_blur_strength=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_blur_strength_tablet=\"1px\" link_text_shadow_horizontal_length=\"link_text_shadow_style,%91object Object%93\" link_text_shadow_horizontal_length_tablet=\"0px\" link_text_shadow_vertical_length=\"link_text_shadow_style,%91object Object%93\" link_text_shadow_vertical_length_tablet=\"0px\" link_text_shadow_blur_strength=\"link_text_shadow_style,%91object Object%93\" link_text_shadow_blur_strength_tablet=\"1px\" ul_text_shadow_horizontal_length=\"ul_text_shadow_style,%91object Object%93\" 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quote_text_shadow_blur_strength_tablet=\"1px\" header_text_shadow_horizontal_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_horizontal_length_tablet=\"0px\" header_text_shadow_vertical_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_vertical_length_tablet=\"0px\" header_text_shadow_blur_strength=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_blur_strength_tablet=\"1px\" header_2_text_shadow_horizontal_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_horizontal_length_tablet=\"0px\" header_2_text_shadow_vertical_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_vertical_length_tablet=\"0px\" header_2_text_shadow_blur_strength=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_blur_strength_tablet=\"1px\" header_3_text_shadow_horizontal_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_horizontal_length_tablet=\"0px\" header_3_text_shadow_vertical_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_vertical_length_tablet=\"0px\" header_3_text_shadow_blur_strength=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_blur_strength_tablet=\"1px\" header_4_text_shadow_horizontal_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_horizontal_length_tablet=\"0px\" header_4_text_shadow_vertical_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_vertical_length_tablet=\"0px\" header_4_text_shadow_blur_strength=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_blur_strength_tablet=\"1px\" header_5_text_shadow_horizontal_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_horizontal_length_tablet=\"0px\" header_5_text_shadow_vertical_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_vertical_length_tablet=\"0px\" header_5_text_shadow_blur_strength=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_blur_strength_tablet=\"1px\" header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"]\r\n\r\n<h2 class=\"h2-heading\">Change Required to Support the Model<\/h2>\r\nThe UOHI Cardiac model requires dedicated staffing to support the operational model:  \r\n<ul>\r\n\t<li>1 Advance Practice Nurse <\/li>\r\n\t<li>2 Registered Nurses <\/li>\r\n\t<li>1 Part Time Registered Nurse <\/li>\r\n\t<li>1 F\/T clerk <\/li>\r\n\t<li>1 Medical Lead  <\/li>\r\n<\/ul>\r\n\r\n2.5 full-time equivalents (FTEs) were trained to monitor patients either via remote patient monitoring program or via IVR responses and to interact with them virtually.\r\n\r\nOne registered nurse can monitor and manage 75 patients a day. \r\n\r\nThe UOHI Cardiac Telehealth Program was initially funded through an innovation Grant (The Richard Ivey Foundation).  Additional funding was received through the Aging at Home initiative, which enabled expansion to other hospitals within the LHIN.  \r\n\r\nWhen using automated calling you need to minimize the number of algorithm questions to keep patients engaged.\r\n\r\nIntegrating remote-monitoring data into an EMR is key to ensuring that physicians are on board and have access to real-time patient data.\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"3.23.3\" custom_padding=\"0px|||\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Text : Adoption Rate\" _builder_version=\"3.23.3\" text_text_shadow_horizontal_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_horizontal_length_tablet=\"0px\" text_text_shadow_vertical_length=\"text_text_shadow_style,%91object Object%93\" 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ol_text_shadow_horizontal_length_tablet=\"0px\" ol_text_shadow_vertical_length=\"ol_text_shadow_style,%91object Object%93\" ol_text_shadow_vertical_length_tablet=\"0px\" ol_text_shadow_blur_strength=\"ol_text_shadow_style,%91object Object%93\" ol_text_shadow_blur_strength_tablet=\"1px\" quote_text_shadow_horizontal_length=\"quote_text_shadow_style,%91object Object%93\" quote_text_shadow_horizontal_length_tablet=\"0px\" quote_text_shadow_vertical_length=\"quote_text_shadow_style,%91object Object%93\" quote_text_shadow_vertical_length_tablet=\"0px\" quote_text_shadow_blur_strength=\"quote_text_shadow_style,%91object Object%93\" quote_text_shadow_blur_strength_tablet=\"1px\" header_text_shadow_horizontal_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_horizontal_length_tablet=\"0px\" header_text_shadow_vertical_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_vertical_length_tablet=\"0px\" header_text_shadow_blur_strength=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_blur_strength_tablet=\"1px\" header_2_text_shadow_horizontal_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_horizontal_length_tablet=\"0px\" header_2_text_shadow_vertical_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_vertical_length_tablet=\"0px\" header_2_text_shadow_blur_strength=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_blur_strength_tablet=\"1px\" header_3_text_shadow_horizontal_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_horizontal_length_tablet=\"0px\" header_3_text_shadow_vertical_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_vertical_length_tablet=\"0px\" header_3_text_shadow_blur_strength=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_blur_strength_tablet=\"1px\" header_4_text_shadow_horizontal_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_horizontal_length_tablet=\"0px\" header_4_text_shadow_vertical_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_vertical_length_tablet=\"0px\" header_4_text_shadow_blur_strength=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_blur_strength_tablet=\"1px\" header_5_text_shadow_horizontal_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_horizontal_length_tablet=\"0px\" header_5_text_shadow_vertical_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_vertical_length_tablet=\"0px\" header_5_text_shadow_blur_strength=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_blur_strength_tablet=\"1px\" header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"]\r\n\r\n<h2 class=\"h2-heading\">Adoption Rate<\/h2>\r\nMore than 3,000 patients have been followed to date. \r\nIn October 2019:  \r\n<ul>\r\n\t<li>104 patients are on home monitoring<\/li>\r\n\t<li>1,924 patients are being followed by IVR<\/li>\r\n <\/ul>\r\n\r\nUOHI\u2019s Telehealth Monitoring Model: \r\n<ul>\r\n\t<li>300 sites across North America have adopted a model similar to UOHI\u2019s automated calling systems<\/li>\r\n\t<li>Similar home monitoring and automated-calling models have been implemented in 10 provinces<\/li>\r\n <\/ul>\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_margin=\"||15px|\" padding_top_1=\"0px\" padding_right_1=\"0px\" padding_bottom_1=\"0px\" padding_left_1=\"0px\" _builder_version=\"3.23.3\" border_radii=\"on|6px|6px|6px|6px\" module_alignment=\"center\" collapsed=\"off\" max_width=\"960px\" width_phone=\"50px\" max_width_phone=\"1280px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\" module_class=\"contactform-box\"][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Text:  Contact us to learn more about this solution\" _builder_version=\"3.23.3\" module_class=\"contactform-cta\"]\r\n\r\n<h3>To learn more about these solutions<br>or for any questions, please contact us.<\/h3>\r\n<p><a href=\"javascript:void(0);\" class=\"btn btn-green\" id=\"contactexpand\">Contact Us<\/a><\/p>\r\n\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=\"|||||true\" custom_margin=\"||15px|\" disabled_on=\"off|off|off\" _builder_version=\"3.23.3\" border_radii=\"on|6px|6px|6px|6px\" custom_css_main_element=\"display: none;\" collapsed=\"off\" disabled=\"off\" max_width=\"960px\" width_phone=\"50px\" max_width_phone=\"1280px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\" module_class=\"showcontactform\"][et_pb_column type=\"4_4\"][et_pb_code admin_label=\"Code: Contact Form\" _builder_version=\"3.23.3\" module_class=\"contactform-cta\" max_width=\"780px\" z_index_tablet=\"500\"][contact-form-7 id=\"5322\" title=\"information form\"][\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"3.23.3\"][et_pb_column type=\"4_4\"][et_pb_text admin_label=\"Text : %91Disclaimer%93\" _builder_version=\"3.23.3\" text_text_shadow_horizontal_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_horizontal_length_tablet=\"0px\" text_text_shadow_vertical_length=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_vertical_length_tablet=\"0px\" text_text_shadow_blur_strength=\"text_text_shadow_style,%91object Object%93\" text_text_shadow_blur_strength_tablet=\"1px\" link_text_shadow_horizontal_length=\"link_text_shadow_style,%91object Object%93\" link_text_shadow_horizontal_length_tablet=\"0px\" link_text_shadow_vertical_length=\"link_text_shadow_style,%91object Object%93\" link_text_shadow_vertical_length_tablet=\"0px\" link_text_shadow_blur_strength=\"link_text_shadow_style,%91object Object%93\" link_text_shadow_blur_strength_tablet=\"1px\" ul_text_shadow_horizontal_length=\"ul_text_shadow_style,%91object Object%93\" ul_text_shadow_horizontal_length_tablet=\"0px\" ul_text_shadow_vertical_length=\"ul_text_shadow_style,%91object Object%93\" ul_text_shadow_vertical_length_tablet=\"0px\" ul_text_shadow_blur_strength=\"ul_text_shadow_style,%91object Object%93\" ul_text_shadow_blur_strength_tablet=\"1px\" ol_text_shadow_horizontal_length=\"ol_text_shadow_style,%91object Object%93\" ol_text_shadow_horizontal_length_tablet=\"0px\" ol_text_shadow_vertical_length=\"ol_text_shadow_style,%91object Object%93\" ol_text_shadow_vertical_length_tablet=\"0px\" ol_text_shadow_blur_strength=\"ol_text_shadow_style,%91object Object%93\" ol_text_shadow_blur_strength_tablet=\"1px\" quote_text_shadow_horizontal_length=\"quote_text_shadow_style,%91object Object%93\" quote_text_shadow_horizontal_length_tablet=\"0px\" quote_text_shadow_vertical_length=\"quote_text_shadow_style,%91object Object%93\" quote_text_shadow_vertical_length_tablet=\"0px\" quote_text_shadow_blur_strength=\"quote_text_shadow_style,%91object Object%93\" quote_text_shadow_blur_strength_tablet=\"1px\" header_text_shadow_horizontal_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_horizontal_length_tablet=\"0px\" header_text_shadow_vertical_length=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_vertical_length_tablet=\"0px\" header_text_shadow_blur_strength=\"header_text_shadow_style,%91object Object%93\" header_text_shadow_blur_strength_tablet=\"1px\" header_2_text_shadow_horizontal_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_horizontal_length_tablet=\"0px\" header_2_text_shadow_vertical_length=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_vertical_length_tablet=\"0px\" header_2_text_shadow_blur_strength=\"header_2_text_shadow_style,%91object Object%93\" header_2_text_shadow_blur_strength_tablet=\"1px\" header_3_text_shadow_horizontal_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_horizontal_length_tablet=\"0px\" header_3_text_shadow_vertical_length=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_vertical_length_tablet=\"0px\" header_3_text_shadow_blur_strength=\"header_3_text_shadow_style,%91object Object%93\" header_3_text_shadow_blur_strength_tablet=\"1px\" header_4_text_shadow_horizontal_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_horizontal_length_tablet=\"0px\" header_4_text_shadow_vertical_length=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_vertical_length_tablet=\"0px\" header_4_text_shadow_blur_strength=\"header_4_text_shadow_style,%91object Object%93\" header_4_text_shadow_blur_strength_tablet=\"1px\" header_5_text_shadow_horizontal_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_horizontal_length_tablet=\"0px\" header_5_text_shadow_vertical_length=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_vertical_length_tablet=\"0px\" header_5_text_shadow_blur_strength=\"header_5_text_shadow_style,%91object Object%93\" header_5_text_shadow_blur_strength_tablet=\"1px\" header_6_text_shadow_horizontal_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_horizontal_length_tablet=\"0px\" header_6_text_shadow_vertical_length=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_vertical_length_tablet=\"0px\" header_6_text_shadow_blur_strength=\"header_6_text_shadow_style,%91object Object%93\" header_6_text_shadow_blur_strength_tablet=\"1px\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\"]\r\n\r\n<h2 class=\"h2-heading\">Disclaimer<\/h2>\r\n<p>OTN is an independent, not-for-profit organization funded by the Government of Ontario. The views expressed here are the views of OTN, or the respective authors if a third-party, and do not necessarily reflect those of the Province. 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