Journal Pioneer

‘Hospitals without walls’

Health P.E.I. team looking at applying remote patient monitoring in West Prince region to help seniors remain at home longer

- ERIC MCCARTHY

ALBERTON – A new concept aimed at keeping seniors in their homes longer is being tested in western P.E.I.

“I can’t wake up every morning and look at the same problem the same way,” said Paul Young, administra­tor of Community Hospitals West.

Young had just given an explanatio­n of a Hospitals Without Walls initiative that Health P.E.I. is developing in the West Prince region with funding support from the

Centre for Aging + Brain Health Innovation (CABHI), a Torontobas­ed solution accelerato­r for the aging and brain health sector.

“CABHI’s programs and services fill a critical need across the healthcare sector in Ontario, across Canada, and around the world,” said Dr. Allison Sekuler, Managing Director of CABHI. “Our work together with innovators and our healthcare partners makes a genuine difference, enhancing the lives of older adults at risk for and living with dementia, and their caregivers. CABHIsuppo­rted solutions improve health, increase the effectiven­ess and efficiency of our healthcare systems, and grow Canadian innovation.”

The West Prince project will investigat­e whether the existing Remote Patient Monitoring program, which is used in P.E.I. for patients with COPD and congestive heart failure, and across the country in other fashions, can also be applied here to help frail seniors stay in their homes rather than care facilities.

Young said an engaged team is working on “something that hasn’t been approached this way before but has an ability for us to extend the reach of our facility into the community and with the hopes, if successful, we have maybe another way that we can effectivel­y support a marginaliz­ed population and explore the ‘spreadabil­ity’ of that, not only across the province but across the country.”

He said the concept aims to expand or leverage capacity outside of the hospital into the community.

“We had the idea of, essentiall­y, taking what has been around for a while, RPM, … and using it for something completely different, in a way that we could support our senior, frail elderly population at home by providing them with monitoring equipment connected in to a provider in the hospital that could monitor some of their daily vitals and create a pathway of communicat­ion between the patient and their family and a hospital staff member,” he continued.

Projects already being pioneered in West Prince, like tele-rounding at Western Hospital, and virtual health care in Tignish, provide an extra layer of credibilit­y to this new initiative, Young suggested.

“I’m fortunate up this way that we have a really dynamic management team and a very engaged frontline staff that is willing to take a leap of faith and do things a little bit differentl­y and are open and constantly problem-solving and throwing some really creative ideas at the wall.” The 12-month project started the first of November.

Young said the project team is hopeful it can achieve positive outcomes, but first must test its hypothesis. “When you have that type of culture and support behind you, it really creates a really great environmen­t to start to say, ‘Okay, guys, considerin­g how we’ve approached this in the past and where we’re going with health care, how do we look at this differentl­y?’”

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