Closing the Access Gap: Mixed Method Exploration of Telehealth for Autism Intervention Services Karen Tulk, MAdEd., BN, RN Jo-ann Brenton, BSc Regional Telehealth Coordinator Clinical CMS Lead Team: Sherry Hynes Peggy Hancock Jonathan Hardy Kelli O’Brien
Disclosure We have no actual or potential conflict of interest in relation to this topic or presentation.
Acknowledgements This project was made possible in part via a Patient-Oriented Research Grant awarded by the NL Support for People and Patient-Oriented Research and Trials Unit (NL SUPPORT). For more information about NL SUPPORT and the kind of research they fund, please visit: www.nlsupport.ca
Applied Behavior Analysis Intensive home-based intervention therapy for children with ASD Home Therapist/ NL eligible: dx to grade 4 entry Family Under direction of CMS CMS/ Team Other team members Child ◦ SLP, OT, Psychologist
Phase 1 Phase 2 Phase 3
… Tailored to the needs of their clients, with input from clients … clients appeared to appreciate the modality. “had to take every activity and make (it) telehealth friendly .” ABA Training Facilitator “The biggest plus is that I was home in 20 minutes versus 3 and a half hours! … Able to get the benefit of the program and still be home for supper.” Grandmother of child of ABA Program
“ The connection was great, it “I’m so glad she didn’t have to was as if she was in the room be on the road all day” with us”
“We have extreme winters and often have to follow up by telephone. Telehealth was so much better” “It’s a great complement to face to face”
• Complement to F2F Better Care ◦ Patient/Client engagement • Opportunities for other ◦ Continuous improvement program areas ◦ Telehealth Works Better Health • Telehealth-friendly lens ◦ Addressing determinants of health ◦ Improved access • HCP need support Better Value ◦ Savings/cost avoidance ◦ Families ◦ Healthcare system ◦ Increased efficiencies
Next Steps Regional Virtual Access to Community-based Services WG ◦ Standards ◦ Criteria ◦ Evaluation Dissemination ◦ Regional ◦ Provincial ◦ National
Karen Tulk Regional Telehealth Coordinator karentulk@westernhealth.nl.ca Jo-ann Brenton Senior CMS Lead joannbrenton@westernhealth.nl.ca
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