Healthy Living in the North

TeleHealth: Bringing kidney care to remote communities

Health care team watching a monitor around a table.

TeleHealth care allows the Kidney Care Team to reach more patients in remote communities!

Within Northern Health’s vast geographical area, residents in rural and remote communities have limited access to specialist care. The vision of the Kidney Care Team (comprised of a physician, nurse, dietician, pharmacist, social worker and unit clerk) is to address this challenge by regionalizing a team-based TeleHealth kidney service, investing in technology, and providing services closer to home (similar to the face-to-face model of care) where patients no longer need to travel long distances to larger centres.

The team recognizes that TeleHealth care will not completely replace face-to-face consultations, but that there is potential to reach more patients in remote communities, including First Nations, and to increase patient engagement with specialist health care services.

Why TeleHealth?

Dr. Singh, a nephrologist on the kidney care team, recalls one patient’s experience:

A new immigrant worker was urgently referred from a remote rural community with very advanced kidney disease. The referral letter stated that he was adamant he was not leaving his community to go and see a specialist. I was able to see him the next day via TeleHealth and after meeting the renal team and receiving education about his condition, he was convinced to come to Prince George on the Northern Health Connections bus for surgery to prepare for dialysis. This gentleman is now doing home dialysis at night and is able to work and earn a living during the day without moving from his community. This is a great example where, connecting via TeleHealth, the kidney team was able to alleviate his fears, avoid unnecessary travel and stress but, above all, deliver the education about his kidney disease and motivate him for home-based dialysis. As a provider, this is immensely satisfying as timely intervention to address an urgent clinical and educational need was met to provide the best care for this patient.

What does “Tele-Kidney-Care” look like at Northern Health? Click the infographic below to download a full-size PDF.

Check out the full version of this article: Northern Kidney Care Team Leads the Way in Expanding Access to Specialist Care in Northern BC

infographic

Tele-Kidney-Care at Northern Health

Justine Derksen

About Justine Derksen

Justine works for Northern Health in Medical Affairs as the Coordinator, Physician Engagement Initiatives in Prince George. Justine loves the north and enjoys the seasonal activities with her husband and adorable Bernese Mountain dog any chance she gets. Justine is currently pursuing her masters of Public Health degree, which she was inspired to pursue through her work with Northern Health. When not at work, Justine enjoys cooking, outdoor recreational activities and crafting.

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Change Day – what’s your pledge?

Bulletin board with Change Day materials

Change Day is about trying something new or doing one small thing to improve care. Have you pledged yet?

My first introduction to Change Day was at the Quality Forum in Vancouver earlier this year. It was described as a global social movement with a simple premise: if you are involved with health, community or social care, try something new or do one small thing to improve care.

We were all invited to pledge to make just one small change that would improve the system for everyone. With the unveiling of a newly released Change Day video, there was a lot of hype and excitement in the room. However, I must admit that this was not when I truly felt inspired. That moment came when our CEO of Northern Health, Cathy Ulrich, stood up in this room filled with hundreds of people and pledged to “on a weekly basis, acknowledge a person or team who has undertaken a quality improvement initiative.” I remember thinking that this pledge was a such small act on her part, yet so powerful in terms of employee engagement!

I did not make my pledge that day; as I am, I needed some time to process what this meant for me. Several months later, I was listening to a presentation about culture and how it affects the change process when it struck me what my Change Day pledge would be. As I was learning about the importance of creating a culture of safety and how we need to lower the cost for speaking up and raise the cost for staying quiet, I had an “aha” moment. As I work with interprofessional teams to improve or develop new process, I always make an effort to hear everyone’s ideas and feedback. However, I knew that I could also create more space to encourage this. After all, they know best! Hence my Change Day pledge, “to be purposeful in seeking front-line opinions and ideas.

What’s your “one thing”? Make your pledge today!

Marna deSousa

About Marna deSousa

Marna has worked in Northern Health for 27 years. Her background is nursing and she currently works in Fraser Lake as a Care Process Coach and Practice Support Coach. In her spare time, Marna loves to be horseback riding and spending time at the cottage with family and friends.

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