Value

ePoster Presentation

(EP-160) Benefit Evaluation and Return-on-investment of the OTNinvite Videoconferencing Feature in Ontario, Canada

Sunday, April 23
4:15 PM - 4:30 PM
Location: Experience Zone - ePosters

Objectives
In 2014, OTN added a new feature on its software-based personal computer videoconferencing service called OTNinvite, which removes the membership-only limitation. Users can start a scheduled or ad-hoc videoconference session with a non-member by emailing a secure and privacy-compliant link which will initiate the session on many hand-held devices. It was hypothesized that the OTNinvite feature would expand health care provider networks to non-members such as patients and further progress towards making virtual care a mainstream modality of care in Ontario.

1. To assess the potential benefits of OTNinvite to key stakeholders: patients, health care providers and the Ontario healthcare system.
2. To quantify the return-on-investment (breakeven and sustainability) of OTNinvite supported models of care by comparing the unit price of healthcare using OTNinvite versus the alternative in selected case studies.


Methods
This is a retrospective mixed-method study conducted in April-Sept 2016 with the following components:
- Quantitative data analysis of utilization and technical support rates using internal OTN data from the entire April 1st, 2014 to June 30th, 2016 implementation period.
- A retrospective survey of clinical and non-clinical users conducted in June 2016 including users with at least two OTNinvite events between January 1st, 2015 and April 30th, 2016.
- A secondary analysis of the Mount Sinai Perinatal Program Patient Survey conducted in June, 2016.
- A total of 11 internal and external stakeholder interviews of eight OTNinvite use case models to gather detailed operational, cost and impact information.


Results
64% of clinical users use OTNinvite to connect to patients in non-healthcare settings. Avoided provider travel cost in mobile provider clinics ranged from $292 to $1,574 per visit compared to in-person care. Patients saved between $48 and $720 in travel costs compared to in-person visits to stationary clinics. Patients receiving care at home avoided the burden and risks associated with travel, while health care providers saved significant travel time and can reallocate that time to other activities. The quality of care is maintained in the virtual model compared to usual care.

The total initial investment for the OTNinvite use case models ranged from $725 to $4,985. Successful OTNinvite programs were shown to recover the initial investment with less than 20 events and within four months of operation. Each subsequent OTNinvite event costs between $33 and $232, with a net health care system savings of 40% compared to usual care.


Conclusion
OTNinvite enabled a growing number of organizations to start providing care virtually where this had not previously been an option using legacy systems. OTNinvite reduced patient and/or provider travel cost and time (depending on the model) with substantial savings. Successful use cases can be identified through an investment analysis, with specific success factors key to ensuring that a positive ROI can be achieved.
In order to scale this product, a number of issues need to be addressed. These include financial incentive misalignments, where the savings gained through investments into telemedicine are not recouped by the investor, as well as appropriate technical support models for patients connecting from home.

Cory Russell

Manager, Analytics and Reporting
Ontario Telemedicine Network

Cory Russell, MSC, MPA, PMP is the Manager of Analytics and Reporting at the Ontario Telemedicine Network. Cory has been in the Canadian healthcare analytics field for over 15 years. Experience gained through positions in government, hospitals, and crown agencies in multiple provinces have given him special insight into the nature of data consumption within healthcare in Canada. Cory holds a Masters of Science in Epidemiology as well as a Masters of Public Administration. He is also a Project Management Professional.

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Ching Huang

Senior Analytics Specialist
Onterio Telemedicine Network

Ching is passionate about using research and data analysis to understand system challenges from both quantitative and qualitative perspectives, and working with key partners to design practical evidence-based strategies, programs and achieve operational improvements. Ching holds a Master of Science in Epidemiology and Biostatistics from the University of Western Ontario and Project Management Professional certification.

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(EP-160) Benefit Evaluation and Return-on-investment of the OTNinvite Videoconferencing Feature in Ontario, Canada



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