Interview regarding Reacts’ selection by two major rehabilitation centres

Published on argent.canoe.ca

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Canal Argent/PME en action interview with the creator of Reacts, regarding a recently signed agreement with two institutions that are part of the Centre intégré de santé et de services sociaux (CIUSSS) du Centre-Est-de-l'Île-de-Montréal, to integrate its platform as a tele-rehabilitation tool.

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Reacts selected by the University of Sherbrooke Integrated Health Network’s Telehealth Coordination Center to support their remote wound care assistance program

Press release (pdf)

Montreal, October 7th, 2015 – Innovative Imaging Technologies Inc. (IIT) is proud to announce the signing of an agreement with the Integrated University Health and Social Services Centre – Eastern Townships - University of Sherbrooke Hospital Centre (CIUSSS de l’Estrie - CHUS) for the use of its Reacts platform.

Within the framework of this partnership, Reacts will be deployed by the University of Sherbrooke (UdeS) Integrated Health Network’s Telehealth Coordination Centre in some 60 service points of its four RUIS territory facilities, in support of its Remote wound care assistance program.

Reacts, an ally for care providers

Launched in October of 2009, the TASP is the first telehealth service developed by the UdeS RUIS’ Cecot team, now recognized worldwide for its telehealth programs. The only service of its kind in Canada, the TASP allows expert nurses at the CHUS to assist remote nursing resources struggling with complex wound problems at each of the Eastern Townships CIUSSS-CHUS facilities’ points of service through virtual clinics.
Thanks to this program, patients can quickly access specialized care in their community, complications and emergency room visits are prevented, and time and money spent on travel is reduced. The Reacts collaborative platform’s innovative capabilities will allow these benefits to grow at all levels.

"The Reacts platform provides high quality video conferencing capabilities and a variety of interactive collaboration tools within a highly secure environment, which will allow TASP caregivers to interact with patients and healthcare professionals using their own mobile devices or computers," said President and Founder of IIT, Dr. Yanick Beaulieu. "We are proud to support the University of Sherbrooke Hospital Centre’s TASP program".

"We are pleased to acquire a technology solution that will allow us to remotely improve specialized wound care services to patients at home, in addition to continuing to serve CLSC, long-term care and nursing home and hospital centre patients with the same quality and security of service as we have in the last six years," cheers Sonia Quirion, Manager at the Telehealth Coordination Centre, University of Sherbrooke Integrated Health Network.

About Reacts

Reacts (Remote Education, Augmented Communication, Training and Supervision) is a secure video collaboration platform on the cutting edge of technology, created by Quebec’s Innovative Imaging Technologies Inc. (IIT). Its president, Dr. Yanick Beaulieu, leads a multidisciplinary team of multimedia and software development experts. Driven by passion for their work, this team pushes the boundaries to create and perfect interactive audio-video collaboration tools within Reacts to better meet the needs of the public and professionals around the world. IIT is currently working with several large hospitals in Quebec, Canada and abroad. To learn more, visit: www.iitreacts.com

About the CIUSSS de l’Estrie - CHUS

The enactment of the Act to modify the organization and governance of the health and social services network, in particular by abolishing the regional agencies brought together all of the Eastern Townships health institutions under one grouping, the CIUSSS Estrie - CHUS. The area now serviced extends from Lac-Mégantic to Granby with a population of over 450,000. Nearly all services, from prevention to ultra-specialized care, are now available directly from this organization, which employs over 17,000 employees and managers and over 1000 doctors.

For further information:
Élisa Baldet
elisa@prospek.ca
Cell. 514 467-2445


CHUS telehealth team publishes an article about selecting Reacts for their wound care program

Wound-care solution makes use of advances in telehealth software

A new, updated deployment of technology for Wound Care Teleassistance (WCT) service is now under way at the Centre de Coordination de la Télésanté (CCT) of the Centre Intégré Universitaire de Santé et de Services Sociaux de l’Estrie-CHUS (CIUSSS de l’Estrie-CHUS), located in the Eastern Townships, in Quebec.

The aim of the WCT program is to improve access and care for patients needing complex wound care. Built on standardized methods and grounded in a clinical network of specially trained nurses, the WCT service model is unique in Canada. In 2014, about a hundred nurses, covering around 65 health facilities, were using it.

By 2014, 5 years after the initial deployment, it became obvious that the technology in place needed to be upgraded. In fact, most of the hardware used to provide the service was not supported anymore, which posed a threat to the continuity of the WCT service.

The CCT took this situation as an opportunity to reassess the needs of the nurses in regard to WCT and also re-evaluate the care organization to make sure that the service was still relevant and operating according to the actual needs. The results of these consultations was formalized and put up in a weighted requirement grid following the importance of each of the points suggested by the nurses.

The main concerns in the redesign were to find a software solution oriented towards the needs of the clinical teams and then to find an independent hardware platform to support this solution.

The rationale behind this choice was to avoid a vendor lock-in if ever the hardware or the software provider was to close, or otherwise cease to offer his services, and to be more future-proof. This way we made sure that we offered a reliable solution to our end users.

Six software solutions were reviewed and tested according to each of the features identified in the need analysis. Each was also rated according to their perceived ease of use and the future possibilities.

One of the main upcoming enhancements which had to be considered was the possibility to do WCT clinics where there is no accessible wireless connection, be it at the patient’s home, nursing homes or other health facilities. The chosen solution was REACTS from IIT, an innovative Quebec-based company. REACTS is a cloud-based software solution tailored directly to the needs of clinical staff needing to do virtual clinics and other telehealth activities.

On the hardware side, we opted for a tablet computer that was chosen mainly because of its ability to use an external camera that can be placed near the patient.

Also, the possibility to use a SIM card was another requirement, as one of our goal is to use the tablet in the health facilities without WiFi or at a patient’s home. The use of an LTE portable hotspot was considered, but was deemed more complex to manage and would have meant having one more device to manage, take around and recharge. The Dell Venue Pro 11 tablet was found to meet all our requirements. It is the tablet that was bought as the new technology for the service.

Since its launch, the new technology was used by many nurses and most of them are satisfied with the results. Among the positive comments that we received are the larger image, the flexibility of the tablet, the ergonomics of the software deployed. The old system only had one video stream from the patient to the expert nurse; now, the patient can simultaneously see the expert.

This was seen as a major upgrade for the virtual WCT clinics and it also offered a better setup for expert nurses when they do teaching sessions on wound care techniques with local nurses.

However, no system is perfect. One of the drawbacks of the new one is the image quality. The Logitech C615 camera deployed is capable of HD resolutions, but it lacks the optical zoom and the glass optics of the previous camera, which provided a superior image quality.

According to the nurses, the new camera still delivers images of sufficient quality to safely do WCT clinics. Also, the use of two video streams, as opposed to one in the previous system, takes more bandwidth which can be an issue in more remote sites, especially during peak hours.

Overall, most consider the transition to the new system a success as it provides a flexible solution that can be installed on different hardware platforms, and makes it possible to extend our reach toward patients that are located in places where there is no connectivity – such as patient rooms in nursing homes, and ultimately, at the patient’s own house.

By Jonathan Lapointe,
Telehealth technology advisor at the CCT du CIUSSS de l’Estrie – CHUS.

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Photo: l'équipe du CHUS
Source : Canadian Healthcare Technology - Vol 21, No. 2, Mars 2016