1. Telehealth Children’s & Women’s Health Centre of BC Harold Siden, MD, MHSc Medical Director Telehealth

2. Telehealth What, Who, Where, How The provision of health care whenever the participants are separated, using telecommunications

3. Who Uses Telehealth? Patients Families Doctors Nurses Clinicians Administrators

4. Why Use Telehealth ? Reduces the burden of travel and lost work time for families, and C&W and community-based professionals Strengthens capacity of community-based professionals Improves access to services for patients, families and health care professionals Enhances educational opportunities for patients, families and health care professionals

5. What Does Telehealth Offer? Administrative Sessions –Planning and Administrative Meetings, Interviews Clinical Sessions –Clinical Consults, Admission and Discharge Planning, Family Visits Educational Sessions –Healthcare Provider Education, Telehealth Training, Other Education Events

6. The Network Concept

7. Who Uses Telehealth? Aboriginal Health Anesthesia Aquatic Outreach Audio Visual Autism BC Maternal Child Program BC Research Institute BC Telehealth Program Cardiology Centre for Excellence in Women’s Health Child Community Health Child Development & Rehabilitation Child Psychiatry CMMT Dermatology Eating Disorders Education Services Emergency Nursing Environmental Health Family Practice Feeding Assessment Gait Labs Human Resources Kids In Action Maternal Fetal Medicine Medical Genetics Mental Health Microbiology Midwives Neonatology Neuromotor Nutrition & Food Services Occupational Therapy Oncology Orthopedics Physical Therapy Physiotherapy Planning & Network Development Positioning & Mobility Radiology Respiratory Clinic Reproductive Mental Health Residency Social Work Special Care Nursery Speech Pathology Speech Therapy Surgery Telehealth UBC Pediatrics Ultrasound Urology Outside Agencies CAH Canadian Blood Services CIFRA COUTH Deaf Children’s Society IBM SONY SPARC Stryker Talmud Torah Tandberg Trauma UBC Dean of Medicine Western Institute for the Deaf and Hard of Hearing

8. Who Connects via Telehealth within BC? 100 Mile House - Hospital 100 Mile House UCC Abbotsford UCFV Burnaby BSSS Burnaby IBM Burnaby Insignia Int'l Burnaby Int'l video Conferencing Inc. Burnaby Sharp's A/V Ltd. Burnaby Simon Fraser University Burns Lake District Hospital Campbell River Hospital Campbell River North Island College Castlegar - Corporate Office Castlegar Health Centre Chetwynd Northern Lights College Children's & Women's Health Centre of BC Chilliwack Salishan Institute Chilliwack University College of the Fraser Valley Clearwater Dr. Helmcken Hospital Comox Valley Mental Health & Addictions Comox Vancouver Island Community College Coquitlam Forensic Psychiatric Hospital Coquitlam Riverview Courtenay North Island College Courtenay Comox Valley Mental Health & Addictions Courtenay North Island College Cranbrook College of the Rockies Cranbrook District Learning Centre Cranbrook College of the Rockies Cranbrook East Kootenay Regional Hospital Creston College of the Rockies Creston - Valley Hospital Crowsnest Hospital Dawson Creek District Hospital Dawson Creek Northern Lights College Dawson Creek and District Hospital Dawson Creek Court House Dawson Creek Peace Laird Health Community Health Duncan Quw'utsun' Cultural & Conference Centre Duncan Cowichan District Hospital Elkford District Learning Centre Fernie District Learning Centre Fernie District Hospital Forensic Psychiatric Hospital Fort McMurray General Hospital Fort Nelson Northern Health Authority Fort Nelson Phoenix Theatre Fort Nelson Peace Laird Health Centre Fort St John General Hospital Fort St. John Mental Health Fort St.John North Peace Centre

9. Who connects via Telehealth within BC? Fort St.John Northern Health Authority Golden - Hospital Grand Forks - Boundary Hospital Houston Northwest Community College Invermere District Hospital Kamloops - Corporate Office Kamloops Henry Grube Resource Centre Kamloops International Video Conferencing Kamloops IT Roy's office Kamloops - Royal Inland Hospital Kamloops S.S. Health Unit Kamloops University College of the Cariboo Kamloops CDC Kamloops Royal Inland Hospital Kamloops University College of the Cariboo Kelowna 6th Floor Boardroom Kelowna Central Okanagan CDC Kelowna Guisachan Village Kelowna ICBC Kelowna - KGH - Boardroom Kelowna KGH 2nd floor conf. Room Kelowna - Reid's Corner - to be installed Kelowna Cancer Centre of Southern Okanagan Kelowna CDC Kelowna Corporate Office Kelowna Health Unit Kelowna Kirschner Plaza Kimberely Education & Training Centre Kitimat Northern Health Authority Kitimat General Hospital Langley IVCI Campus Crusade for Christ Lillooet - Hospital MacKenzie District Hospital Merrit - Nicola Valley Hospital Merritt University College of the Cariboo Nanaimo Malaspina College Nanaimo Regional Hospital Nanaimo Vancouver Island Community College Nelson Kootenay Lake Hospital New Westminster Douglas College North Vancouver Lions Gate Hospital Oliver South Okanagan General Hospital Penticton Pent. Reg. Hospital/Psych. Building Penticton Regional Hospital/Boardroom Port Alberni Community Skills Centre Port Alberni North Island College Port Alberni West Coast General Hospital Port Hardy North Island College Port Hardy Hospital Port Moody City of Port Moody Powell River

10. Who connects via Telehealth within BC? Prince George ICBC Prince George International. Prince George NHA Prince George CDC Prince George Community Mental Health Prince George Corporate Office Prince George Regional Hospital Prince Rupert Community Skills Centre Prince Rupert Mental Health Prince Rupert Regional Hospital Princeton - Hospital Princeton University of Northern B.C. Quesnel GR Baker Memorial Hospital Revelstoke Community Skills Centre Revelstoke Hospital Richmond Commerce Court Richmond Vancouver Airport Hilton Richmond Ministry of Social Development Richmond Norstan Canada Inc. Richmond, WCB Saanichton Saanich Peninsula Hospital Salmon Arm Community Career Centre Salmon Arm - Hospital Sechelt St Mary's Hospital Sidney Dunsmuir Lodge Smithers Bulkley Valley CDC Smithers Bulkley Valley District Hospital Sparwood College of the Rockies Sparwood District Learning Centre Squamish Health Clinic Surrey Fraser Valley Cancer Centre Terrace North Coast Distance Education Terrace Court House Terrace Health Unit Terrace Michael Panchuk Terrace Mills Memorial Hospital Trail Kootenay Boundary Reg. Hospital Trail Utilicorp Networks Canada Vancouver ADCOM Inc. Vancouver C&W Oak Street Site Vancouver C&W Sunny Hill Site Vancouver Cancer Centre Vancouver Canuck Place Vancouver Cochrane Group Vancouver Convention and Exhibition Centre Vancouver Corpav Vancouver General Hospital Vancouver Georgia Logical Transmissions Inc. Vancouver Human Resources Development Vancouver Insignia International Vancouver Insurance Brokers Assoc. of BC

11. Who connects via Telehealth within BC? Vancouver Kits Conferencing Vancouver Market Canada Vancouver Matrix Professional Video Systems Vancouver Morris J. Wosk Centre for Dialogue, SFU Vancouver PHSA Office Vancouver Promedia Systems Vancouver Societe de developpement economique Vancouver Sport BC Vancouver St. Paul's Health Unit Vancouver STRATAtech Communications Vancouver Sunny Hill Vancouver UBC Telestudios, University Sciences Vancouver VGH Vancouver Viacall Communications Vanderhoof Vernon Community Futures Development Corp. Vernon - Jubilee Hospital Vernon Community College of the Southern Interior Vernon Jubilee Hospital Victoria International Video Conferencing Victoria Royal Jubilee Hospital BH 306 Victoria Royal Jubilee Hospital Victoria Sharp's Audio Visual Ltd. Victoria University of Victoria Victoria Conference Centre Victoria General Hospital Victoria Laurel Point Victoria Queen Alexander Centre Victoria University of Victoria Victoria Vancouver Island Cancer Centre Whistler IVCI at the Westin Resort and Spa Williams Lake - Cariboo Memorial Hospital Williams Lake University College of the Cariboo

12. Who connects via Telehealth within Canada? Ajax Rouge Valley Health System Alberta Children's Hospital Barrhead Health Care Centre Bonnyville Health Centre Calgary Children's Hospital Calgary Foothills Hospital Calgary Glenrose Hospital Calgary Northeast Clinic Children's Hospital of Western Ontario Cold Lake Continuing Care Centre Edmonton Alberta Hospital Edmonton Court House Edmonton FACS Clinic Edmonton Glenrose Hospital Edmonton Plaza 124 Edmonton Royal Alexandra Hospital Edmonton Stollery Children's Hospital Edmonton University of Alberta Edson & District General Hospital Fort Saskatchewan Lakeland RHA Fort Severn Telemedicine Workstation Grand Prairie QEII Hospital Halifax Dalhouise University Halifax IWK Grace Hospital Hamilton Health Sciences Corp Hamilton McMaster University High Level Corporate Office Jasper Alberta Mental Health Board Kingston Queens University Kingston Queens University Mcarthur Studio Lac La Biche General Hospital Laval Centre Hopital Universite Quebec Lethbridge Regional Hospital Lloydminster Health District Lloydminster Hosp

13. Who connects via Telehealth within Canada? London Health Science Centre London St Joseph's Health Centre London University of Western Ontario Misericordia Alberta Mental Health Board Montreal Children's Hospital Montreal McGill University Montreal St Justines Hopital Montreal University of Montreal Newfoundland St. Jane's Hospital Ottawa Children's Hospital of Eastern Ontario Pincher Creek Hospital Quebec CHUL - CHUQ Quebec University of Quebec Red Deer Alberta Mental Health Board Red Deer Regional Hospital Saskatchewan Cancer Centre Saskatoon District Hospital Saskatoon Royal University Hospital St John's Janeway St John's Memorial University St. Foy University of Quebec Taber Hospital Chinook Health Region Toronto Canada Health Infoway Toronto Cascade Port Toronto Hospital for Sickkids Toronto Mount Sinai Hospital Valleyview Hospital Vegreville St. Joseph's General Hospital Wetaskiwin Hospital Whitehorse General Hospital Winnipeg Children's Hospital Winnipeg John Buller Research Centre Winnipeg Manitoba Telehealth Winnipeg Thompson General Hospital Winnipeg University of Manitoba Yellowknife Stanton Territorial Hospital

14. Who connects via Telehealth Internationally? Capetown South Africa Edinburgh Scotland Sydney Australia Auckland New Zealand Multimedia Systems Israel HarVagai Talmud Torah Newmarket New Zealand Futuretech Limited Boston AMD Buffalo Children's Hospital Georgia Logical Transmissions Inc. San Diego California State University

15. Total Telehealth Session Hours by Year

16. Telehealth Sessions by Type & Fiscal Year

17. Total Telehealth Patients, Families, and Health Care Professionals Served by Year

18. Telehealth Team Karen Jung Scheduling Coordinator Zayna Kunic Operations Leader Jim Larsen Technical Leader Heather Garden, RN, MBA Managing Director

19. Everything has changed except the way we think -Albert Einstein

20. Contact Us For more information on Telehealth at C&W Please feel free to contact: Heather Garden BScN, RN, MBA Senior Manager Telehealth Room D606A - 4500 Oak St. Vancouver, British Columbia, V6H 3N1 Telephone: 604 875 3498 Facsimile: 604 875 2502 Email: telehealth@cw.bc.ca