HTF 402 National First Nations Telehealth Research Project

Final Report 1998 - 2001
Cat. N° H35-4/14-2001E
ISBN 0-662-31053-5

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Table of Contents

• Acknowledgements
• Executive Summary
• Project Purpose
  1. Project's Overall Goal
  2. Project's Objectives
     • Relating to Health Care
     • Relating to Knowledge
  3. Strategic Importance
     • Geographical Isolation
     • Inequities in Health Services and Outcomes
     • Priorities in First Nations Health
• Project Activities
  1. Methodology
     • Accountability Framework
     • Needs Assessment
     • Application Selection
     • Request for Proposals and Vendor Selection
     • Memoranda of Understanding (MOU)
     • Telecommunications Access
     • Installation/Testing/Training
     • Evaluation and Ethics Review
  2. Deviations in Project Methodology
     • Project Extensions
     • Delays in Anahim Lake Project Implementation
     • Switch from Real-Time to Store-and-Forward in La Romaine
     • The Will to Do More in the Face of Limited Resources
     • Confronting Challenges Precipitated by Staff Turnover
• Project Outcomes
  1. Lessons Learned
     • Human Resources
     • Financial Resources
     • Technical Resources
     • Policy Issues
  2. Critical Success Factors
  3. Evaluation Outcomes
  4. Recommendations
• Dissemination Plan
  1. Main Themes
  2. Target Audiences
  3. Dissemination Principles
  4. Dissemination Activities

Appendix A: Final Evaluation Report

• Executive Summary
• Introduction
  1. First Nations Telehealth Project Objectives
  2. Project Structure
  3. Literature Review of Telehealth Applications
• Project Evaluation
  1. Evaluation Questions
  2. Evaluation Methods
  3. Ethical Issues
  4. Analyses
• Case study : La Romaine, Québec
• Case Study: Berens River, Manitoba
• Case study: Southend, Saskatchewan
• Case study: Fort Chipewyan, Alberta
• Findings across communities : Lessons learned
  1. Evaluation questions
  2. Cost-consequences analysis
  3. Main lessons learned
• References
  • Attachment 1: Consent Forms
  • Attachment 2: Patient Encounter Forms
  • Attachment 3: Remote Encounter Forms
  • Attachment 4: Satisfaction Questionnaire
  • Attachment 5: Interview Guides
  • Attachment 6: Integrated Ethics Review Document
  • Attachment 7: Literature Review
  • Attachment 8: Evaluation Plan
    • Introduction
      • First Nations Telehealth Project
      • Literature review of telehealth applications
    • Project Evaluation
      • Evaluation Questions
      • Evaluation Methods
        • Health system usage
        • Patient satisfaction
        • Qualitative interviews
        • Financial data
      • Ethical Issues
        • Informed consent to participate in the evaluation
      • Analyses
        • In-depth, embedded case studies of each site
        • Horizontal analysis
      • Evaluation Schedule