The HEALinc Care, Connect, Communicate (Triple C) Case Study
Health Innovation Project Leaders: Dr. Desirée Cox (PI), Dr. Calae Philippe (Co-PI) and the GBHS Triple C Implementation Team
The Problem: Hospital Discharge Planning services are fragmented, paper-based and often incomplete. This results in patients being discharged from hospital without their families and primary care providers receiving the information needed to ensure optimal patient aftercare and recovery. The National Discharge Planning Committee and Discharge Planning Harmonization Committee convened to address these issues between 2009 and 2015 had become stalled due to silos, bureaucracy, and dwindling engagement of healthcare providers.
Discharge Planning/Continuity of Care was the ’Passion Project’ of Dr. Calae Philippe (Dr Philippe, a Public Health doctor at the Ministry of Health who was a member of first cohort of HEALinc in 2016).
The HEALinc Triple C Intervention: Leveraging crowd collaboration from within the GBHS (Triple C Implementation team), taking an ‘outside-the-box’ approach to unearthing ‘champions for change’ from within the Grand Bahama Health Services (GBHS) Dr. Cox and Dr. Philippe developed the Triple C Health that a) Reframed ’Discharge Planning/Continuity of Care’ as a window in to Patient Experience from ‘Hello-to-Goodbye’, b) Digitized data-collection relevant to Discharge Planning, and c) Crowd-sourced a research/implementation team comprised of a diverse group of ‘observers’ ranging from ambulance drivers to physicians from within the GBHS. The result was a health innovation that produced a Minimal Viable Product (MVP) for discharge planning services while simultaneously capturing valuable research/benchmarking data and empowering ‘Healthcare Creatives’ who developed solutions for transforming the Grand Bahama Healthcare Services (GBHS) as a whole. The Triple C Health Innovation was funded by the Public Hospitals Authority (PHA), Ministry of Health (Bahamas) and PAHO/WHO.
The HEALinc Telehealth Case Study
Health Innovation Project Leaders: Dr. Desirée Cox (PI), Mr. Montino Roberts (Co-PI)
The Problem: Providing equitable access to high-quality healthcare for citizens and residents of The Bahamas – an archipelagic nation with a population of approximately 400,000 people spread over 26 islands – is a significant challenge; especially given the rising cost of healthcare globally and increasing burden of disease from CNCDs that impacts more than 75% of the population. Tele-health, tele-medicine and wireless solutions have the potential of improving health outcomes, access to care and cost-savings to the healthcare system. Despite these potential benefits barriers to uptake of wireless solutions include concerns about data security and conservatism among healthcare providers who fear that wireless solutions will force changes to the way the clinics operate.
Implementing a Patient-to-Physician Connect (P2PC)Telemedicine/wireless health platform (developed by Mr. Montino Roberts) was the ’Passion Project’ of Mr. Montino Roberts. (Mr. Roberts is a ICT Consultant with the Public Hospitals Authority (PHA) and CEO of PBS Bahamas was a member of the first cohort of HEALinc in 2016).
The HEALinc Telehealth Innovation Intervention. Collaborating with a range of healthcare providers from 8 clinical sites in the islands of New Providence and Grand Bahama (Bahamas) Dr. Cox and Mr. Roberts tested an integrative implementation strategy involving the implementation of a blend of digital solutions (the wireless health/P2PC Kits and digital apps) that were HIPPA compliant, password protected and data encrypted in a synergist platform that could be synchronized with all existing digital platforms at on the physicians office computer, personal computer, phone or tablet. The P2PC kits were successfully implemented in 50 high risk patients with CNCDs ranging from ages 16 to 85 based on Nassau, Grand Bahama, and Andros for a trial period of 8 weeks with excellent feedback from providers and patients alike. The data is being used to advance the case for a roll-out of telemedicine nationally.