Progress Report #1 - Mocha Shriners
October 2008

Overview

• In 2007, Mocha Shriners, in partnership with Children’s Health Foundation,
  agreed to reach out and help more kids with orthopaedic needs in more
  communities
• With Mocha Shriners generous financial commitment of $1 million, we are
  establishing a Paediatrics Orthopaedic Telemedicine Clinic to initially serve three
  communities in Southwestern Ontario and to have the ability to consult with the
  Canadian Shriners Hospital in Montreal
• What is the Paediatric Orthopaedic Telemedicine Clinic? Through live video
  conferencing, it allows doctors and the health care professionals at Children’s
  Hospital to watch, look and listen to children in a location closer to their home,
  rather than enduring the time and expense of travelling
  

Progress as at September 30, 2008
Stage One (2008 and 2009)

• Establish the Mocha Shriners Paediatric Orthopaedic Telemedicine Clinic (MSPOTC) in a temporary room in the current Children’s Hospital
• Three (3) remote sites in Rehabilitation Clinics have been identified
• Sites are now confirmed and engagement process to establish infrastructure and
  protocols underway
  • Kids Ability in Waterloo (live by end of 2008)
  • Prism Centre in Chatham (live by end of 2008)
  • John McGivney in Windsor – initial site visit by Project Manager and CHF in October 2008 (live by end of 2009)
  • Local Health Integration Networks (LHINs) engaged in designated geographic areas
• Ontario Telemedicine Process – Kids Ability and Prism Centre have completed
  the OTN application process and have been approved
• Canadian Shriners Hospital in Montreal
  • Working with Jade Goyette, Telemedicine Nurse Coordinator, on establishing collaborative working relationship with doctors and health care professionals at Children’s Hospital in London
• Development of a Project Template
  • Creating the “Informed Standard” template for Canada
  • Template being created to share with Tampa and local Mocha Shrine in order for sharing with other parts of Canada

Budget for Stage One

• The remaining $412,000 will go towards helping to build the MSPOTC in the New Children’s Hospital
• To date, $479,387.66 has been received by Children’s Health Foundation

Questions and Answers

Question: Why are we working with sites in Southwestern Ontario and not ones in the
Northern part of the region?

Answer: The current project was developed based upon the clinical relationships that exist between the surgeons at Children’s Hospital and sites where they have established pre-existing Clinics where they see children. These include:

• Kids Ability in Waterloo
• Prism Centre in Chatham
• John McGivney Centre in Windsor
  

The three sites are viewed as pilot sites so that in the longer term the lessons learned will assist in expanding the program to other areas. In the shorter term, the project will save travel time for physicians freeing them up for more clinical care and will ensure that even in bad weather the Clinics will still be able to occur.

Question: What are the costs associated with working with the Ontario Telemedicine
Network (OTN)?

Answer: OTN provides complimentary membership to all hospitals and Local Health Integration Network (LHIN)-accountable organizations such as Community Care Access Centres, Public Health Units and Community Health Centres. Sites not directly funded by the Ministry of Health and Long Term Care (MOHLTC) such as educational institutions and public organizations which are funded by other Ministries, are charged annual fees ranging from $5,250 to $10,500.

Our three pilot sites, Kids Ability in Waterloo, Prism Centre in Chatham and the John McGivney Centre in Windsor will be charged the annual fee of $5,250 each.

The project has committed to paying the annual membership fee for each site for the first two years. Our project team has been working with the sites to ensure they can afford to sustain the project after this timeframe.

The cost of equipment is separate from the membership cost. Once we have completed the site assessments, the determination will be made about what type of equipment to select that will best fit the needs of each site and the overall project.

Progress Report #2 - Mocha Shriners
January 2009
______________________________________________________________________
Background

• In 2007, Mocha Shriners, in partnership with Children’s Health Foundation,
agreed to reach out and help more kids with orthopaedic needs in more
communities
• With Mocha Shriners generous financial commitment of $1 million, we are
establishing a Paediatrics Orthopaedic Telemedicine Clinic to initially serve three
communities in Southwestern Ontario and to have the ability to consult with the
Canadian Shriners Hospital in Montreal
• What is the Paediatric Orthopaedic Telemedicine Clinic? Through live video
conferencing, it allows doctors and the health care professionals at Children’s
Hospital to watch, look and listen to children in a location closer to their home,
rather than enduring the time and expense of travelling
Update from October 1, 2008 – January 15, 2009
• On October 31st, Children’s Hospital Foundation and Children’s Hospital at
London Health Sciences Centre was pleased to host approximately 15 Shriners
in the temporary location for the Mocha Shriners Orthopaedic Telemedicine
Clinic at Children’s Hospital to see a demonstration of teleconferencing first hand
• The Steering Committee for this project from Mocha Shriners attended, and a
few guests joined us from some of the nearby clubs
• Ellen Rosen, Vice President, Women and Children’s Services, and Glen Kearns,
Vice President, Clinical Support Services from London Health Sciences Centre
welcomed everyone and thanked the Shriners for making this project possible
• Dr. Rob Williams, Chief Medical Officer with the Ontario Telemedicine Network,
and the CEO and several staff members from the Kids Ability Centre for Child
Development in Waterloo joined us via teleconferencing
• Caleigh Turnbull (a young patient of Dr. Leitch’s known to many of you)
participated in a demonstration of telemedicine with Dr. Tim Carey and Dr. Kellie
Leitch
• The Ontario Telemedicine Process – all three remote sites in rehabilitation clinics
(Kids Ability in Waterloo, the Prism Centre in Chatham, and the John McGivney
Centre in Windsor) have now completed the OTN application process and been
approved
• Equipment – working with the stakeholders, a stringent process has been
completed to identify the necessary equipment to meet the needs of the staff and
the patients at the three remote sites and the orthopaedic surgeons at Children’s
Hospital
• Of the two preferred equipment providers, it appears the equipment that is
mandated at all Shriners Hospitals in the States will be chosen
• During the information gathering process for the equipment, a connection has
been made to the Telemedicine Coordinator at the Shriners Hospital in Honolulu,
and she is pleased to work collaboratively with our Project Manager to share
expertise on how they developed the Hawaii telemedicine project
• This collaboration will support the development of the MSPOTS Tool Kit (project
guidebook)
• The list of equipment to be purchased will be provided to the Shriners MSPOTS
Committee the week of January 19th to review and approve before the
equipment is ordered
• The Project Manager is working with the three sites to develop infrastructure at
the sites to ensure consistency in policies and procedures and ongoing
sustainability
• Project training is scheduled for late February at the three sites
• An event is being planned for the spring to celebrate the official launch of the
MSPOTS project once all three rehabilitation sites have their equipment installed
and are up and running
• Hawaii has asked to be included in the event via teleconferencing, and the
Montreal Shriners Hospital will be invited to participate as well
• To date, $606,351.66 has been received by Children’s Health Foundation
towards the $1 million commitment

Prepared by: Debbie Comuzzi, President and CEO, Children’s Health Foundation
Penny Harman, Major and Planned Gifts Director, Children’s Health Foundation
Patricia Potter, Project Manager, Mocha Shriners Paediatric Orthopaedic
Telemedicine Clinic, Children’s Hospital