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1 Thank you for joining our session. The presentation will begin momentarily. 1

2 BORN Provincial Rounds: OMama Project Mobile Health Innovation for Maternity Care January 15, 2015

3 Agenda Intro to the OMama Project BORN s Mobile Health Strategy and OMama ehealth Innovation and OMama Keeping Women at the Centre of the Project Looking to the Future 3

4 Omama Project Background The Omama Project was established in early 2014 through BORN Ontario. Omama is funded by ehealth Ontario and is one of several ehealth Ontario projects that have been contracted to BORN on behalf of the maternal-child population. Omama fits under BORN s strategy to engage women through mobile technology (see BORN s 2020 Strategy, next slide). 4

5 Person-Centred Data Nurture Maternal Newborn, Champion the Child Be a trusted source of maternal-child health information True Data, True Progress Complete Ensure comprehensive data on each individual in the registry Flag & Alert Identify and address care gaps wherever possible Direct to Consumer Engage women and families through mobile technology 5 Thrive Continue investment and innovation in the existing maternal newborn program Grow Foster growth into child health by leveraging what we ve built Link Promote the power of interplay between child and perinatal health data Balance Providing timely data access with appropriate safeguards User Experience Leverage leading-edge technology (functionality, usability, attractiveness) Responsive Understanding users data and support needs Value Maximize benefits to stakeholders for the investments made in data collection Tools Develop enablers of change KPIs, dashboards, reports, audit tools, data quality Action People, data and innovation combined to support clinical and systems improvement

6 Project Basics: Goals 1. To develop a maternal antenatal pathway using existing documentation and evidence and leveraging the expertise of an advisory committee. 2. To engage women further in their care by providing them with tools to manage, update and better understand their own health information during pregnancy. 3. To facilitate care to women by enabling additional communications between the woman and her provider 4. Using websites and apps, to better understand the optimal technology solution to meet objectives #2 and #3. 5. To identify the benefits, costs, challenges and risks to government agencies meeting healthcare objectives through the use of consumer e-health solutions 6. To determine if this might be an effective tool in health promotion activities related to weight gain in pregnancy, breastfeeding and smoking cessation 7. To evaluate (via a multiple methods study) the effects of these tools/processes on care 6

7 In our own words. Listen to Women Build a website Build an app Build a PHR Test and Evaluate Publish Results 7

8 Project Structure: Teams Steering Committee Membership List Follows Omama Project Team Project Director Wendy Katherine Research Assistants Sarah McKenna, Abdullah Alnoman Technical lead Mike Kotuba Evaluation lead Sandy Dunn ehealth Vinna Vong BORN Jen Milburn/Alicia St. Hill- Nasser Advisory Committee Membership List Follows 8

9 Advisory Committee Ann Sprague Carla Sorbara Claudia Steffler Debra Boyce Doug Cochen Graeme Smith Nicole Robinson Jennifer Milburn Kristi Adamo Mari Teitelbaum Marisa Cicero Mary Hayes Matthuschka Sheedy Sandra Dunn Sara Knox Vinna Vong 9

10 What s in and out of pilot scope? IN Innovative technology joining women, providers and info Simple and elegant design Easy to use interface Selective content across the care continuum Proof of Concept Evaluation Scalable Solution OUT Comprehensive interactive maternity care EHR Provincial representation of language, ethnicities, regions (initially) Encyclopedic maternity care advice BORN PHI Large Cohort Clinical Study 10

11 High Level Pathway Example: Women 11

12 High Level Pathway Example - Providers 12

13 ibreastcheck ibreastcheck Video demonstrating how women can screen for breast cancer Run risk reports Set reminders to check at a schedule of the users choosing 13 PwC

14 and behaviour modification: <30 Days Heart & Stroke Foundation <30 Days Guides users to break bad habits and adopt a healthier lifestyle in 30 days or less. Evidence-based and consumer survey derived heart health promotion app 14 PwC

15 Patient Passport Dr. H. Bliss Murphy Cancer Centre St. John s Patient Passport 15 PwC Developed by the Dr. H. Bliss Murphy Cancer Centre Helps to Track symptoms Keep a journal Organize medications Find information Keep track of appointments Search for local cancer care providers in Newfoundland and Labrador

16 Wellx Improve Efficiency Increase Access Patient messaging improved my practice efficiency and allowed me to have a less crowded schedule Dr. David Verrilli, Village Family Health Team It's very easy to use and saves time as opposed to waiting on the phone Patient Survey Respondent Wellx EHR Secure communication with healthcare provider Providers can broadcast news and send reminders Healthcare providers and patients can share test results, treatment plans, and other information Refill prescriptions 16 PwC

17 Women s Priorities Survey Women s Priorities Survey at: Project Mama 17

18 Women s Priorities Survey Interim Results Summary Women As of October 27, 2014 Over 1,100 responses Excellent engagement by all partners in communication plan Broad representation of age and parity Largely English as first language 18

19 Preconception 19

20 Maternity Care Providers that self - identified as Other 20

21 Changes/Improvements to Maternity care? 21

22 What information did you search for that you did not receive in maternity care? 22

23 Pregnancy pathway content. Environmental Scan Evidence Appraisal Plot Info on Pathways Choose Milestones Content set for RFP 23

24 Content Collection Specifics Title as it will appear on the OMama Maternity Care Pathway Stage on the maternity care pathway (trimester) Week of Relevance for Information Sharing with Woman Week of Relevance for Event Short Summary of Issue and Collection of Links/Resources (under 300 words) Links/Resource 1, 2, 3, for each link/resource Type of resource: website, mobile, link, pdf, or video Tag and/or key-words (for each link/resource) 24

25 Recent Progress esolutions Onboard App Functionality and Design Website Design Content Collection On budget 25

26 App Architecture Wireframe Process Determine functionality Sketch potential screens Consider images Branding Look and feel timeline, etc. 26

27 Moving to Design Process Future design to include BORN and OMama branding Colour scheme TBD Images requested from stakeholders 27

28 OMama DRAFT Wireframe Dashboard Serves new and existing users Limited collection of personal information Prominent pathway Modifiable avatar: photo, colour, icon Links to help, pathway and profile settings Imagery needed for pregnancy references, i.e. fetuses, fruit, etc. 28

29 Looking to the Future Develop and Pilot OMama 1.0 Website and App Procure vendor and design PHR Pilot all three solutions for 9 months Evaluate results and report Keep in touch with ongoing innovation! 29

30 Stay in touch with us! If you have questions or would like to be involved, please contact: Wendy Katherine, BA, RM (Ret), MBA Project Director 30

31 31

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