Health committee  I was just going to mention that there are two pieces. One is technology that helps you look after those patients. The other one is to make sure whatever technology you use does not become a barrier. Part of it is looking at the technology you're using and making sure that people

Health committee  Let me start. There are tools. We call them “readiness to learn”. People will engage in changing their behaviour when they're ready to do it. There are four different ranges that you get, and you have to help people move through those things. You will not move until you're ready

Health committee  It's an interesting question. I think it's about knowledge translation and spread, and I think someone has talked about that. In Canada you get these pockets of innovation, and it is very difficult to spread them. In the cardiovascular community we talk to people; they know abou

Health committee  I'm not an expert on what the federal government can do, but yes, I think the spread nationally is very important. I think bringing people together like this, people who can contribute information as you make your deliberations, is good. There's a spread that happens just by doin

Health committee  The patient can. Some of them who are chronic and come for repeat visits do it themselves. The doctor says to move it to the left or move it to the right, and they can certainly do it themselves. On the early visits, they usually have somebody with them. Everything they need, b

Health committee  A patient would go into a facility, wherever there's one of these telemedicine stations. It looks like a television screen, and they sit in front of it. There's usually a nurse or somebody with them; it could be their family doctor, but not usually. You turn the screen on; it has

Health committee  If you look at the data, you see that about 80% of the patients who you send home with chronic disease don't actually have a problem. They manage quite well. It's the 20% who do, so you need to have an economical way of getting to the 20%. This absolutely does not replace a pract

Health committee  Well, these are patients who we would actually see, but in our data that we see as we follow up on patients, if you take a cohort of 100 patients, about 80% of them are fine. We don't actually have to—

Health committee  Yes, after we've seen them. This program is designed for patients who have actually had a medical incident or had a need to be hospitalized for some reason.

Health committee  No, because we teach them how to live with their chronic disease. Everybody has to learn how to do that. It's a step process that you take people through: understanding what is your condition, what you can do to help make yourself better, and when to know when to engage back into

Health committee  Interestingly, there's literature out there, and a lot—

Health committee  Well, no, they don't like to use the calls at all. There is literature out there on these automated calling systems from years ago, and they actually studied where people are most honest. They are most honest on an automated calling system, as opposed to talking to a practition

Health committee  We'll catch them in about three weeks if they've lied about their medications.

Health committee  That work is done in different jurisdictions. The methodology is always slightly different, so the ability to say that this is the exact way of doing it is not really out there. When you go into the literature, you'll see a variety of numbers. For us, that was done with heart fa

Health committee  We do a lot with the elderly. We poll them about every three years. They use the Internet, but a lot of them aren't there yet in terms of using applications. They quite like devices that sit on their little lampshade. They go to it; they use it; they're done. And they do very wel