Asynchronous video clip for pre-op boosts individual and personnel practical experience

Asynchronous video clip for pre-op boosts individual and personnel practical experience


Northwestern Ontario covers a geographical spot the dimension of France, but is sparsely populated, possessing only around 230,000 citizens.

THE Issue

Thunder Bay Regional Health and fitness Sciences Heart (TBRHSC) personnel know that with limited well being assets all over Northwestern Ontario, it really is quite vital they do the job together across all hospitals that present surgical providers to strengthen accessibility to care for remote and rural sufferers.


Asynchronous video clip technological innovation is important to improving affected person care, supporting equitable accessibility to treatment, and to our clinic relocating forward our strategic enabler, called ‘Sustainable Upcoming – Advance Electronic Health to Boost Patient and Team Encounters,'” stated Cindy Fedell, CIO at TBRHSC. “Furnishing applications to empower our sufferers is foundational to our eyesight.

“We began utilizing asynchronous online video know-how for surgical procedures throughout the four hospitals of TBRHSC’s Regional Surgical Services plan,” she ongoing. “The overarching purpose was to enhance clinical staff time though also improving upon patient compliance, experience and outcomes.”

The big difficulties the supplier organization was facing, Fedell outlined, had been:

  • Optimization of scientific employees time due to the fact of limited means
  • Lengthy pre-anesthetic appointments causing a bottleneck to finding clients into available running rooms
  • No standardization of pre-surgical teaching, which can decrease excellent assurance
  • Bad patient compliance in pre-surgical educating resulting in no-reveals to the pre-anesthetic appointment, surgical procedure cancellations because of to non-compliance, sufferers not understanding the worth of ambulation and exact same working day discharge, and significantly much more

“In surgical treatment, there is a great deal of facts that desires to be conveyed to patients and caregivers just before surgery,” Fedell stated. “It is very important the individual not only understands the data but also retains it and then normally takes acceptable motion.

“Even though we experienced invested in an app to provide this facts to patients in written form, most of the pre-surgical information and facts was shipped verbally by medical professionals, nurses and staff members, in addition to a paper packet,” she ongoing. “The verbal repetition was incredibly time-consuming for our clinical employees. On normal, it would just take an hour in the pre-anesthetic appointment to express the redundant info.”

These lengthy appointments acted as a bottleneck to receiving sufferers into the OR. Additionally, people would generally fail to remember the information they listened to and phone in with questions, and workers would repeat the information and facts.

Asynchronous movie know-how made sense to the group, and it chosen seller HCT Electronic Care.

“Workers were being on repeat, relaying pre-surgical information and facts and then answering the identical questions when they inevitably arrived in,” Fedell stated. “If we put it all on async video clip, then they never have to be regurgitating the identical data constantly.

“And the concept is scripted and standardized, which is wonderful from a high quality assurance standpoint,” she included. “Clients can re-watch the video clips as usually as they need to have, at home with their caregivers and household, in the language they communicate at home.”

The technology’s abilities also have been compelling to Fedell due to the fact the video clips are interactive and have constructed-in surveys and analytics.

“So, we could encourage people to take action, this sort of as downloading our electronic client engagement and monitoring resource from SeamlessMD,” she remarked. “And with the surveys, we could do digital educate-backs to assure the affected person recognized what they just listened to. We also could get practical experience knowledge back from the individuals.

“Then with the video clip analytics we can essentially see the facts to make sure our people are in point looking at and engaging with the video clip content material,” she ongoing. “And HCT are health care operations professionals. They have an understanding of us and what we are attempting to do.”

Meeting THE Obstacle

TBRHSC automatic the pre-op messaging for all surgeries across Northwestern Ontario surgical hospitals. It started out with ten video clips that tackle numerous matters, such as scheduling and consenting for surgical procedure, downloading the app, what to expect in the pre-anesthetic appointment, basic pre-op guidance, what to anticipate for OP and IP operation, typical misconceptions, what to anticipate right after surgery and how to get ready the patient’s residence.

The movies are embedded in the organization’s web page and in the SeamlessMD app.

“HCT helped us create out our medical workflows, use QR codes to endorse the films, and talk internally to all our clinicians and employees about the start,” Fedell recalled. “Now that we are dwell with the videos, we frequently meet and evaluation analytics experiences in which we get to see the impact we are possessing on our individuals.

“The vendor’s job administration and guidance has been truly impactful to our management crew,” she extra.


To day, individuals have viewed additional than 250 hrs of movie.

“That is remarkable when you consider about how substantially time we are conserving for our clinical personnel,” Fedell said. “But even further, it is time expended maximizing the surgical encounter for our individuals and their households.”

There have been additional than 9,five hundred online video sights, which indicates TBRHSC has standardized the pre-op messaging for thousands of surgeries. That’s a large high-quality assurance obtain.

“A further stat we know simply because of the analytics is that ninety nine% of patients observed the films valuable and felt additional ready for surgical procedures right after they viewed the films,” Fedell documented. “Which is an A+ in individual practical experience. Via the analytics we can see affected person reviews about how the movies ended up academic and enlightening, answered their issues, calmed their anxiety and clarified expectations.

“A genuinely incredible statistic: We have lessened inbound client questions by a element of 15 to 1,” she continued. “For just about every 15 queries the nurses made use of to get from individuals contacting or composing in pre-op, now they get one particular. That means we are proactively answering patients’ questions with the movie technology and creating improved use of our nurse and team time.”

Advice FOR Other folks

This is the foreseeable future of treatment shipping and delivery, Fedell contended.

“Patients already are employing movie in their day-to-day lives and oftentimes watching YouTube movies when making an attempt to navigate care,” she mentioned. “We want sufferers to get the information and facts from us, their reliable service provider, in the best structure for discovering and retention. And async movie technological know-how is a way you can get to clients in the structure they desire that enhances the treatment we produce. It’s a gain-acquire-get.

“Our directors really like it due to the fact it’s serving to them accomplish their organization and operational objectives,” Fedell concluded. “Our clinicians and personnel adore it since they you should not want to be on verbal repeat 24/seven and they want their sufferers to be improved geared up and engaged. And I want to thank Caroline Fanti, our director of regional surgical expert services, for primary the charge on these initiatives at our organization.”

Observe Bill’s Hit coverage on LinkedIn: Bill Siwicki
Healthcare IT News is a HIMSS Media publication.

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