Barbita Josie, Neves-Silva Susana
25 years of experience as a health services administrator in both delivery and management roles. Her experience includes working in the acute care, primary care and community care sectors. Within her professional practice portfolio, Josie has the responsibility for the planning, implementation and operations of the direct care nursing programs as well as managing the interprofessional specialty team consisting of nurse practitioners, clinical nurse specialists and pharmacists at the Toronto Central Local Health Integration Network (LHIN). She has led and implemented new models of care, such as Telehomecare, and most recently led the implementation of a new community wound care strategy. Josie holds a bachelor of science degree in nursing and a master of science degree in health administration.
Registered nurse with approximately 20 years of experience in both delivery and management roles. Her experience includes working in acute care and community care sectors. In her current portfolio, Susana has the responsibility for the operations of the Telehomecare and Rapid Response Nursing Programs in home and community care at the Toronto Central LHIN. Susana holds a bachelor of science degree in nursing.
Healthc Q. 2017;20(3):36-40.
Chronic obstructive pulmonary disease (COPD) and heart failure are responsible for significant healthcare costs in Ontario. One program developed to improve the management of these conditions is Telehomecare, which provides six months of health status monitoring and patient self-management education at no cost to participating COPD and heart failure patients. The Toronto Central Local Health Integration Network (LHIN; formerly the Toronto Central Community Care Access Centre), an early participant, enrolled over 3,000 Telehomecare patients between 2012 and 2016. Research shows that the program reduces emergency department visits and hospital admissions, improves patient confidence and self-management skills and is associated with high patient satisfaction. Program improvements and expansion are ongoing.
慢性阻塞性肺疾病（COPD）和心力衰竭在安大略省造成了高昂的医疗费用。为改善这些疾病的管理而开发的一个项目是远程家庭护理，它为参与项目的慢性阻塞性肺疾病和心力衰竭患者免费提供为期六个月的健康状况监测和患者自我管理教育。多伦多中央地方卫生整合网络（LHIN；前身为多伦多中央社区护理接入中心）是该项目的早期参与者，在2012年至2016年期间登记了3000多名远程家庭护理患者。研究表明，该项目减少了急诊就诊和住院次数，提高了患者的信心和自我管理技能，并且患者满意度很高。项目的改进和扩展正在进行中。
