Victorian Telehealth Specialist Clinic Funding Projects Summary Report February to July 2017
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1 Victorian Telehealth Specialist Clinic Funding Projects Summary Report February to July
2 Disclaimer & Accessibility Statement Please note the contents of this publication cannot be replicated or used without written permission from the department Contact - Authorised and published by the Victorian Government, 50 Lonsdale St, Melbourne. State of Victoria, Department of Health and Human Services August 2017 Except where otherwise indicated, the images in this publication show models and illustrative settings only, and do not necessarily depict actual services, facilities or recipients of services. 2
3 Agenda 1. Telehealth activity & speciality areas* 2. Mid-point Project Reports Key Themes* 1. Barriers 2. Enablers 3. Future directions 4. Lessons learned 3. DHHS Telehealth Online Issues Register Disclaimer- This is project data, not verified with VINAH. 3
4 Victorian Telehealth Specialist Clinics Funding Telehealth Activity Health Services Distribution Metropolitan Melbourne Regional & Sub Regional Victoria Total number of telehealth consults delivered by 14 health services from March to July 2017= 336* 36% 64% As reported by the projects, this has not been verified with VINAH data 4
5 Telehealth Services/ Specialties 5 Anaesthetics Renal Rheum Plastic surgery Dermatology Ortho Paeds Pain 4% Addiction medicine Urology HITH Palliative Care Rehab Allied health Mental health/ Psychiatry 6% Gynaecology General surgery Ey e & Ear Cancer services 7% Gastroenterology Hear/Stroke Neurology 7% Respiratory General Medicine Infectious disease 6% Burns Respiratory Spinal Cystic Fibrosis Epilepsy Haematology Genetics Liver Transplant Geriatrics Endocrinology/ Diabetes 7% Interpreter services Telehealth Specialities
6 Telehealth Implementation Barriers Patient eligibility/ selection 17% Barriers MBS funding GP engagement Longer admin/consult time 20% Technical 1 Financial Viability of MBS clinics Staff turnaround Delayed access to Video Consulting Platform MBS location requirements 7% Resourcing 10% Readiness/ Quality of Environmanet 1 6
7 Telehealth Service Enablers Patient satisfaction/ feedback Targeted approach Cost savings Easy to adapt/ implement workflows Easy to use Video Call technology 7% HD Resources/ Support Executive Support 1 Project funding Enablers Integrating with existing services / evidence 19% Clinical/ Admin Staff support 2 IT suppport 9% CoP Strong Governance structure 9% 7
8 Telehealth Service Development Future Directions Evaluate & Develop sustainability model 1 Long term Telehealth Policy/ Strategy development 6% Long term coordinator position Better Governance New areas clinical & non-clinical 3 Staff training/ recruitment 1 Promotional strategy 1 Engagement with other departments/ health services 17% Future Directions 8
9 Lessons Learned Lessons Learned Common Themes Steep learning curve Importance of engagement, training & awareness raising for clinicians both at patient & specialist end Telehealth needs to be patient centred where patients are included in the planning plain language resources, service mapping etc. Integration of other ICT systems with Telehealth is not easy/ needed Telehealth planning & implementation takes longer Telehealth requires a lot of coordination Telehealth cannot solve existing larger health service issues 9
10 DHHS Telehealth Online Issues Register DHHS Telehealth Technical/Other Project Issues Register The aim of this issues register is to capture high level IT and Health Direct Video Call issues, for evaluation and ongoing management of the service. If you have other project related issues (e.g. operational, policy etc.), you may provide a brief overview at the end of the form. DHHS will compile and provide you with a list of issues reported by your health service every six weeks. Please note: This issues register is a DHHS telehealth project requirement. This is not an issue logging system. You still need to log the technical issues with your local IT or Healthdirect. 10
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