Training professionals to use teleservices in care settings Med-e-Tel 2009 C.C.de Jong MSc 1
Training professionals to use teleservices in care settings professionals training teleservices to use in care settings Med-e-Tel 2009 C.C.de Jong MSc 2
Working concept Relaxation & Services Wellbeing Safety Home network Prevention Contact with family and social carers Self-diagnosis Internettherapy Professional care Domotics Devices... Callcentre Supervision Advice and instruction Medical Coaching Care consultation... and dtreatmentt t Med-e-Tel 2009 C.C.de Jong MSc 3
Meavita experience Targetgroup Selection Intervention Presentation Volume DM 2 Districtnurse GP market monitor vital signs telemonitoring e o to g Medicinal care coach teleconsult MSC 24/7 DV office hours DV appointment TZG 58 MW 59 COPD Districtnurse Lung- specialist monitor vitale signalen telemonitoring coach MSC 24/7 DV office hours TZG 25 MW 50 CHF Cardiologist monitor vitale signalen (techn.)vplk zorg coach MSC 24/7 TZG 155 VP Districtnurse geplande VP zorg ongeplande zorg MSC 24/7 WV office hours TZG 219 S 150 MW 103 Med-e-Tel 2009 C.C.de Jong MSc 4
Dutch Services Med-e-Tel 2009 C.C.de Jong MSc 5
Care-over over-distance Programme Government funding share experiences aggregate knowledge develop tools advise stakeholders Med-e-Tel 2009 C.C.de Jong MSc 6
Patients perception Great discovery 76% Increased feeling of safety 71% Can stay home longer 61% Increase emotional support prof 40% Increase autonomy 29% Social carers feel more support 51% Med-e-Tel 2009 C.C.de Jong MSc 7
Telenurse perception Easier to assess the situation 84% Easier to soothe patients 82% More emotional support 69% patients ts can live at home longer 67% Sense of safety is increased 76% Med-e-Tel 2009 C.C.de Jong MSc 8
Nurses perception Makes my work more varied 84% Makes my work more attractive 81% Increase of workload 42% Oppurtunity for nurses off work 81% Med-e-Tel 2009 C.C.de Jong MSc 9
Trust is needed 1. lack of vision i 2. lack of integration of ehealth systems 3. lack of nursing input into design 4. concerns about reliability systems 5. lack of appropriate training 6. concerns about confidentiality and legal issues 7. fear that it will take them away from patient care 8. uncertainty about how their role will change Med-e-Tel 2009 C.C.de Jong MSc 10
Creating Trust in Care-over- distance programme 1. website bit 2. toolkit mapping conditions and needs education and implementation support checklist infrastructure 3. professional peer network 4. research monitor qualitative quantitative 5. experimental financing and social business case Med-e-Tel 2009 C.C.de Jong MSc 11
Mapping conditions and needs Smart n easy Remote consultation Virtual info Personal info pages Prescription via internet Chronically ill Healthy pop Finger on the pulse Virtual chain M i Chronically ill Measuring Telemonitoring Info pages Peer groups Lifestyle agenda, todo list Diary Your own care pages Personal coach online Elec. patient dossier Telemonitoring Progressive diseases Mental or psychiatric constraints t People with lifestyle problems Chronically ill Look over the schoulder Telecare Camera in the home Mobile alarm systems Frail elderly Intervision Med-e-Tel 2009 C.C.de Jong MSc 12
Mapping conditions and needs Safety S i l l Social alarm (frail) elderly l Social alarm with screen domotics Progressive diseases Compensation Domotics Activities via internet Mental physical limitation Participate Community platforms Peer groups Local portal Order services Screencare relaxation Frail elderly Social carers of pat. with dementia Mental or psychiatric constraints Med-e-Tel 2009 C.C.de Jong MSc 13
Checklist infrastructure technological necessities for teleservices implementation guide for teleservices reference tool to evaluate teleservices Med-e-Tel 2009 C.C.de Jong MSc 14
Creating Trust in Care-over- distance programme 1. website bit 2. toolkit mapping conditions and needs education and implementation support checklist infrastructure 3. professional peer network 4. research monitor qualitative quantitative 5. experimental financing and social business case Med-e-Tel 2009 C.C.de Jong MSc 15
Creating confidence Med-e-Tel 2009 C.C.de Jong MSc 16
Thank you! Med-e-Tel 2009 C.C.de Jong MSc 17