HIC2014 Mat Tyler Project Manager Telehealth, ehealth
Today s presentation RDNS in perspective What have we been doing Telehealth Lessons What do we want to do
About RDNS Established 1885 in Melbourne NGO Royal District Nursing Service Community healthcare and support Full range of home nursing and support services Delivery of certified and customised education and training Full range of seniors living consultancy services Supported by own Research Institute Fully accredited by Australian Council on Healthcare Standards Wholly owned subsidiaries in New Zealand, Hong Kong and China
About RDNS
About RDNS AUSTRALIA Melbourne Sydney Brisbane Adelaide Hobart Perth Wollongong Townsville, Hobart, Davenport Port Macquarie NEW ZEALAND Auckland Dunedin Invercargill CHINA Nanjing
Health Workforce Project 2010 o Remote vital signs monitoring via TeleMedcare and Telephone BEIP Medicines Management VC Project o Remote Medicines Management via Intel Health Guide (VC), supported by Healthe Tech, Care Innovations, Telstra, high speed broadband Integrated Home Telehealth Project (Vic, Tas, NSW) o Remote Nurse care, GP and Care Team via Samsung tablet, supported by Tunstall (VC, vital signs) & Healthe Tech, Telstra, ipad, Tactio and cdmnet electronic care record. 3G/4G, ADSL2+, NBN FTTH, NBN Fixed wireless National Helpline inbound video calls o Linking in-bound callers to nurses via web-based VC, WebRTC, Attend Anywhere
Integrated Home Telehealth project Department of Health (Clth.) $3.3.M funded Telehealth Pilots Programme Collaboration with Precedence Health Care and project partners o o Telstra, Healthe Tech/Tunstall, University of Melbourne, Monash University, Cisco, CSIRO 200+ clients in four (4) distinct groups Clients in Victoria, Tasmania and NSW Chronic disease management focus Integrated care team comprising GP, home nurse, virtual nurse and other care team members GP Home Care Services cdmnet Collabora ve Care Management Shared Health Record Orchestra on of Telehealth Services Na onal Infrastructure and PCEHR NBN Older Australian Care team Telehealth Services (video, remote monitoring) Carers & Family Data Video
Integrated Home Telehealth project Four client cohorts 1. Remote monitoring and video support utilising a fully featured solution moderated by RDNS nurse 2. Remote vital sign monitoring and video solution using a lighter solution moderated by RDNS nurse 3. Patient records own data on cdmnet reviewed by GP 4. CSIRO Smarter Safer Homes
Integrated Home Telehealth project Project Status: Evaluation stage
Medicines Management Video Project (BEIP)
User perspective: Video medicines management... Average User (Client) Age: 77 Helped me to manage my medicines Helped me to live independently Was more convenient than home visits Made me feel more confident about taking medicines correctly Pre BEIP Survey How confident are you about using technology such as PCs? Post BEIP Survey I enjoyed using the videoconference unit? 80.7%
Cost benefit analysis Project identified cost saving in terms of nurse visit time, nurse travel time and fleet costs Offsetting additional costs included on-boarding and support, connectivity costs, IT support costs and decommissioning costs The analysis has helped define a technology hurdle cost This will inform selection of longer term solutions Conclusion = a sustainable model of care
Conclusion (Australian Institute for Primary Care and Ageing BEIP Evaluation Report) (the) Project demonstrated that medication management by videoconferencing can be an acceptable and effective model of care for appropriate clients
Pilots have been valuable lessons Practice: Provided learning and experience Necessitated the development and refinement of clinical governance processes for Telehealth Provided insights into acceptance of Telehealth by clients and staff
Pilots have been valuable Lessons (cont d) Technology: Enhanced our understanding of Telehealth staff skills (service delivery & technology/troubleshooting) Appreciation of the pros and cons of using particular equipment and connectivity Tested our contact centre and technical capability Informed our thinking about the future sustainability of Telehealth Identified the support model required to effectively deploy Telehealth solutions as BAU
Embedding Telehealth successfully: There is NO silver bullet No one solution fits all KISS Preach to all stakeholders: technology is only an enabler Focus on clinical / health outcomes; the technology solution(s) become apparent Research, pilot/test/trial, persevere and stay the course!
Embedding Telehealth successfully For Telehealth to be successful; 2 key aspects: Must facilitate suitable health outcomes, & Must be cost effective.
Where to from here? Meeting the challenge Telehealth as an enabler Embedded capability (within organisational Enterprise Architecture), not bolt-on Enhancing accessibility Creating a platform, not service silos
The then RDNS Nursing Staff, Melbourne. Almost 130 years in the business of providing home nursing care
RDNS Nursing Staff, circa1950 452 St.Kilda Road Headquarters, Melbourne
... and the now. Almost 130 years in the business of providing home nursing care
Mat Tyler M 0450 996 641 E mtyler@rdns.com.au