Telehealth Putting the patient at the heart of the journey
Why telehealth? 1 Telehealth is the remote monitoring of a patient s vital signs and symptoms in their own home proven to enhance the quality of life and clinical outcomes for people with long-term conditions. It also helps people understand and manage their health, enabling them to stay out of hospital and enjoy life with their family and friends. The Department of Health s Whole Systems Demonstrator (WSD) programme evaluated the use of telecare and telehealth in supporting people with long-term health and care needs to live independently. The two year research project covered 6,000 patients in the largest randomised control study of its kind in the world. Results show the following benefits: 45% reduction in mortality rates Clinical and patient benefits COVER Encourages self-management Enables early identification of exacerbations Aids medication compliance Identifies trends over time to aid proactive care planning Helps clinicians make more informed medication management decisions Supports efficient caseload management Can aid prioritisation of GP workload 20% reduction in emergency admissions 15% reduction in A&E visits 14% reduction in elective admissions 14% reduction in bed days 8% reduction in tariff costs* 45% reduction in mortality rates *Steventon, A. et al., Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial, British Medical Journal, 2012; 344:e3874, June 2012
Leading the way 2 Tunstall has been delivering pioneering telehealthcare solutions for more than 50 years, and remains at the forefront of transforming health and care services. Our extensive worldwide experience has helped us define the essential ingredients for a successful telehealth service: Integration the key to efficiency Stakeholder engagement crucial from the very start Large-scale, mainstream implementation maximises the benefits Tunstall LifeCare TM is our fully managed service, providing telehealthcare at scale, and is supported by a team of experienced clinicians, dedicated to providing expert guidance on effective ways of embedding telehealth into culture and practice, supporting the process of engagement, deployment and governance and creating a system with the patient at its heart. The use of telecare and telehealth can be transformational in enabling independence to achieve reduced cost and improve quality of life. Norman Lamb, Minister of State for Care Services, September 2012 1. Analysis Identify people who would benefit from a telehealthcare solution 2. Referral Create awareness and establish a referral process 3. Profiling Understand individual care and support needs in the home 8. Review Service user s needs regularly reviewed and cost/benefits analysed 7. Response Appropriate response protocols established 6. Maintenance Regular remote/onsite testing of equipment 4. Installation Install the equipment and provide training to user and carers 5. Monitoring Monitoring provided 24 hours a day by response centre
The heart of the matter 3 Tunstall s telehealth solution is built around the needs of the patient. The telehealth monitor guides patients through a series of vital signs measurements and health related questions, using its clear text display and audio announcements in the selected language. The information is automatically sent to the icp triagemanager for technical and clinical triage. If results are outside of parameters set for that individual, their clinician can be alerted. Clinician alerted if appropriate How telehealth works Monitoring devices mylife patient portal myclinic ii mymedic Technical and clinical triage Vital signs and interview answers NHS N3 Network Secure data transfer
Vital signs 4 A number of medical grade peripheral devices, such as a blood pressure monitor, thermometer and pulse oximeter, are available to help people measure their vital signs. Telehealth monitors Telehealth peripherals mymedic or myclinic mymedic myclinic Blood Pressure Monitor Pulse Oximeter Thermometer Weighing Scales Peakflow Monitor/ Spirometer 1 lead ECG Blood Glucose Meter Coagulation Meter Intelligent Health Interview COPD Chronic Obstructive Pulmonary Disease package COPD+ Designed for people with more severe COPD COPD ADVANCED Severe COPD requiring breathing monitoring CHF Chronic Heart Failure package CHF+ CHF with Atrial Fibrillation CDM CDM (Chronic Disease Management) package DIABETES *mymedic is compatible with a range of glucometers (not supplied) COAGULATION Designed for patients on Anti Coagulation therapy *
myclinic TM 5 mymedic Ideal for people living at home, the mymedic unit prompts the user, at a set time each day, to begin taking their vital signs. It s easy to use, unobtrusive and reassuring. It also helps demonstrate the relationship between the person s behaviour and their health, enabling them to manage their condition more effectively. Key features: Tailored vital signs and health questions are configured to the patient s individual needs TM Accessible large colour display, large soft-touch buttons and multi-language audio announcements via clear loudspeaker Multiple inputs Bluetooth, serial cable and infrared Secure all data is N3 hosted Our multi-user telehealth system enables multiple patients to use the same telehealth equipment in a communal location. Each user can access their individual monitoring plans securely with patient ID cards and PIN entry. They can then answer their own personal on-screen health questions and take their vital signs readings. Key features: Reliable medical grade PC with GPRS link Flexible manual data entry option enabling readings from other devices to be entered onto the system Secure all data is N3 hosted and patient ID cards use NHS / CHI / H&C numbers and PIN entry Easy to use patient and supervisor modes, 17 screen displaying clear text and on-screen buttons Telehealth improves the patient s understanding of their condition which in turn increases their confidence and empowers them to manage their own health with the support of their health and care team.
icp triagemanager TM 6 Our innovative software platform processes readings received from mymedic and myclinic monitors. Should readings exceed the individual parameters set for the patient, the system will prioritise them on the triage screen, using colour-coding relating to the level of risk. A clinician can then be contacted according to local protocol. Clinicians can also access data remotely at any time, enabling them to make better informed decisions. Telehealth keeps people where they want to be, and that s at home with their family. Patients are reassured by the regular monitoring, which helps keep them calm and reduces the risks of exacerbation and of hospital admission. Key features: CE marked and quality assured complies with European Medical Devices Directive, and was developed under ISO 13485 quality system Integrated enables multiple stakeholders to share real-time information in order to deliver cohesive health and social care Scalable supports the delivery of small-scale telehealth pilots to large-scale mainstream implementations Auditable provides full audit trail and management reporting Flexible bespoke clinical reporting and trend graphs easily produced Effective task management functionality, plus dashboard and colour coding makes data easy to view and prioritises care delivery Dr Richard Berkley, GP NHS South Gloucestershire
7 97% of patients would recommend telehealth* mylife patient portal *NHS North Yorkshire and York patient survey 2012 Being able to see how their personal behaviour is affecting their vital signs has been proven to help patients manage long-term conditions much more effectively. The mylife patient portal gives patients and their families online access to the data submitted via their mymedic units. They can review their latest readings, check progress against their monitoring plan, manage their calendars, receive messages from their service provider and access information related to their condition. Patients can also share their information with selected people, such as family and carers. Key features: Secure accessed using username, password and 5-digit PIN Easy to use information is presented in simple graphs and easy to follow text. Users can access user manuals and instructional videos related to telehealth Informative users can view trends in readings over time
Telehealth has been a great benefit to me. It helps me manage my condition on a daily basis, whereas before if I became unwell I would wait another day to see if my condition improved. Sadly it never did, and I would end up in hospital for long periods of time. I now know when I m becoming unwell and it s acted on immediately. Harry, 68, telehealth patient
The need to make significant changes to the health and social care systems is urgent and undeniable. Continuing to deliver services in the same way is simply unsustainable and as in so many areas of modern life, technology provides part of the answer. Tunstall has a long and successful track record in telehealthcare. We ve delivered some of the UK s largest telehealth mainstreamed services, including those in North Yorkshire, Gloucestershire, Cornwall and Northern Ireland. Our solutions have transformed the experience of hundreds of professionals and empowered thousands of patients. As a British manufacturer operating worldwide, we re passionate about sharing our experience and expertise with organisations around the globe, making a real and positive difference to people s lives, every day. t: 01977 660479 e: marketing@tunstall.com w: tunstall.com 70% of the health and social care budget in England goes on treating people with long-term conditions. 2012 Tunstall Group Ltd. TUNSTALL is a registered trademark. mymedic, myclinic, icp triagemanager and LifeCare are trademarks of Tunstall Healthcare Group.