Call&Check sphilosophy To support our elders to stay in their own homes for as long as possible is good for our communities, makes economic sense and most of all it s where most elders want to be.
The Postal Outlook/ The Potential Solution Letter mail saw 27% decline in last 5 years Can our postal workers do more than letters? Can their community knowledge be maximized?
The Population Outlook Numbers of over 65year old s To double over the next 35 years The estimated annual cost of basic bed and meals in residential care homes = 26,000 The estimated annual cost of above plus nursing in nursing care homes = 63,000 The estimated cost of an overnight stay in hospital is approximately 500 per night.
Could there be a way forward by: Using the infrastructure of the last service provider (postal) that has the ability to visit every house, every day, if required. Support an ageing population to stay in their own homes for as long as possible.
Call&Check Starts 2013
The Call & Check Service Agreed number of calls per week. Quick conversation per visit on agreed topics. Personalised questions asked each visit and relevant issues reported and acted upon. For a wide range of vulnerable individuals. It is not a medical visit The Postal Worker is not a care provider. We are not carers, but we care.
How it works Users must register. Simple form to complete. Outlines needs and visits required. Postal worker visits as part of their normal round. Information taken at each visit (5 questions/information) Details of visit are recorded and any relevant requests managed by support team.
The Five Questions 1. Taken your medication? Are you OK for medication? 2. Appointments Reminder event reminders. 3. How are you today? 4. Any messages for your medical people? 5. Social needs? Start & finish visit time of C&C logged for each client.
The Status quo Challenges we faced Our staff change and evolution The States of Jersey politicians and government Medical and health care professionals Charities and Community Sector Residents and carers
Some of what have learned? The Postal Service can deliver the service and evolve Clients loved the service C&C supports client s carers. Scalable Health, Voluntary Sector & Call&Check need to work in a coordinated way Outcomes reporting is a key module of Call&Check s Digital Engine Call&Check is a preventative service Sharing learning across multiple jurisdictions benefits everyone.
Customer feedback It makes me feel so much better knowing that I get my postie s friendly call to check on me three times a week. Amy (82 years living alone) I am an independent person but I look forward to my Call & Check. Derek (90 years living alone) Knowing my mum gets checked on every day during the week takes some of the pressure off my wife and I, and gives us additional peace of mind. Mike (son whose mother lives alone) Thank you for Call & Check and sorting out for my shopping to be delivered to my home, it makes life a lot easier Alice (lives alone) The Call & Check service gives my mother and I a real feeling of reassurance knowing a regular check is being made. Danielle (daughter whose mother lives alone)
Next Steps.
Call&Check Engine has been designed with connectivity to various postal/health & social systems
Call&Check Engine
The Call&Check to Posties Handhelds Hand Held device
The Call&Check Engine contains a suite of Outcome Based Accountability reports. These will provide detailed measurements of the effectiveness of the service from a patient experience aspect; and also will provide measures of savings to healthcare budgets which will help fund and operate the services in the future. Outcome Objectives: Personal Quality of Life Outcome Objectives: Clinical Metrics Outcome Objectives: Cost effectiveness and financial savings for health service.
Telehealth Monitoring LTC s Respiratory, Cardiac, Diabetes, etc Mental Health Video conferencing Text and Video Messages Ensures contact is maintained Educational videos Self Help Educational content Care Homes = 60-70% reduction in admissions 18
Summary A Triple Win Call & Check Helps Government/Insurers with costs Adds Social Value and protects USO Helps individuals and society
Call & Check should be seen as a scalable support/delivery service that combines empathy and digital technology to help elders and others living within our communities.
Call&Check 2018
And finally: in action. http://www.bbc.co.uk/news/av/magazine-39531395/smallisland-s-postal-service-takes-on-a-global-problem