s205 – day 1 – 1045 – using technology to improve access to services, teleheath examples of...

Rebecca Malin

Deputy Director of Strategy and Business Development

Airedale NHS Foundation Trust

Telehealth, e health,digital health…..

Telecare

Telemonitoring

Teleconsultation

Teleconsultation at Airedale

8 year journey Initially prison healthcare Today work with prisons

across England ~ 800 cases/year Wide range of specialties Have extended services……

Applications

Telehealth Hub 24/7 working Experienced nurses 2nd tier - physician Range of technologies Shared EHR Resilient infrastructure Opened September 2011

Nursing & Residential Care homes

n=96 live today deploying to 190 Cumbria to Kent

Case studies• Chronic chest disease patient at

their own home – “frequent flyer”

• Care home resident – fall

• COPD patient – acutely ill

0

100

200

300

400

500

600

700Acute Admissions 1Year Prior toDeployment ofTelemedicine

Acute Admissions 1Year PostDeployment ofTelemedicine

Care Homes - summary

-35%

Care Homes continued

0

200

400

600

800

1000A&E Attendances 1Year Prior toDeployment ofTelemedicine

A&E Attendances 1Year PostDeployment ofTelemedicine

0

2000

4000

6000

8000

10000Acute Beds Days 1Year Prior toDeployment ofTelemedicine

Acute Beds Days 1Year Post toDeployment ofTelemedicine

-53%

-59%

Call outcomes

Results: 24 hr teleconsults to 26 patients with COPD (at home) – 1 year pre/post

Video system displays via home TVPatients measure their Oxygen / Peak FlowTypically have “rescue” meds at home

-45%

Nurse led triage is the norm

Feedback… “A very good service. It made me confident within my job so

I could do the best I can for our residents. This service taken the pressure off us as we have access quickly to a

health professional.”

“The Doctor was fantastic when one of our dementia patients fell and hurt herself. I would have called an ambulance and she

would have endured an A&E visit which would have terrified her. Your consultant saved her from

this and reassured me that the cut was superficial and she was fine…”

“ The Telehealth Hub came into its own last winter when snow and ice brought traffic to a halt. My Husband’s condition deteriorated suddenly and having visual, instant contact with the team was very reassuring. A wonderful

service.

“I have only one word to describe Telehealth –

excellent.”

Steps on our journey• Scale up our teleconsultation work

• “Outward facing” consultant role and job plans

• Transform out patients

• Understand resulting financial flows

• Cross organisation working ensure

We are transforming healthcare for these

guys… So “design for tomorrow, not today”