s205 – day 1 – 1045 – using technology to improve access to services, teleheath examples of...
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Health and Care Innovation Expo 2014, Pop-up University S205 – Day 1 – 1045 – Using technology to improve access to services, teleheath examples of widening care David Davis Richard Bray Rebecca Malin #Expo14NHSTRANSCRIPT
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”