workforce development for social care & healthcare staff arising out of telehealth - dr malcolm...
TRANSCRIPT
Carer+ Final Conference:Smart Homecare – Investing
in Skills & Service DeliveryMarch 2015 - Brussels
Workforce Development for
Social Care & Healthcare Staff
Arising out of Telehealth
Dr Malcolm J [email protected]
k
Acknowledgement
Colleagues within the European Innovation Partnership in
Active and Healthy Ageing (EIP AHA)
• B3 Action Group on Integrated Care• Working Group AA3 on Workforce Development
www.homecaredirect.co.uk
Health and Social Care Context (1)• Context of technological change
• Access to information and knowledge (for all)
• ‘Integrated’ ways of thinking and doing (health, social care and
more)• Devaluation in the meaning of
‘care’• Greater emphasis on self-management• Staff shortages
and undervalued staff• Economic and Moral
imperatives to change ways of‘caring’
Health and Social Care Context (2)• Attention needed to the skills,
knowledge and competence of staff
• Questions regarding the health literacy and digital skills of carers
• Stronger focus on ‘well-being’
www.carers.org
What is Telehealth (1)?
Telehealth is …the means by whichtechnologies and related servicesconcerned with health andwellness are accessed by people orprovided for them, irrespective of their location.
What is Telehealth (2)?Telecare, social and safety alarms
What is Telehealth (3)?Telecare, social and safety alarms
Vital signs monitoring
What is Telehealth (4)?Telecare, social and safety alarms
Vital signs monitoringInteractive TV and virtual visits
What is Telehealth (5)?Telecare, social and safety alarms
Vital signs monitoringInteractive TV and virtual visits
Smart phones and apps
What is Telehealth (6)?
… Empowering people through technologies
…Crossing the health and social care ‘divide’
Telehealth DomainsSome Conditions &
CircumstancesTelehealth Service Domains
Sight or hearing loss
Mobility and dexterity problems
Mental health problems
Chronic kidney, heart or lung conditions
Neurological conditions
Diabetes
Frailty
Dementia
Pregnancy
Learning disabilities
Palliative care
Provision of health information
Health and motivational coaching
Activity, behavioural and lifestyle monitoring
Gait, seizure and falls monitoring
Point of care testing, and support for diagnoses/decision making
Vital signs monitoring
mHealth
Prompting for medication or therapy adherence
Rehabilitation and (re)ablement
Responding to ‘events’
Tele-consultation
15/04/2023
Telehealth Everywhere – for Everyone
Anytime
Home
In school
At college
In work
On the move
What does it mean for Workforce Development?(1) EU-US Workforce Development Group
(2) eHealth Stakeholders Group (eHSG) thro’ DG CNECT (EU)
(3) Carenet Project around ICT competences for care workers and care recipients (EU)(4) Technology to Care initiative (UK)
Initiatives have two main foci …• Integration of systems, etc. for
health and social care data• Integration of front-line
workforces for health and social care… but contribution of social care
to health often under-emphasised
(1) EU-US Workforce Development Work
GroupOrientation towards health informatics …and collaboration between the eHealth and Health IT workforce
Health driven (whither well-being?)Workforce competences being defined
e.g.Managing data collection, reporting
and interpretationUnderstanding legal requirements
Understanding role of EHRsAble to support actions to ensure data
privacyUnderstanding importance of shared
languageAble to interact with patients thro’
telehealth
(2) eHealth Stakeholders Group (eHSG)
thro’ DG CNECTOrientation towards health informatics
…but promoting systems that should
operate across disciplines (including public health)
Focus on eHealth components of required competence … for current workforce (albeit looking to greater
collaboration)Welcome recognition of the need
(a) to consider competences of ‘patients and other citizens’; and
(b) For time and resources to train, guide, assist patients
(3) Carenet Project : Building ICT Competencies in the Long Term
Care Sector Reviewed training of competences for
care workers and care recipientsDigital competences identified for both as
• Technological orientation• Information seeking and management
• Communication, collaboration and participation
• Creation of content and knowledge• Privacy and security
• Informed decision-making and problem-solving PTO
(3) Carenet Project: Building ICT Competencies in the Long Term
Care Sector Other digital competences
for care workers include• Enabling ICT use by others …
e.g. by helping to equip ‘older people to do daily activities like
on-line buying, communicating with others’ etc.
– plus ability to access and use relevant services that
relate to health and well-being.
Technology to Care Initiative (UK)www.technologytocare.org.uk
Developed new knowledge and skill sets for social care workers (+workforce strategy)
… recognition of ‘distinct areas’ that needed to be addressed ‘regardless of
traditional service boundaries’• Confidence in Technology (KS1)
• Rights and values (KS2)• Sourcing Technologies (KS3)
• Assessment and Review (KS4)• Safe Installation, Maintenance and Disposal
(KS5)• Remote or Virtual Monitoring & Response
Systems (KS6)
KS1 Confidence in Technology
• Digital Literacyo Basic ICT tasks – switching, chargingo Using mobile telephones
• Awareness (and Promotion of) of the User Benefits of ICTo The importance and social benefit
of ICT for users and carerso The ways in which ICT
may help people access informationo How people access services and
information relevant to jobs, education, training as well as health and well-being
KS2 Rights and Values
• Privacy and Confidentialityo Potential of technologies to breach people’s right to
privacyo How personal information should be safeguarded
• Using and Sharing Datao Protocols between agencies
• Informed Consento Importance of ensuring that users and carers views are taken into account … and consent obtained with regard to e.g. use of personal data
KS3 Sourcing Technologies
• Range Availableo Understanding of role of such technologies and
related serviceso How they are procured o How people can access them – retail outlets, etc.o How people can learn more about them –
signposting, etc.
• Recognising Limits to Knowledgeo The vastness of AT optionso Knowing limitations of knowledgeo Interoperability of technologieso Recognising key role of specialists
KS4 Assessment and Review
• Undertaking Assessments o Problem solving in family and community contexto Determining risks o Working with other agencieso Telehealth in context of other services
• Supporting Self Assessmento How to assist others
in self-assessingo Options around
procurement of services
KS5 Safe Installation, Maintaining and Disposal• Installation Plus
o Free-standing and fitted deviceso Links to power sources, telephone and Broadband
networkso Safety requirements (including handling)
• Maintenanceo Faults and fault findingo Cleaning / decontamination,
infection control, etc.o Checks / maintenance per
manufacturer guidance, etc.o Removal, storage and recycling
KS6 Remote and Virtual Monitoring and Response Systems• Purpose and Operation of Telehealth Services
o Role and purposeo Operation with other services
• Interpreting Datao Importance of datao Importance of data accuracy
• Making and Handling Calls o Text, voice, videoo Relevance of information receivedo Special care in communication
Conclusion New context demands attention to
workforce developmentRelates to understandings as well as tasks
… for health and social care staffRelates to health and social care integration
Relates to user (patient) empowerment
Relates to personal (health) dataSome European initiatives
indicate necessary scope for such development and the specific
skills, knowledge and competencies required
