Lessons from The Kings Fund for St Johns


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Presented by William Hughes
National Telecare and Home Health Manager, St Johns

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Lessons from The Kings Fund for St Johns

  1. 1. HINZ Conference 2013 – Telemonitoring Workshop William Hughes – National Telecare and Home Health Manager
  2. 2. Contents • The Kings Fund – Third Annual International Congress on Telecare and Telehealth • Some observations and key take outs from Europe Telemonitoring experience • St John • Development of Telehealth/Telemonitoring Services • Key Technology Partnership
  3. 3. 3rd Annual Congress on Telehealth and Telecare
  4. 4. The Evidence • Multiple Telehealth service models presented across various chronic conditions and patient groups with variable outcomes though all with common benefit themes; – Lower admissions – Reduction in bed days – Lower mortality rates – Greater patient confidence – Economic benefits
  5. 5. Evidence alone is not enough – common barriers to adoption • Leadership -Perceived lack of leadership at policy level • Organisational - Front line/clinical staff resistance to change. • Behavioral - Challenging traditional roles in health care • Financial - Concerns from decision makers and funders
  6. 6. Tips for Success • “…a telehealth solution involves people,… its not a technology, its actually about the technology ingrained within a service, it's the service that is key, …. An integrated package that integrates telehealth into the care pathway, that is perhaps the way that change will take place…” – Professor Stanton Newman • Organisation and workflow optimisation • Patient Stratification • Efficacy and efficiency • Improving patient engagement • True Collaboration
  7. 7. A success story • NHS 24 • Strategy focus • Many channel's leveraging ubiquitous technologies • Moved from strategy to National delivery plan • Key to success in service redesign, ICT as enabler • Self management to co production • Collaboration is Key
  8. 8. Key Take Outs • Compelling evidence base • Service redesign enabled by technology • Evidence alone is no guarantee • Common adoption barriers to overcome • Collaboration is key
  9. 9. St John Telemonitoring • Organisational Transformation • Innovative initiatives • Improving patient care and outcomes • Integration with health sector • Invested in development of Telehealth services
  10. 10. PERS Sensor Wristband Continuously measures: - Heart Rate - Activity including Fall Detection - Skin Temperature
  11. 11. Gateway - Provides PERS monitoring in real-time - Sends biometric data to the Vigil Biometric Network (VBN) in the ‘cloud’ - Full device management and diagnostics for both sensor wristbands and Gateways
  12. 12. Gateway - Supports most standard short range communication standards - Interoperable with 3rd party devices
  13. 13. Portable Applications - Scope to provide remote solutions via Internet, Smartphone & Tablet Apps - Sensor Wristband also includes Bluetooth 4.0, supported by most mobile devices - Portable solutions will automatically sync to the VBN.
  14. 14. Vigil Biometric Network (VBN) - Cloud based telemedicine solution Biometric analysis and alerts platform Configurable telemedicine solutions and user interfaces Supports 3rd party sensor device data Automatic data and EHR syncronisation with data encryption
  15. 15. Vigil Biometric Network (VBN) - Supports PERS applications with real-time biometric alerts on the Gateway St John PERS proof of performance trial Q1 2014 Numerous possibilities for telemedicine solutions St John and Vigil currently scoping telemedicine opportunities
  16. 16. Thank you for your time