New Zealand Telehealth Forum

1. Promoting sustainable
telehealth services ...
a Call to Arms
Telehealth Symposium Workshop
22 Feb 2012

2. Workshop Outline ...
• Terms of
Reference (ToR)
• Current activity
• Action plan &
discussion
2

3. ToR – Why NZTF
We are a clinically focused group seeking
to make a difference by: • Promoting the use of
telehealth as a powerful
enabler of change in
healthcare delivery
• Ensuring that telehealth is
on the agenda for national
& regional strategies, and,
most importantly...
• Instigating, supporting &
participating in trailblazing
telehealth deployments
3

4. ToR - Scope…
Telemedicine
(interactive / store &
eHealth forward)
Telehealth Telemonitoring
mHealth
Telecare
Help Lines
(alarms)
Interactive
Portals
Robotics
Scope for NZ Telehealth Forum
4

5. ToR - Structure
Chair (TBA)
Telehealth Leadership
Group
Advice and “Doing”
Executive (interim)
Strategy, Decision Making,
Commercial
Operations Centre
Secretariat
Communications
Consulting
5

6. Telehealth supports NHITB’s
integrated care initiatives
Telehealth touchpoints & enablers
Patient Vitals
Shared E-events
Care Care Plans
Decision Support
Phase 2 (5 years)
Phase 1 (2 years) Clinical Data
Repository Medicine
Reconciliation
GP2GP Referral
Primary - Secondary
Continuum of Care
Community - Tertiary
National
Discharge Speciality
ePrescribing Systems
Clinical content is needed for effective Telehealth
6

7. Current activity
A broad range across
both islands:
• Established services
• Emerging services
• Pilots
• Randomised control trials
7

8. Telemedicine in NZ – store & forward
Teleradiology
imaging and diagnosis - public
and private, incl. support for rural
centres & out of hours
Teledermoscopy
imaging and diagnosis
• public-private collaboration
(Molemap NZ & Waikato DHB)
for Virtual Lesion Clinics
• private (Molemap)
Source: Molemap NZ
8

9. Telemedicine in NZ – Videoconferencing
MoH & DHBs education and admin meetings
Northland DHB Telerenal clinics - Whangarei to
BoI, Kaitaia and ADHB radiology
Waikato DHB Teledermatology clinics – Hamilton
to Taranaki DHB pts
Canterbury DHB to West Coast Outpatient
clinics - paediatrics, oncology, etc.
West Coast DHB Outpatient clinics Greymouth
to Westport - gen’l surgery, methadone, nutrition,
speech therapy etc
Most activity on the Vivid Solutions Network
(Telepaeds)
9

10. Telemedicine in NZ - Videoconferencing
Mental Health Network
training, meetings, court proceedings
(Waitemata, Northland, South Island)
Source: Polycom Multidisciplinary Meetings (MDMs)
regional cancer networks* and others -
multi-point VCs for case management
involving specialists (radiologists,
pathologists, surgeons, clinical nurse
specialists, physicians)
Mobile Surgical Services (MSS)
mobile operating theatre, virtual
Source: MSS
assistance, rural teaching
*planned for 1-2Q 2012 10

11. Telemonitoring* in NZ
Most trials are for patients with
COPD/CVD:
Completed
• ADHB
Source: One News
• Taupo / Turangi
• St John / Hawkes Bay PHO
In progress
• Univ. of Akld – ASSET (ADHB, Counties,
Tairawhiti / Ngati Porou)
• Eastern Bay of Plenty
* aka “telehealth”
11

12. mHealth in NZ
e.g. University of Auckland • STOMP
Smoking Cessation trials • STUB IT (young people)
12

13. Interactive Portals in NZ
www.depression.org.nz 13

14. Other Telehealth in NZ
Telecare - Medical Alarms
30+ approved providers – St John is the largest
Helplines
Ministry of Health Healthline 24/7 advice (with St John), Quitline, Gambling,
Plunket, et al
Robotics
U of Auckland Trial Selwyn Village – monitoring of falls and medication reminders
Source: St John
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15. Action Plan
• Strategic imperatives
• Priorities
• Workstreams
• Timeline
• Working groups
15

16. Strategic Imperatives
• Position telehealth as an enabler of core
clinical practice strategies
• Leverage the existing evidence base
(and develop more where needed)
• Gain clinical buy-in through education
(at all levels)
• Elevate on regional and national agendas
• Move from pilots and local services to
broad deployments
• Coordinate nationally and regionally, but
encourage local innovation
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17. What are the Forum’s Priorities?
• Support for
– small hospitals and integrated
care centres
– in home monitoring
– better quality videoconferencing
for clinicians and clinical
networks
• Standards for telehealth services
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18. Workstreams
• Operations Centre
including Secretariat,
communications, consulting,
financial sustainability
• Strategic Imperatives
addressing the barriers and
enablers
• Projects
sector strategies, implementations,
evaluations
18

19. Work Programme
Operations Strategic Imperatives Project
Centre Developing the enablers opportunities
• Secretariat (TLG Working Groups • MDMs (in progress)
support) Sector participation • Small hospitals
• Reporting • Standards & Guidelines • Regional strategies
• Comms • Others, tba • Home monitoring
(including website) • Teleradiology
• Teledermatology, etc.
19

20. Working Groups
Standards & guidelines
• Technical standards, e.g.
National Connected Health
• Practice guidelines, e.g.
 Outpatient services via VC
 Home monitoring
• Recommended configurations
Needs to be scoped
Will collaborate with HISO
20

21. Standards – Connected Health
Requirement for VC Standards in Tiers 2 and 3
21

22. Working Groups – what else?
• What is holding us back?
• Policy
• Funding
• Technology
• Clinical attitudes / medico legal
• Reimbursement
• What can we do that will make a
difference?
• How could we structure this? Subject
matter based and / or geographic?
22

23. What’s next?
Survey:
• Ideas and / or
commitment to
participate
• Outcome to be
tabled with TLG
We’ll be in touch!!
23

24. For more information visit:
http://www.ithealthboard.health.nz/content/new-zealand-telehealth-forum
Contact:
Principal Consultant Pat Kerr pat @telehealthnz.co.nz
Interim Chair Malcolm Pollock m.pollock@auckland.ac.nz
Project Co-ordinator Terri Hawke t.hawke@auckland.ac.nz