Using ICT to Improve Aged Care

HEALTHCARE NEW ZEALAND How Healthcare of New Zealand is taking advantage of computing and communications technology to improve its delivery of services 2 Introduction • …a range of innovative systems and services has become available to assist care providers to look after patients in their communities • How Healthcare of New Zealand is taking advantage of computing and communications technology to improve its delivery of services

HEALTHCARE NEW ZEALAND 3 Outline • About Healthcare of New Zealand Ltd • Client Management Systems (CMS) • Digital Pen Project • Wound Laser Device • Assessments • Mobile Workforce • Challenges for Healthcare • The Future • Conclusion 4 About Healthcare of New Zealand Ltd

HEALTHCARE NEW ZEALAND 5 Workforce Comparison • Wairarapa DHB – 350 – http://www.wairarapa.dhb.org.nz/wdhb/aboutwdhb/faqs.asp • Mid Central DHB - 2,100 (FTE) – http://www.midcentral.co.nz/MDHB/MDHB-Info.htm • Capital & Coast DHB – 3,500 – From 2006 Annual Report • NZ Army – 4,583 – http://www.nzdf.mil.nz/at-a-glance/personnel-composition.htm • Healthcare of New Zealand – 6,000 6 Healthcare of NZ Ltd

HEALTHCARE NEW ZEALAND 7 Healthcare of NZ Ltd • Community Services; – 5,000 support workers – 16 - 18,000 clients each month • NZCare Group; – 700 support workers – 530 clients in 90 community homes / 8 facilities • Wellcare Education • Freedom Medical Alarms • Management / Admin / Support – 400 staff 8 Healthcare of NZ Ltd 400 ICT Users in 50 Locations • Between Auckland and Invercargill: – Ranging from the Christchurch office with 90 users – To the Wairoa satellite office with 1 part time user • Business Improvement & Support Team = 5.5 FTE: – 1.0 ICT Manager – 1.0 ICT Support – 2.75 Client Management System (CMS) Support – 0.75 Business Analyst

HEALTHCARE NEW ZEALAND 9 Improving Delivery • So, how is Healthcare of New Zealand taking advantage of computing and communications technology to improve its delivery of services? 10 Information Systems • Effective use of information systems to enable better care management • More informed decision making • Flexible systems to cater for differing demands • Entered once; through to payroll and invoicing • Linkages to other technology enablers…

HEALTHCARE NEW ZEALAND 11 GoldCare - Client Management System Modules include; • Enhanced Community Support – Home Care • Health Care Records – Nursing • Assessment Information Manager (AIM) – Assessment • Care Anywhere – Off Network • Enterprise Web Services Manager – Web Access • Mobile PDA – Access via Mobile Phone • Telephony – Support Worker Timesheeting 12 Digital Pen Project Any sufficiently advanced technology is indistinguishable from magic. ~Arthur C. Clarke

HEALTHCARE NEW ZEALAND 13 Project objectives 1. Demonstrate improved clinical health outcomes 2. Demonstrate improved productivity 3. Demonstrate the feasibility of the solution 4. Understand user acceptability 5. Understand the economics for development of a business case 14 Practical Issues • 70 Nursing staff operating out of the Christchurch office leading to: • Issues with facilities; – space – parking – availability of PC’s • Poor utilisation of resources; – duplication of work – unnecessary travelling time

HEALTHCARE NEW ZEALAND 15 Digital Pen Project • Pilot with 6 nurses / one form • Issued RFP to 3 Digital Pen providers • Selected Destiny Wireless (Australia) • Partnership with Vodafone • Designed initial form / XML outputs • Created GoldCare CMS interface • Pilot ran from 4 Dec 06 to 23 Feb 07 16 Digital Pen Technology

HEALTHCARE NEW ZEALAND 17 Client Visit Record 18 Benefits • Reduced duplication in home clinical record (96%) • Less time documenting at office (100%) • No need to return to base • Improved work satisfaction (87%%) • Information available immediately in GoldCare (CMS) • Instant e-mailing of data to GP’s and other parties • Contract compliance; we leave a copy in the client’s home • Reduction in costs • Allowing Nurses to nurse and administrators to administer

HEALTHCARE NEW ZEALAND 19 Wound Laser Device 20 Wound Laser Device • Special Project out of our Christchurch Office – Laser technology – Accurate and quick recording of ulcers and other dermatological conditions – Measures area and depth www.aranz.com/#medical – Compare healing process over time

HEALTHCARE NEW ZEALAND 21 Wound Laser Device • The scanner consists of a device containing two lasers and a camera. This palm-sized scanner interfaces to a PDA. • Software calculates the surface area and depth profile of the ulcer / wound. • Documentation is organized into a patient file containing clinical photos, graphs showing changes in ulcer surface area and depth over time, together with clinical notes. • Comprehensive reports can be generated from the data stored on the PDA. 22 Assessments • GoldCare • Assessments: – ACC SRA – InterRAI – Target etc • Technology: – Notebook on/offline – PDA – Paper (digital?)

HEALTHCARE NEW ZEALAND 23 Mobile Workforce Computing on the job? 24 Mobile Workforce • Access to Client Management Systems: – Change appointments – View Client Information – Timesheet Information • Access to e-mail • Out of Hours service • Technologies: – Mobile PDA (GoldCare) – Notebook on/offline

HEALTHCARE NEW ZEALAND 25 Mobile Workforce Support worker monitoring / timesheeting: • Fixed line phone with PIN • Mobile phone with Voice Recognition • Mobile phone with bar code reader • Mobile phone with RFID • Mobile with Digital Pen / paper • Implanted chip for GPS tracking ONLY JOKING!! 26 Challenges for Healthcare Aging population with Chronic Diseases • “In developed countries, the epidemiological shift in disease burden from acute to chronic diseases over the past 50 years has rendered acute care models of health service delivery inadequate to address the health needs of the population.” » Adherence to Long-Term Therapies – Evidence for Action World Health Organisation, 2003, ISBN 92 4 154599 2 • People over 65 make up around 16% of the population but this group: – Account for 43% of NHS Budget (2003/04) – Occupy 65% of acute hospital beds » A Recipe for Care - Not a single Ingredient UK DoH http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_065224

HEALTHCARE NEW ZEALAND 27 Challenges for Healthcare Workforce issues – What workforce? • “The New Zealand Institute of Economic Research predicts that by 2011 the compounding affect of the aging population will mean that the demand for health care workers will outstrip the number of workers available.” – Taranaki DHB - District Annual Plan 2006-2007 28 Telecare / Telehealth • Various flavours – Alarms to remote monitoring of vital signs & (much) more • Tried and tested – It works! • Proven benefits • Savings $$$ • Reduction in demand for (skilled?) Workforce

HEALTHCARE NEW ZEALAND 29 Information Requirements • Multiple demands – Professionals – Patients – Families • Channels? • Joined up? 30 Digital TV NHS Direct Interactive – Freeview Ch108 • FAQ’s, Hot Topics, Healthy Living, Guide to the NHS, Advice on; diabetes, diet, asthma etc • Includes photo’s, illustrations and video clips

HEALTHCARE NEW ZEALAND 31 Conclusion • We are improving the delivery of services with smart use of technology • Technology enables more efficiencies – we are a commercial entity so it has to! • Healthcare of New Zealand is able to offer better / more flexible range of services using technology as the facilitator • We are looking to the future in order to reduce demand for scarce resources while maintaining effective face to face delivery (where required) 32 Final Thought • Computers let you make more mistakes faster then any invention in human history with the possible exception of hand guns and tequila - Mitch Ratcliffe

HEALTHCARE NEW ZEALAND 33 Any Questions? 34 Contact Mike Keyworth Manager, Business Improvement Healthcare of New Zealand Ltd phone: 04 802 0934 email: mike.keyworth@healthcarenz.co.nz website: www.healthcarenz.co.nz

HEALTHCARE NEW ZEALAND 35 Destiny Form Log-in http://www.destinyaustralia.com.au:8094/hcnz/login.aspx?ReturnUrl=%2fhcnz%2fDefault.aspx

Using ICT to Improve Aged Care

by Health Informatics New Zealand on Apr 03, 2010

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Using ICT to Improve Aged Care — Document Transcript