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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
 ~ 8...
Applications
Telehealth Hub
 24/7 working
 Experienced nurses
 2nd tier - physician
 Range of technologies
 Shared EHR
 Resilient...
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 patie...
0
100
200
300
400
500
600
700
Acute Admissions 1
Year Prior to
Deployment of
Telemedicine
Acute Admissions 1
Year Post
Dep...
Care Homes continued
0
200
400
600
800
1000
A&E Attendances 1
Year Prior to
Deployment of
Telemedicine
A&E Attendances 1
Y...
Call outcomes
Results: 24 hr teleconsults to 26 patients with
COPD (at home) – 1 year pre/post
Video system displays via home TV
Patient...
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 se...
Steps on our journey
• Scale up our teleconsultation work
• “Outward facing” consultant role
and job plans
• Transform out...
We are transforming
healthcare for these
guys… So “design for
tomorrow, not today”
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S205 – Day 1 – 1045 – Using technology to improve access to services, teleheath examples of widening care

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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

#Expo14NHS

Published in: Health & Medicine
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  • 75 patient own homes95 care homes – rolling out to a further 110EOL
  • In addition to these figures, 60% drop in A&E attendances
  • Transcript of "S205 – Day 1 – 1045 – Using technology to improve access to services, teleheath examples of widening care"

    1. 1. Rebecca Malin Deputy Director of Strategy and Business Development Airedale NHS Foundation Trust
    2. 2. Telehealth, e health, digital health….. Telecare Telemonitoring Teleconsultation
    3. 3. 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……
    4. 4. Applications
    5. 5. Telehealth Hub  24/7 working  Experienced nurses  2nd tier - physician  Range of technologies  Shared EHR  Resilient infrastructure  Opened September 2011
    6. 6. Nursing & Residential Care homes  n=96 live today  deploying to 190  Cumbria to Kent
    7. 7. Case studies • Chronic chest disease patient at their own home – “frequent flyer” • Care home resident – fall • COPD patient – acutely ill
    8. 8. 0 100 200 300 400 500 600 700 Acute Admissions 1 Year Prior to Deployment of Telemedicine Acute Admissions 1 Year Post Deployment of Telemedicine Care Homes - summary -35%
    9. 9. Care Homes continued 0 200 400 600 800 1000 A&E Attendances 1 Year Prior to Deployment of Telemedicine A&E Attendances 1 Year Post Deployment of Telemedicine 0 2000 4000 6000 8000 10000 Acute Beds Days 1 Year Prior to Deployment of Telemedicine Acute Beds Days 1 Year Post to Deployment of Telemedicine -53% -59%
    10. 10. Call outcomes
    11. 11. Results: 24 hr teleconsults to 26 patients with COPD (at home) – 1 year pre/post Video system displays via home TV Patients measure their Oxygen / Peak Flow Typically have “rescue” meds at home -45%
    12. 12. Nurse led triage is the norm
    13. 13. 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.”
    14. 14. 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
    15. 15. We are transforming healthcare for these guys… So “design for tomorrow, not today”
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