Transcript of "Healthy happy and at home national broadband network enabled medicine management for older adults living independently"
Healthy, Happy and at Home:National Broadband Network-enabledmedicine management for older adults livingindependentlyBroadband Enabled Innovation Project (BEIP)Carol TowersMat Tyler
BackgroundAimsThe BEIP ProcessCollaboratorsParticipantsClient CriteriaEvaluationProgress to DateWhat is BEIP?
WHO estimates:• Non compliance in prescribed medicines• approx 50% patients in developed countries (Sabate et al, June 2001)Australian Government (March 2010) estimates:• Ageing Population• Population Growth• Chronic Disease• Increasing healthcare costs• Workforce shortagesBackground
• Trial an alternate service delivery model• Happy, Health and at Home• Compare costs/savings of video conference vs. homevisits to clients for medication management to maximiseworkforce resourcesAims
• Remotely monitor clients• Intel® Health Guide• Utilise National Broadband NetworkThe BEIP Process
• State Govt (Dept. of Business & Innovation)• RDNS (Lead Organisation)• Healthe Tech (Intel® Health Guide)• Telstra (High speed broadband connectivity)• La Trobe University (Evaluation)Collaborators
RDNS sites:HeidelbergDiamond ValleyCustomer Service Centre:HartwellCohort: 50 clients living at homeParticipants
MMSE assessment - recall and orientation.Client has ability to:• recall how to turn on and use the videoconferencingunit• recall the location of their pharmacy-filled DoseAdministration Aid (DAA)• be oriented with respect to dates, time of day andthe recurrence of daily contactClient Inclusion Criteria
• HACC eligible• Client receiving assistance with medicine prompting• Requiring a minimum of one (1) nursing visit per day• Ability to understand and read English• Demonstrated ability to utilise pharmacy-filled DAAClient Inclusion Criteria
Data will be used to evaluate:• Individual Client & Carer Benefits• Social Benefits• Economic BenefitQuantitative Data:• Camillus• Call Agent• Back Office systems: Finance, Fleet managementand Incident Reporting SystemsEvaluation (LaTrobe University)
Human Research Ethics Committee approvalMarch 2012Information Sessions• Heidelberg & Diamond Valley Site staff• Customer Service Centre staffProgress to date
Processes & Procedures• Client Side• Customer Service Centre (CSC)• Information TechnologyProgress to date
2.Client answers callUnable to take medicinesAssess client’s general healthExplore reasons for not being ableto take medsCSC :Checks client appt timeReviews client info –care plan, meds chartCONTACTS CLIENT1.Client answers call CSC observeclient:general appearanceresponsestaking meds from DAAClient does notanswer call3.Client does not answercalls X 3.Remind Client/Carer of nextscheduled callConclude callUnable to take medicinesCheck care plan for specificinstructionsCall clientstelephonenumberreschedule call in30 minsMaximum 2 recalls4.contact NOKComplete visit/notesin Camillus/Call AgentCheck schedule forplanned next contactNOK will attendcareClient admittedto hospitalUnable tocontact carerContact siteClient respondsReturn to point 1.Home visitClientdischarged/onholdIssue resolved,return to point 1.Issue unresolvedmove to point 4.Client answers,organise to contactclient via videoconference callReturn to Point 1Noanswer
16th April 2012Project Launch – 16th April 2012