Whole System Demonstrator & Telehealth in Practice Dave Tyas Service Improvement Manager – Self Care and Long Term Conditi...
The Future ? <ul><li>&quot;Just think of what a world it would be if we could measure the characteristics of your body whe...
<ul><li>In 2008 Cornwall were successful in bidding for Department of Health funding to become one of three demonstrator s...
Evaluation <ul><li>National Evaluation – 12mth study </li></ul><ul><li>We will know to what extent the WSD model of care: ...
<ul><li>Telehealth </li></ul><ul><li>Patients take their own biometric readings (blood pressure, weight temperature, blood...
Evaluation <ul><li>National Evaluation – 12mth study </li></ul><ul><li>We will know to what extent the WSD model of care: ...
Day to Day Life of Patient using Telehealth 2.  The patients “keyworker” (Community Matron or Specialist Nurse) logs on to...
Challenges : Clinical <ul><li>Initial concerns around time </li></ul><ul><li>IT issues </li></ul><ul><li>Impact on patient...
Clinical Experience <ul><li>Impact on capacity </li></ul><ul><li>Supports clinical care and management </li></ul><ul><li>E...
Challenges : Patient It will be too complicated to use I don’t understand what the readings mean  Taking the readings will...
Benefits to Patients <ul><li>Visual impact of seeing biometrics – giving up smoking, losing weight </li></ul><ul><li>Early...
Telehealth in Practice – where are we? <ul><li>Whole System Demonstrator Trial </li></ul><ul><ul><li>780 patients installe...
Questions & Answers
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Dave Tyas- Beyond 2010: SMART Living Panel

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Dave Tyas-Beyond 2010:SMART Living Panel
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  • Time allowed – 3 to 4 minutes Key notes Run through of Eddie’s experience on the trial using feedback provided in the feedback log Run through of Patient feedback - can be categorised under the following: Being able to manage their condition better as they can see their own readings and relate it to how they are feeling. Promoting independence and peace of mind as they their health is being monitored Feeling empowered to help themselves with their condition e.g. by losing weight due to them having weight scales and their weight being monitored A belief that it has contributed to earlier diagnosis and treatment of condition e.g. a pace maker being fitted due to the fact that daily readings from the telehealth equipment pointed to this being a requirement A ‘belief’ that for some it is stopping them from going into hospital Talk briefly about the Newsletter that has gone out which has resulted in further positive feedback from patients – includes information on the programme, tips for patients etc.
  • Time allowed – 3 to 4 minutes Key notes Run through of Eddie’s experience on the trial using feedback provided in the feedback log Run through of Patient feedback - can be categorised under the following: Being able to manage their condition better as they can see their own readings and relate it to how they are feeling. Promoting independence and peace of mind as they their health is being monitored Feeling empowered to help themselves with their condition e.g. by losing weight due to them having weight scales and their weight being monitored A belief that it has contributed to earlier diagnosis and treatment of condition e.g. a pace maker being fitted due to the fact that daily readings from the telehealth equipment pointed to this being a requirement A ‘belief’ that for some it is stopping them from going into hospital Talk briefly about the Newsletter that has gone out which has resulted in further positive feedback from patients – includes information on the programme, tips for patients etc.
  • Time allowed – 3 to 4 minutes Key notes Run through of Eddie’s experience on the trial using feedback provided in the feedback log Run through of Patient feedback - can be categorised under the following: Being able to manage their condition better as they can see their own readings and relate it to how they are feeling. Promoting independence and peace of mind as they their health is being monitored Feeling empowered to help themselves with their condition e.g. by losing weight due to them having weight scales and their weight being monitored A belief that it has contributed to earlier diagnosis and treatment of condition e.g. a pace maker being fitted due to the fact that daily readings from the telehealth equipment pointed to this being a requirement A ‘belief’ that for some it is stopping them from going into hospital Talk briefly about the Newsletter that has gone out which has resulted in further positive feedback from patients – includes information on the programme, tips for patients etc.
  • Time allowed – 3 to 4 minutes Key notes Run through of Eddie’s experience on the trial using feedback provided in the feedback log Run through of Patient feedback - can be categorised under the following: Being able to manage their condition better as they can see their own readings and relate it to how they are feeling. Promoting independence and peace of mind as they their health is being monitored Feeling empowered to help themselves with their condition e.g. by losing weight due to them having weight scales and their weight being monitored A belief that it has contributed to earlier diagnosis and treatment of condition e.g. a pace maker being fitted due to the fact that daily readings from the telehealth equipment pointed to this being a requirement A ‘belief’ that for some it is stopping them from going into hospital Talk briefly about the Newsletter that has gone out which has resulted in further positive feedback from patients – includes information on the programme, tips for patients etc.
  • Dave Tyas- Beyond 2010: SMART Living Panel

    1. 1. Whole System Demonstrator & Telehealth in Practice Dave Tyas Service Improvement Manager – Self Care and Long Term Conditions (Telehealth Lead)
    2. 2. The Future ? <ul><li>&quot;Just think of what a world it would be if we could measure the characteristics of your body when you get sick and transmit those directly to a doctor or a computer. You could get diagnosed and cured instantly and wirelessly.&quot; </li></ul>
    3. 3. <ul><li>In 2008 Cornwall were successful in bidding for Department of Health funding to become one of three demonstrator sites. </li></ul><ul><li>The Whole System Demonstrator trial is a two year research project that aims to find out if using new technology can help people keep well at home </li></ul><ul><li>Largest trial of Assistive Technology of its kind globally </li></ul><ul><li>Three sites: Kent, Newham and Cornwall involving 6000 people </li></ul>Background
    4. 4. Evaluation <ul><li>National Evaluation – 12mth study </li></ul><ul><li>We will know to what extent the WSD model of care: </li></ul><ul><ul><li>promotes individuals long term well-being and independence </li></ul></ul><ul><ul><li>improves individuals and their carer’s quality of life </li></ul></ul><ul><ul><li>improves the working lives of staff </li></ul></ul><ul><ul><li>is more cost effective </li></ul></ul><ul><ul><li>is more clinically effective </li></ul></ul><ul><ul><li>provides an evidence base for future care and technology models </li></ul></ul><ul><li>Local Evaluation </li></ul><ul><ul><li>Community Matron impact </li></ul></ul><ul><ul><li>Patient Experience </li></ul></ul><ul><ul><li>Non-WSD participants </li></ul></ul>
    5. 5. <ul><li>Telehealth </li></ul><ul><li>Patients take their own biometric readings (blood pressure, weight temperature, blood glucose and pulse oximetry) and answer questions in the comfort of their own home on a daily basis. </li></ul><ul><li>These results are fed back to the Community Matron or Specialist Nurse electronically to monitor their condition. </li></ul>Telecare Patients will have a range of active and passive sensors along with devices in their homes such as bed occupancy, falls sensors and medication reminders. Any alarms that are triggered by these devices are fed back to Carrick Lifeline for further action. The Technology
    6. 6. Evaluation <ul><li>National Evaluation – 12mth study </li></ul><ul><li>We will know to what extent the WSD model of care: </li></ul><ul><ul><li>promotes individuals long term well-being and independence </li></ul></ul><ul><ul><li>improves individuals and their carer’s quality of life </li></ul></ul><ul><ul><li>improves the working lives of staff </li></ul></ul><ul><ul><li>is more cost effective </li></ul></ul><ul><ul><li>is more clinically effective </li></ul></ul><ul><ul><li>provides an evidence base for future care and technology models </li></ul></ul><ul><li>Local Evaluation </li></ul><ul><ul><li>Community Matron impact </li></ul></ul><ul><ul><li>Patient Experience </li></ul></ul><ul><ul><li>Non-WSD participants </li></ul></ul>
    7. 7. Day to Day Life of Patient using Telehealth 2. The patients “keyworker” (Community Matron or Specialist Nurse) logs on to check the patients readings on the online monitoring tool. 4. If readings are normal the keyworker acknowledges the reading on the online monitoring tool and continues to monitor patient and look for trends as the patient transmits their results daily. 1. Patient completes their daily “scheduled session” taking their biometric readings and answering any questions . 3. If patients readings are outside the parameters set by the keyworkers, further action will be taken e.g. get them to retest or phone or visit the patient.
    8. 8. Challenges : Clinical <ul><li>Initial concerns around time </li></ul><ul><li>IT issues </li></ul><ul><li>Impact on patients – managing equipment, reinforcing the sick role, raising anxiety </li></ul><ul><li>Impact on workload – GPs </li></ul>“ I don’t have time to get into the office never mind monitor patients daily….” “ The IT system will be difficult to use and I am not very IT literate….” “ Patients will become fixed on their readings and anxious about them….” “ Patients will be ringing me every time their blood pressure rises by a tiny amount….”
    9. 9. Clinical Experience <ul><li>Impact on capacity </li></ul><ul><li>Supports clinical care and management </li></ul><ul><li>Enhances patient independence and empowerment </li></ul>“ I get to know patterns with patient’s biometrics which often signify an exacerbation. It backs up phone triage with objective information.” “ Empowers the patients. Helps to get them motivated about managing their own conditions with visual evidence.” “ Saves visits especially out in the 'sticks‘”
    10. 10. Challenges : Patient It will be too complicated to use I don’t understand what the readings mean Taking the readings will limit my freedom <ul><li>Reality </li></ul><ul><li>The equipment is simple to use </li></ul><ul><li>I can relate the readings to how I feel and know when I should and shouldn’t do things </li></ul><ul><li>It has enabled me to visit family and walk into town </li></ul><ul><li>“ I wouldn’t be without it” </li></ul>
    11. 11. Benefits to Patients <ul><li>Visual impact of seeing biometrics – giving up smoking, losing weight </li></ul><ul><li>Early diagnosis of problems – irregular heart beat, postural blood pressure drop, high blood pressure </li></ul><ul><li>Diagnosis of serious illness – diabetic ketoacidosis, low blood oxygen levels </li></ul><ul><li>Overall, quality of life effects have been amazing! </li></ul>
    12. 12. Telehealth in Practice – where are we? <ul><li>Whole System Demonstrator Trial </li></ul><ul><ul><li>780 patients installed in Cornwall (1000+ by End 2010) </li></ul></ul><ul><ul><li>660 active participants </li></ul></ul><ul><ul><li>Heart Failure, COPD and Diabetes </li></ul></ul><ul><li>Mainstream Service from April 2010 </li></ul><ul><ul><li>Accepting referrals from all practices </li></ul></ul><ul><ul><li>Trialing Telehealth in other conditions and areas : Falls prevention and UTI </li></ul></ul><ul><ul><li>Consider its use in 3 areas: Diagnosis, Management & Prevention </li></ul></ul>
    13. 13. Questions & Answers

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