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Rachel Vickery, Physiopac Ltd: Hip Fracture Management In The Electronic World: Breaking Down The Hospital Walls
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Rachel Vickery, Physiopac Ltd: Hip Fracture Management In The Electronic World: Breaking Down The Hospital Walls

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Rachel Vickery, Physiotherapist and Technical Director, Physiopac Ltd delivered this presentation at the 2nd Annual Hip Fracture Management Conference 2013. This conference is the only regional event …

Rachel Vickery, Physiotherapist and Technical Director, Physiopac Ltd delivered this presentation at the 2nd Annual Hip Fracture Management Conference 2013. This conference is the only regional event to discuss practical innovations and improvement processes for the management of Hip Fractures in the hospital setting.

Find out more at http://www.healthcareconferences.com.au/hipfracture2013

Published in: Health & Medicine

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  • 1. Hip Fracture Management beyond the Hospital Walls
  • 2. Aim   •  To  show  how  we  can  use  Technology  to  break   down  some  of  the  barriers  that  prevents  our  hip   fracture  pa9ents  returning  to  pre-­‐fracture  levels   of  func9on  and  independence.    
  • 3. Current  scenario   Mary,  73   Lives  at  home,  independent   Minimal  co-­‐morbidi9es   Excellent  cogni9ve  health   Otherwise  healthy  prior  to  her   fall  &  hip  fracture  
  • 4. Mary’s  rehab  post-­‐op   1  week  in  hospital  post  surgery   3  weeks  in  rehab  unit   Discharged  home   Daughter,  Sarah,  main  care-­‐giver,  lives  nearby   Mary  con9nued  with  the  exercises  on  the   handout  given  by  the  Rehab  unit  but  couldn’t   get  to  regular  physio   Sarah  received  minimal  support  or  guidance  &   was  unsure  how  best  to  help  her  mum  move   forward   Mary’s  progress  stalled,  unable  to  get  off  her   walking  frame  
  • 5. Limitations  to  full  recovery   from  Mary’s  perspective   •  Trauma9c  event:  impacts  Mary’s  self-­‐confidence  &  mental   wellbeing.   •  Lack  of  knowledge  about  the  rehab  process,  especially  later   •  Susan  (daughter)  doesn’t  receive  much  informa9on  /  support     •  Susan  doesn’t  feel  confident  how  hard  to  “push”  her  mum   •  Poor  co-­‐ordina9on  between  each  stage  of  care   •  Mary  oSen  slips  through  the  gaps   •  Lack  of  advice  /  knowledge  to  op9mise  General  Health  to   prevent  future  complica9ons   •  Difficulty  geWng  access  to  regular  physio  /  rehab  services     •  Formal  care  /  advise  finishes  TOO  EARLY  
  • 6. As  organisations  and  health  professionals  we  are   limited  in  our  care  by:   •  •  •  •  •  •  The  length  of  9me  we  can  spend  with  Mary   The  number  of  9mes  we  can  see  Mary   The  total  number  of  pa9ents  that  we  can  see  in  a  day  /  week   Many  9mes  Mary  is  seen  in  the  absence  of  her  Caregiver   Lack  of  integrated  care  with  other  health  professionals     Lack  of  tools  to  give  Mary  informa9on  &  exercises  to  progress   her  once  in-­‐person  contact  is  no  longer  available.  
  • 7. Consequences  of  status  quo   Result:  Mary’s  rehab  progress  stalls   Poor  pa9ent  outcomes  &    sa9sfac9on   Cost  burden  associated  with  Caregiver  support   Increased  costs  associated  with:   •  Poor  return  to  pre-­‐fracture  func9on  (demand  on  care  services)   •  Re-­‐admissions  for  complica9ons   •  Duplica9on  of  services   •  Inefficient  use  of  services  -­‐  necessity  for  1-­‐on-­‐1  contact  for   general  informa9on  to  be  disseminated   •  Frustrated  /  burnt  out  clinicians  
  • 8. Moving  care  beyond  the   Hospital  walls  
  • 9. myHealthpac        Deliver  specific,  co-­‐ ordinated,   streamlined   informa9on  and   specific  plans  to   pa9ents  
  • 10. Mary’s  rehab  process   •  Copy  and  paste  the  link  below  into  your  browser,  to  watch  a  9   minute  video  of  how  this  all  works!       •  h]p://youtu.be/TRCXE8hNQiI  
  • 11. Application   •  Pa9ents  unable  to  get  to  rehab  units   •  Pa9ents  who  live  remotely   •  Pa9ents  who  were  previously  in  a  care  facility,  where  there  is  a   physio  assistant  or  nurse  who  can  supervise  exercise  programs   if  they  know  what  to  do   •  Pa9ent’s  unable  to  get  to  physio  at  all  post  discharge   •  Falls  preven9on  programs  
  • 12. BeneAits   •  Seamless  transi9on  of  care  from  inpa9ent  to  home   •  Pa9ent  connected  to  care  –  feels  more  confident   •  Caregiver  empowered  &  knowledgeable  –  able  to  con9nue  progress   of  rehab   •  Increased  levels  of  independence   •  More  efficient  use  of  Health  Professional’s  9me  –  one  on  one  9me   can  focus  on  specific  pa9ent  issues,  not  generic  informa9on.     •  Be]er  use  of  resources  –  care  is  not  limited  to  one-­‐on-­‐one   •  Less  staff  burnout  –  increase  job  sa9sfac9on   •  Increased  safety  –  less  pa9ents  falling  through  the  gaps,  increased   knowledge,  transparency  of  care   •  Opportunity  to  influence  other  health/lifestyle  factors   •  Cost  savings  
  • 13. rachelvickery@shiglobal.com