Telehealth in practice panel discussion bunbury

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  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • But like all systems of care, for a patient who is moving amongst multiple sites and multiple providers there are a lot of gaps that they can get lost in so I would like Chris to take us through how we can close at least some of them by using a shared version of the PCeHR
  • http://www.ehealth.acrrm.org.au/provider-directory?term=&type%5Bconsultant%5D=consultant&disciplines%5Brheumatology%5D=rheumatology&states=wa&local=all&op=Search&form_build_id=form-fd4f90daa5cc7d5199256ecb147db396&form_token=3efa14103f439a14f2a92db10520a13d&form_id=_acrrm_ehealth_prov_dir_search_form
  • http://www.racgp.org.au/your-practice/e-health/telehealth/
  • Telehealth in practice panel discussion bunbury

    1. 1. Telehealth in Practice:a panel discussionApril 2013
    2. 2. Our panel - BunburySpecialist– Associate Professor Rob WillGeneral Practitioner– Dr Mike CivilNursing & Midwifery Telehealth Consortia– Ms Lesley PughPractice Manager– Ms Debbie McConnell
    3. 3. Not every consultation will be suitable for a video consultation and it isimportant to ensure that a number of key areas are considered, whenplanning this extension to normal general practice services.The Standards for General Practices offering Video Consultation aims tocover the important areas and to give practices a framework that willenable video consultations to be carried out in a safe and professionalmanner.Areas such as:• Patient safety• Suitability for video Consultation over Face to Face• Confidentiality• Privacy• Training and education
    4. 4. Areas (continued) such as:• Providing Clinical Support, responsibilities• Issues surrounding consent (for all three parties)• Informing patients about the service that you areoffering to patients (Video Consultations)• Seeking feedback from patients• Importance of building validity to the value of videoconsultations.• Managing risk• Concept of “Dual Care Consultation”• Issues around coordination of care• Referral letters and their place with videoconsultations• Communication with patients, making sure they arefully informed of issues pertaining to videoconsultations• Verifying the identity of all parties in the videoconsultation process
    5. 5. • Staff training• End-to-end quality assurance• End-to-end security requirements• End-to-end privacy requirements• Internet connectivity• The National Broadband Network• Upload and download data speed• Network and video quality• Video consultation technology solutions• Types of video consultation technologies – an entry-level guide• Hardware video quality• Audio quality• Interoperability• Issues to consider when selecting technologies• Practice environment and equipment• Audio devices for computer video consultation solutions• Video devices for computer video consultation solutions
    6. 6. RACGP Telehealth Resources (continued)• Video Consultation Booking Checklist• Video Etiquette for Clinicians• Video Consultation Information for Patients• Video Consultation Patient Survey
    7. 7. • 1441 MBS Video consultation item numbers in the 2011 to 2012 Financial Year (firstyear of item No:)• 357 of these done at Stirk Medical Group• Patient feedback on 233 of these consultations• Specialists• 2 x Rheumatologists• Endocrinologist• Sleep Physician
    8. 8. StronglyDisagreeDisagree Neutral Agree Strongly agree VoidI received thesamestandards ofcare from myvideoconsultation asI would havefrom a face tofaceconsultation2.14% 1.28% 5.15% 59.65% 30.9% 0.88%The videoconsultationwas convenientfor me (savedtime moneyetc)2.14% 2.14% 7.29% 46.78% 39.48% 2.17%I felt preparedfor the videoconsultation3.86% 4.29% 22.74% 43.77% 24.46% 0.88%I would bewilling toparticipate inanother videoconsultation ifmy doctorconsidered itappropriate3.4% 1.27% 2.12% 57.02% 36.17% 0.02%.
    9. 9. Telehealth useful resources:ResourcesMBS Online - Medicare Benefits Schedule (www.mbsonline.gov.au/telehealth)MBS Online – “Connecting health services with the future: Guidance on security andprivacy issues for clinicians” (www.mbsonline.gov.au/telehealth)Medical Board of Australia “Good Medical Practice: A Code of Conduct for Doctorsin Australia” (http://www.medicalboard.gov.au/Codes-Guidelines-Policies.aspx)Medical Board of Australia Guidelines: Technology-based patient consultations(http://www.medicalboard.gov.au/Codes-Guidelines-Policies.aspx)RACGP Computer and information security standards (4th edition)(www.racgp.org.au/ehealth)RACGP Standards, Guidelines, Templates and Facts Sheets for Telehealth in General Practice(www.racgp.org.au/telehealth)RANZCP Professional Practice Standards and Guidelines for Telepsychiatryat www.ranzcp.org/Resources/Telehealth-in-psychiatry.aspx
    10. 10. Telehealth in Practice• What do you use telehealth for?• Examples of when it has worked well• Benefits• For patients• For clinicians
    11. 11. Telehealth in Practice• Choosing to offer video consultationsover face-to-face• Business viability• Financial incentives• MBS items• Issues to consider
    12. 12. Telehealth in Practice• Barriers to uptake• Lessons learnt• What do patients think of telehealth?
    13. 13. Telehealth in Practice• How to get started?• Internet connection• Web cam• Link to specialists• Provider directory www.ehealth.acrrm.org.au
    14. 14. ACRRM Telehealth Provider Directory
    15. 15. Questions???
    16. 16. Telehealth in Practice• Take home message
    17. 17. Telehealth ResourcesWebsitesAustralian College of Rural and Remote Medicinewww.ehealth.acrrm.org.auRoyal Australian College of General Practitionerswww.racgp.org.au/your-practice/e-health/telehealthRural Health Westwww.ruralhealthwest.com.au/workforce-support/telehealth

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