Telehealth Hub Know How….
past, present and future
Rebecca Malin
Head of Business Development and Investment
• District General Hospital
• Population of 217,000 over 700 square miles
• £140m Turnover
• 7 Commissioners (CCGs), 5 x L...
Introducing telehealth
• tele care
• tele coaching
• tele monitoring
teleconsultation
A1
Slajd 3
A1 Use for no. 2
AGH; 2013-05-17
Past….nothing is ever “new”
Past….nothing is ever “new”
Past….nothing is ever “new”
so less in
here…
We need to move to a system
designed for purpose
and more “near me”
“I didn’t
have
to
travel
to
clinic”
“I could get advice – now”
“….you could bring the specialist to me”
Exemplar...Prison
Teleconsultation
• Risks, Costs, Quality
• 2006 HMP Full Sutton
• ISDN lines
• Results….
Prison Teleconsultation
specialist opinion
nurse with patient
shared record
n = 20 prisons
up to 50% cases no
longer need ...
Teleconsultation –
2010 - Present
Care Homes
consultation in room
or central location
results……
12 Month Results -
Care Homes
Patients at home
Long Term Conditions
SALT / Parkinson’s
Lee Silverman voice
treatment
1hr/day x 4days/week x
4weeks
Supporting people
at the end of life
supporting patients
(and carers) at home
supporting staff
delivering consultant
opini...
Results:
25 COPD patients at home
Bed Days used
0
50
100
150
200
250
300
Year pre post Year pre post
-29.5%
-36.5%
Other uses
handover to paramedics
use within the hospital
supporting clinical handover (HEE funding)
Current status…
20 prisons
30 care homes
+ 15 care homes
+ 50 care homes
60 @ home
1 hospice
e-learning
Customers, ...
What are the challenges?
 technical (care homes)
 tariff
 scheduling
 collaborative working
(community teams, GPs)
 c...
Final (obvious) thoughts
Redesign means deploying many new approaches
together
Focus on the right things – services not ki...
what are we waiting for?
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R. malin tele health hub know-how

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Transcript of "R. malin tele health hub know-how"

  1. 1. Telehealth Hub Know How…. past, present and future Rebecca Malin Head of Business Development and Investment
  2. 2. • District General Hospital • Population of 217,000 over 700 square miles • £140m Turnover • 7 Commissioners (CCGs), 5 x LA Context
  3. 3. Introducing telehealth • tele care • tele coaching • tele monitoring teleconsultation A1
  4. 4. Slajd 3 A1 Use for no. 2 AGH; 2013-05-17
  5. 5. Past….nothing is ever “new”
  6. 6. Past….nothing is ever “new”
  7. 7. Past….nothing is ever “new”
  8. 8. so less in here… We need to move to a system designed for purpose
  9. 9. and more “near me” “I didn’t have to travel to clinic” “I could get advice – now” “….you could bring the specialist to me”
  10. 10. Exemplar...Prison Teleconsultation • Risks, Costs, Quality • 2006 HMP Full Sutton • ISDN lines • Results….
  11. 11. Prison Teleconsultation specialist opinion nurse with patient shared record n = 20 prisons up to 50% cases no longer need transfer out 0 200 400 600 800 Number of Consultations 2011‐12 2012‐13
  12. 12. Teleconsultation – 2010 - Present Care Homes consultation in room or central location results……
  13. 13. 12 Month Results - Care Homes
  14. 14. Patients at home Long Term Conditions SALT / Parkinson’s Lee Silverman voice treatment 1hr/day x 4days/week x 4weeks
  15. 15. Supporting people at the end of life supporting patients (and carers) at home supporting staff delivering consultant opinions to hospice team shared record
  16. 16. Results: 25 COPD patients at home Bed Days used 0 50 100 150 200 250 300 Year pre post Year pre post -29.5% -36.5%
  17. 17. Other uses handover to paramedics use within the hospital supporting clinical handover (HEE funding)
  18. 18. Current status… 20 prisons 30 care homes + 15 care homes + 50 care homes 60 @ home 1 hospice e-learning Customers, Partners….
  19. 19. What are the challenges?  technical (care homes)  tariff  scheduling  collaborative working (community teams, GPs)  culture change…STILL (evidence?)  the importance of scale  noise in the system  ED pressures
  20. 20. Final (obvious) thoughts Redesign means deploying many new approaches together Focus on the right things – services not kit Redesign means stopping something else This is where the headroom comes from Change in healthcare can be delivered
  21. 21. what are we waiting for? •
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