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David barrett hull wsdan 30 june 2011


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David barrett hull wsdan 30 june 2011

  1. 1. Telehealth service design<br />David Barrett<br />Nurse Lecturer in Telehealth<br />WSDAN Roadshow<br />30th June 2011<br />
  2. 2. Objectives<br />To discuss the fundamental elements of telemonitoring services<br />To evaluate the strengths and weaknesses of different models for clinical and technical triage <br />To explore some of the other key questions to be answered when developing a telemonitoring service<br />
  3. 3. Basic model of telemonitoring<br />Not an emergency service<br />Output<br />Input<br />Process<br />
  4. 4. Triage model 1: Centralised technical triage; localised clinical triage<br />
  5. 5. Triage model 2: Centralised technical and clinical triage<br />
  6. 6. Other issues when designing services…<br />Where will referrals come from?<br />How will education and installation be organised?<br />Which groups of users will be targeted?<br />Which conditions?<br />Which point on the disease pathway?<br />How long should telemonitoring remain in situ for?<br />What should we measure?<br />Goodlin, S. J. J Am CollCardiol 2009;54:386-396<br />
  7. 7. Summary – the key questions<br />How will you recruit patients?<br />How will you educate and consent patients?<br />Who will install and maintain?<br />How will you deal with technical problems?<br />How will you triage and respond to clinical data?<br />How long will you deploy for?<br />How will you manage removals?<br />
  8. 8. Thank you.David BarrettNurse Lecturer in<br />