Jim o donoghue hull wsdan 30 june 2011


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Jim o donoghue hull wsdan 30 june 2011

  1. 1. TelehealthMainstream Telehealth in Northern IrelandA Service Provider Perspective Jim O’DonoghueCopyright © S3 Group 2011 S3 Group
  2. 2. Northern Ireland Chronic Disease 2/3s of over 75s Population 1.8M 60% of all GP visits H&SC budget £4.3Bn Rising to £4.66Bn in 2014/2015 72% acute bed days 69% of health & social care spendDepartment of Health (2008 ) Raising the profile of long term conditions careINIsPHO (2010) Making Chronic Conditions Count Copyright © S3 Group 2011 Slide 2
  3. 3. Remote Telemonitoring Service for NorthernIreland (RTNI) • 6 year contract awarded March 2011 • Procurement, service definition and implementation process led by ECCH – a part of Public Health Agency • 1 Service Definition, 5 customers • 3,500 patients per annum • 12 condition categories • 2 - 52 week monitoring periods • >2.8m monitored days • £18m investment Copyright © S3 Group Slide 3
  4. 4. Unique Elements of RTNICommercial Model Options Managed Service - Outcome Provider Responsibility & Risk Based Risk/Reward Flexibility and ScalabilityContract Complexity Partnership Working Managed Service - PAYG Customised / integrated service Combined Technology Purchase + Service Purchase Technology Purchase + Service purchased separately Copyright © S3 Group Slide 4
  5. 5. Unique Elements of RTNI RTNI Managed Service ModelProvider Responsibilities Managed Service - Outcome Based• Responsible for meeting Risk/Reward defined service requirements RTNI• Responsibility for all aspects Managed Service - PAYG Customised of providing a joined up /Integrated Service service and solution• Responsibility for providing Combined Technology + Service Purchase appropriate technology on an ongoing basis Technology Purchase + Service• Incentivised to generate purchased separately service delivery efficiencies Copyright © S3 Group Slide 5
  6. 6. Unique Elements of RTNI Managed Service Model Service and Quality Level Monitoring RTNI• 221 Authority requirements• Service levels and associated penalties (20 for ‘core’, 8 for ‘additional’)• 19 quality markers• Extensive reporting, automated performance monitoring Copyright © S3 Group Slide 6
  7. 7. Scope of the RTNI Managed Sevice TF3 Managed Service Overview Service Elements • Clinical Triage • Service Desk • Clinician On-Line Portal • Patient Portal • Referral to Discharge • Clinical, activity and service level reporting • ICT Infrastructure • Service Integration • Additional Services Copyright © S3 Group Slide 7
  8. 8. Stages of Telehealth Service Development Service Requirements RTNI Service RTNI Service RTNI Service Requirements Design Operation Define Model & Define Desired AssessIdentify Drivers of Change Implementation Benefits Cost/Benefits Approach Clinical Outcomes Service Model Clinical outcomes National Patient Experience Roles/Responsibilities Financial benefits Clinical Staff Pathway Changes Implementation costs Local Financial Delivery model Copyright © S3 Group Slide 8
  9. 9. Stages of Telehealth Service DevelopmentService Design RTNI Service RTNI Service RTNI Service Requirements Design Operation Design Service Setup Service Setup Service Service Planning Service Readiness Delivery Governance Infrastructure TestingPathway redesign Solution design Clinical Program Service ReadinessProcess definition Technology processes Governance Solution ReadinessSLA planning choices Non-Clinical Clinical TechnologyStakeholder IT Infrastructure processes Governance ReadinessEngagement design Training Evaluation QA Planning Copyright © S3 Group Slide 9
  10. 10. Stages of Telehealth Service DevelopmentService Operation RTNI Service RTNI Service RTNI Service Requirements Design OperationPatient Selection and Service Service Service Service Recruitment Operation Monitoring Governance EvolutionEnrol Patients Triage Issue Mgmnt Clinical Service EfficienciesPatient plan Coach Performance Governance Further IntegrationInstall Educate Monitoring Program New ConditionsTrain Patient Support Reporting Governance New ServicesActivate Carer Support Asset Mgmnt Evaluation of New TechnologyReview outcomes Copyright © S3 Group Slide 10
  11. 11. Unique Elements of RTNIRTNI – Why form a consortium ?Scope of Capabilities Required • Care Pathway redesign Clinical • Clinical Governance • Clinical Triage Service Design • Business Process Analysis • Solution development Technical • IT Infrastructure • Solution Test Service • Clinical Service Delivery • Clinical Service Management Delivery • Patient service Delivery Programme • Programme Governance • Programme Management Delivery • Stakeholder Communications • Patient equipment Core Assets • Integrated Telehealth Platform • Financial Capability Copyright © S3 Group Slide 11
  12. 12. RTNI Consortium Partners Programme ManagementPatient Equipment Care Platform Hosting and IT Service Design Service Delivery Clinical Triage Solution DesignSolution Integration Solution Testing Copyright © S3 Group Slide 12
  13. 13. Unique Elements of RTNI Lessons Learned to-date to-Building a provider consortium• Form early – provide consistency through procurement and delivery• Define the consortium core values• Build relationships and trustManaged Service Model• Significant up-front investment on both sides to define requirements and operating model• Creates a service based, technology agnostic framework for identifying needs and solutions• Demands a high level of working in partnership• Asks the provider difficult but very good questions Copyright © S3 Group Slide 13
  14. 14. Unique Elements of RTNI Thank YouContact details : jim.odonoghue@s3group.com Phone +353-1-291-1270 +353- 291- Copyright © S3 Group Slide 14