SlideShare a Scribd company logo
1 of 10
Telehealth Heart Failure   A proof of principle study Interim results December 2009
Heart Failure in NZ 1988 - 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object]
4 visits/yr = 1/7 of one square CCM (6 hours contact) = still less than one square   1 square = 7 hours 8736 hours/ year Why Telehealth? What issues arise between encounters? ,[object Object],[object Object],[object Object],[object Object],[object Object]
ADHB Telehealth Heart Failure A proof of principle  study ,[object Object],[object Object],[object Object]
Aim of Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enrolment Process
Interim Results   Participant Demographics Mean age:  58.17 years Median age:  74 years Age range:  16-90 years 19 4 9 4 2 Total 11 2 7 0  2 Male  8 2 2 4 0  Female Total Samoan NZ European Maori English
Interim Results
[object Object],[object Object]

More Related Content

What's hot

Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...
Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...
Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...
Carolina Health Informatics Program @ UNC
 
Audits: Introduction and Procedure
Audits: Introduction and ProcedureAudits: Introduction and Procedure
Audits: Introduction and Procedure
vtesimplified
 
An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...
An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...
An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...
guestf64210
 
Remote patient monitoring in home health
Remote patient monitoring in home healthRemote patient monitoring in home health
Remote patient monitoring in home health
Samantha Haas
 
Anne Bracken Univ of South AL - aco rural health
Anne Bracken   Univ of South AL - aco rural healthAnne Bracken   Univ of South AL - aco rural health
Anne Bracken Univ of South AL - aco rural health
Samantha Haas
 

What's hot (20)

The High 5 S initiative
The High 5 S initiativeThe High 5 S initiative
The High 5 S initiative
 
my m health: Wessex PPA slides
my m health: Wessex PPA slidesmy m health: Wessex PPA slides
my m health: Wessex PPA slides
 
ICTS Case Studies
ICTS Case StudiesICTS Case Studies
ICTS Case Studies
 
Implementation of Online Safety Incident Reporting System in a Tertiary Care ...
Implementation of Online Safety Incident Reporting System in a Tertiary Care ...Implementation of Online Safety Incident Reporting System in a Tertiary Care ...
Implementation of Online Safety Incident Reporting System in a Tertiary Care ...
 
Ronan Herlihy on Engaging Clinicians with data on their ordering practices
Ronan Herlihy on Engaging Clinicians with data on their ordering practicesRonan Herlihy on Engaging Clinicians with data on their ordering practices
Ronan Herlihy on Engaging Clinicians with data on their ordering practices
 
The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...
 
Engaging clinicians and patients in the concept and importance of activation
Engaging clinicians and patients in the concept and importance of activationEngaging clinicians and patients in the concept and importance of activation
Engaging clinicians and patients in the concept and importance of activation
 
Nephrology leadership program 5 quality control and improvment in dialysis a...
Nephrology leadership program  5 quality control and improvment in dialysis a...Nephrology leadership program  5 quality control and improvment in dialysis a...
Nephrology leadership program 5 quality control and improvment in dialysis a...
 
Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...
Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...
Implementing EHR Modifications to Support Self-Care to Patients with Chronic ...
 
Audits: Introduction and Procedure
Audits: Introduction and ProcedureAudits: Introduction and Procedure
Audits: Introduction and Procedure
 
Mobile and Telehealth Programs Evidence and Emerging Technologies
Mobile and Telehealth Programs Evidence and Emerging TechnologiesMobile and Telehealth Programs Evidence and Emerging Technologies
Mobile and Telehealth Programs Evidence and Emerging Technologies
 
APAC 2016 Poster FCT
APAC 2016 Poster FCTAPAC 2016 Poster FCT
APAC 2016 Poster FCT
 
Patient reported experience presentation
Patient reported experience presentationPatient reported experience presentation
Patient reported experience presentation
 
Alabama Pharmacy Association Mid Winter Conf. 2014
Alabama Pharmacy Association Mid Winter Conf. 2014Alabama Pharmacy Association Mid Winter Conf. 2014
Alabama Pharmacy Association Mid Winter Conf. 2014
 
Translating Patient Experience into Health System Improvement
Translating Patient Experience into Health System ImprovementTranslating Patient Experience into Health System Improvement
Translating Patient Experience into Health System Improvement
 
Nephrology leadership program 2 setting a renal transplant program june 2019
Nephrology leadership program  2 setting a renal transplant program june 2019Nephrology leadership program  2 setting a renal transplant program june 2019
Nephrology leadership program 2 setting a renal transplant program june 2019
 
An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...
An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...
An Infrastructure to Enabling Integration of Personal Telehealthcare into Tai...
 
Remote patient monitoring in home health
Remote patient monitoring in home healthRemote patient monitoring in home health
Remote patient monitoring in home health
 
Digital medicine - year in review 2018 and forward look to 2019
Digital medicine  - year in review 2018 and forward look to 2019Digital medicine  - year in review 2018 and forward look to 2019
Digital medicine - year in review 2018 and forward look to 2019
 
Anne Bracken Univ of South AL - aco rural health
Anne Bracken   Univ of South AL - aco rural healthAnne Bracken   Univ of South AL - aco rural health
Anne Bracken Univ of South AL - aco rural health
 

Viewers also liked

Health Information Strategy for New Zealand Sharing personal health information
Health Information Strategy for New Zealand Sharing personal health informationHealth Information Strategy for New Zealand Sharing personal health information
Health Information Strategy for New Zealand Sharing personal health information
Health Informatics New Zealand
 

Viewers also liked (20)

Technical Vulnerabilities of Electronic Health Records
Technical Vulnerabilities of Electronic Health RecordsTechnical Vulnerabilities of Electronic Health Records
Technical Vulnerabilities of Electronic Health Records
 
Electronic Health Record Privacy - CIO's Perspective
Electronic Health Record Privacy - CIO's PerspectiveElectronic Health Record Privacy - CIO's Perspective
Electronic Health Record Privacy - CIO's Perspective
 
Linking Systems to Strategy - Information Systems Evolution in ProCare
Linking Systems to Strategy - Information Systems Evolution in ProCareLinking Systems to Strategy - Information Systems Evolution in ProCare
Linking Systems to Strategy - Information Systems Evolution in ProCare
 
National Health Board: Priorities and Directions
National Health Board: Priorities and DirectionsNational Health Board: Priorities and Directions
National Health Board: Priorities and Directions
 
Health Information Strategy for New Zealand Sharing personal health information
Health Information Strategy for New Zealand Sharing personal health informationHealth Information Strategy for New Zealand Sharing personal health information
Health Information Strategy for New Zealand Sharing personal health information
 
Four Key Lessons in Improving Health Care Service Delivery - Personal observa...
Four Key Lessons in Improving Health Care Service Delivery - Personal observa...Four Key Lessons in Improving Health Care Service Delivery - Personal observa...
Four Key Lessons in Improving Health Care Service Delivery - Personal observa...
 
Organising Health Information in an eHealth Environment - Principles & Concepts
Organising Health Information in an eHealth Environment - Principles & ConceptsOrganising Health Information in an eHealth Environment - Principles & Concepts
Organising Health Information in an eHealth Environment - Principles & Concepts
 
Hutt Valley DHB eReferrals Project
Hutt Valley DHB eReferrals ProjectHutt Valley DHB eReferrals Project
Hutt Valley DHB eReferrals Project
 
Health Information Strategy for New Zealand Progress Report
Health Information Strategy for New Zealand Progress ReportHealth Information Strategy for New Zealand Progress Report
Health Information Strategy for New Zealand Progress Report
 
The Infrastructure Behind eHealth
The Infrastructure Behind eHealthThe Infrastructure Behind eHealth
The Infrastructure Behind eHealth
 
SNOMED Clinical Terms - Introduction
SNOMED Clinical Terms - IntroductionSNOMED Clinical Terms - Introduction
SNOMED Clinical Terms - Introduction
 
Health Information Strategy Advisory Committee 2008
Health Information Strategy Advisory Committee 2008Health Information Strategy Advisory Committee 2008
Health Information Strategy Advisory Committee 2008
 
The Challenge of Evaluating Electronic Decision Support in the Community
The Challenge of Evaluating Electronic Decision Support in the CommunityThe Challenge of Evaluating Electronic Decision Support in the Community
The Challenge of Evaluating Electronic Decision Support in the Community
 
Using Information to Enhance Care in the Ambulance Sector
Using Information to Enhance Care in the Ambulance SectorUsing Information to Enhance Care in the Ambulance Sector
Using Information to Enhance Care in the Ambulance Sector
 
Impact of Telehealth in Alaska
Impact of Telehealth in AlaskaImpact of Telehealth in Alaska
Impact of Telehealth in Alaska
 
Sharing EHRs - The Canadian Experience
Sharing EHRs - The Canadian ExperienceSharing EHRs - The Canadian Experience
Sharing EHRs - The Canadian Experience
 
A Vision for NZ Health Information
A Vision for NZ Health InformationA Vision for NZ Health Information
A Vision for NZ Health Information
 
Developing a National Telemedicine Network
Developing a National Telemedicine NetworkDeveloping a National Telemedicine Network
Developing a National Telemedicine Network
 
Transforming the landscape of clinical care: sharing international views and ...
Transforming the landscape of clinical care: sharing international views and ...Transforming the landscape of clinical care: sharing international views and ...
Transforming the landscape of clinical care: sharing international views and ...
 
The Waikato Virtual Lesion Clinic - better, sooner and more convenient
The Waikato Virtual Lesion Clinic - better, sooner and more convenientThe Waikato Virtual Lesion Clinic - better, sooner and more convenient
The Waikato Virtual Lesion Clinic - better, sooner and more convenient
 

Similar to Telehealth Heart Failure

Nr 650.kickoff powerpoint
Nr 650.kickoff powerpointNr 650.kickoff powerpoint
Nr 650.kickoff powerpoint
nnorris1
 
Roy Harper - Ulster Hospital
Roy Harper - Ulster HospitalRoy Harper - Ulster Hospital
Roy Harper - Ulster Hospital
CASALA CENTRE
 
A Standards-based Approach to Development of Clinical Registries - Initial Le...
A Standards-based Approach to Development of Clinical Registries - Initial Le...A Standards-based Approach to Development of Clinical Registries - Initial Le...
A Standards-based Approach to Development of Clinical Registries - Initial Le...
Koray Atalag
 
NHS Scotland Ehealth Strategy - Alan Hyslop
NHS Scotland Ehealth Strategy - Alan HyslopNHS Scotland Ehealth Strategy - Alan Hyslop
NHS Scotland Ehealth Strategy - Alan Hyslop
healthcareisi
 
Wsdanjohncleland
WsdanjohnclelandWsdanjohncleland
Wsdanjohncleland
3GDR
 
Damian o'connell - Transformation of the global clinical trials footprint in ...
Damian o'connell - Transformation of the global clinical trials footprint in ...Damian o'connell - Transformation of the global clinical trials footprint in ...
Damian o'connell - Transformation of the global clinical trials footprint in ...
ipposi
 

Similar to Telehealth Heart Failure (20)

hsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
hsns09:The Scottish telecare development programme:the evaluation - Sophie Bealehsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
hsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
 
ASSET Connected Care
ASSET Connected CareASSET Connected Care
ASSET Connected Care
 
Using Implementation Science to transform patient care (Knowledge to Action C...
Using Implementation Science to transform patient care (Knowledge to Action C...Using Implementation Science to transform patient care (Knowledge to Action C...
Using Implementation Science to transform patient care (Knowledge to Action C...
 
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
 
PD Technique Failure.pptx
PD Technique Failure.pptxPD Technique Failure.pptx
PD Technique Failure.pptx
 
My top 5 papers of 2015-2017 about telehealth in copd management
My top 5 papers of 2015-2017 about telehealth in copd managementMy top 5 papers of 2015-2017 about telehealth in copd management
My top 5 papers of 2015-2017 about telehealth in copd management
 
Remote Patient Monitoring (RPM) - Enabling New Models of Care
Remote Patient Monitoring (RPM) - Enabling New Models of Care Remote Patient Monitoring (RPM) - Enabling New Models of Care
Remote Patient Monitoring (RPM) - Enabling New Models of Care
 
Advanced practice nursing; an expanded nursing role on an international level
Advanced practice nursing; an expanded nursing role on an international level Advanced practice nursing; an expanded nursing role on an international level
Advanced practice nursing; an expanded nursing role on an international level
 
Nr 650.kickoff powerpoint
Nr 650.kickoff powerpointNr 650.kickoff powerpoint
Nr 650.kickoff powerpoint
 
Weitzman 2013: Project ECHO
Weitzman 2013: Project ECHOWeitzman 2013: Project ECHO
Weitzman 2013: Project ECHO
 
Roy Harper - Ulster Hospital
Roy Harper - Ulster HospitalRoy Harper - Ulster Hospital
Roy Harper - Ulster Hospital
 
A Standards-based Approach to Development of Clinical Registries - Initial Le...
A Standards-based Approach to Development of Clinical Registries - Initial Le...A Standards-based Approach to Development of Clinical Registries - Initial Le...
A Standards-based Approach to Development of Clinical Registries - Initial Le...
 
Telenephrology
TelenephrologyTelenephrology
Telenephrology
 
Project ECHO (Extension for Community Health Outcomes)
Project ECHO (Extension for Community Health Outcomes)Project ECHO (Extension for Community Health Outcomes)
Project ECHO (Extension for Community Health Outcomes)
 
NHS Scotland Ehealth Strategy - Alan Hyslop
NHS Scotland Ehealth Strategy - Alan HyslopNHS Scotland Ehealth Strategy - Alan Hyslop
NHS Scotland Ehealth Strategy - Alan Hyslop
 
Telehealth and HTA
Telehealth and HTATelehealth and HTA
Telehealth and HTA
 
Wsdanjohncleland
WsdanjohnclelandWsdanjohncleland
Wsdanjohncleland
 
Implementing telehealth powerpoint.33
Implementing telehealth powerpoint.33Implementing telehealth powerpoint.33
Implementing telehealth powerpoint.33
 
Safety Improvement in Primary Care
Safety Improvement in Primary CareSafety Improvement in Primary Care
Safety Improvement in Primary Care
 
Damian o'connell - Transformation of the global clinical trials footprint in ...
Damian o'connell - Transformation of the global clinical trials footprint in ...Damian o'connell - Transformation of the global clinical trials footprint in ...
Damian o'connell - Transformation of the global clinical trials footprint in ...
 

More from Health Informatics New Zealand

1115 wyatt wheres the science in hi for christchurch nz oct 2015
1115 wyatt wheres the science in hi   for christchurch nz oct 20151115 wyatt wheres the science in hi   for christchurch nz oct 2015
1115 wyatt wheres the science in hi for christchurch nz oct 2015
Health Informatics New Zealand
 

More from Health Informatics New Zealand (20)

Shaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceShaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voice
 
Surveillance of social media: Big data analytics
Surveillance of social media: Big data analyticsSurveillance of social media: Big data analytics
Surveillance of social media: Big data analytics
 
The Power of Surface Modelling
The Power of Surface ModellingThe Power of Surface Modelling
The Power of Surface Modelling
 
Laptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceLaptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health service
 
Making surgical practice improvement easy
Making surgical practice improvement easyMaking surgical practice improvement easy
Making surgical practice improvement easy
 
Safe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingSafe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thing
 
Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?
 
Empowered Health
Empowered HealthEmpowered Health
Empowered Health
 
Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...
 
Using the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisUsing the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsis
 
Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?
 
Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...
 
Overview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemOverview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information System
 
Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)
 
Oncology treatment patterns in the South Island
Oncology treatment patterns in the South IslandOncology treatment patterns in the South Island
Oncology treatment patterns in the South Island
 
Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...
 
Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...
 
"Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of..."Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of...
 
The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?
 
1115 wyatt wheres the science in hi for christchurch nz oct 2015
1115 wyatt wheres the science in hi   for christchurch nz oct 20151115 wyatt wheres the science in hi   for christchurch nz oct 2015
1115 wyatt wheres the science in hi for christchurch nz oct 2015
 

Recently uploaded

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Recently uploaded (20)

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 

Telehealth Heart Failure

Editor's Notes

  1. 8736 hours/year yet only spend approximately 2 hours/year with health care providers, so the rest of the time you are “on your own”
  2. The patient (family) The Care Team The GP The organisation