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Using the Internet to
Enhance Treatment
Services
Low Cost, Low Tech
APSAD Conference 2013
Ray Stephens – Online Project Leader
“The community services system needs to be
focused on digital technology opportunities
and prepared for the changes and
challenges it will bring”.
(Shergold, 2013)
Telehealth
Portable kiosks
Current
climate
• Pressures on health funding
• AOD service reforms
• NBN, ehealth, telemedicine,
smartphones, increasing use of internet
for health and health information
• = focus on technology to increase
access, timeliness, reduce costs
“Digital Health feels like the PC
industry in the early ’80′s.”
John Sculley – Former CEO of Apple and PepsiCo –
Digital Health Summit, January 2012
“80% of what doctors do today
will be replaced by technology in
10 years.”
Vinod Khosla - Sun Microsystems co founder, 2013
1993
1960
Telehealth

An estimated 1.8 million
patients will be treated through
telehealth worldwide by 2017.
Low Cost
Low Tech?

iPads for remote monitoring
Self - help courses
Promotion of online screening tools
Social media
Education via webinar
Video conferencing
Low Cost
Low Tech?

iPads for remote monitoring
Online self - help courses
Promotion of online screening tools
Social media
Education via webinar
Video conferencing
Remote
barriers
•
•
•
•

< 18 y.o. male
Youth outreach worker fortnightly
Requires inpatient youth detox
Lives in Corryong
Gaps

Cost of transport
Time in travelling
Separation from family
Multiple workers involved
= engagement?
Accessing
assessment
•
•
•
•

4 bus trips
2 train trips
2 taxi rides
An overnight hotel stay

• Video assessment
Videoconferencing
Project
•
•
•
•

2 year trial
Using videoconferencing for remote assessments
Access to Williams House Youth Resi Withdrawal
Statewide catchment
Videoconferencing
Project - Aims
•
•
•
•
•
•

Reduced travel time – staff, client, family
Reduced costs
Improved assessments, timely responses
Demystify
Engagement
Collaboration
Videoconferencing
Project - Cost
•
•
•
•

~ $15K setup
Using Microsoft Lync
Free to partners
Can be done for free (or a webcam)
Videoconferencing
Project - Progress
•
•
•
•

Conducting assessments with 2 rural agencies
Positive client experiences
Positive staff experiences
“It has confirmed that we have opened a new door
for allowing access to remote clients to our service
and reducing barriers.”
Remote staff member
Videoconferencing
Project - Learnings
•
•
•
•

Needs to be integrated
Technical issues, firewalls, sound, ongoing
Change is slow – training and lots of support
Staff will find other uses
Pie in the sky
Online treatment
5 years from now what might you be doing?
• With clients
• Within your organisation
• With other organisations
What are the barriers?
Resources

http://www.scoop.it/t/telehealth-ehealth-videoconferencing
rstephens@regen.org.au

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Online Treatment Enhancement: Low Cost, Low Tech (2013 APSAD Conference)

Editor's Notes

  1. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  2. NACCHO presents the concept of TELEHEALTH kiosks, that could be a low cost affordable solution for our ACCH’s servicing remote communities. In the USA they only cost US$10,000 patients will be able to visit the closest HealthSpot Station and talk with a board-certified doctor via video conferencing. Inside each 10-foot kiosk are a scale and television dashboard as well as a variety of common medical tools The remotely located doctor guides the patient as he or she uses the stethoscope and other tools for gathering data about various vital signs, which are then displayed graphically. HealthSpot unveiled its kiosks at the Consumer Electronics Show (CES) in Las Vegas in January. Currently, it’s pilot-testing its concept in Ohio urgent care clinics and a children’s hospital. Pricing on the stations will reportedly be between $10,000 and $15,000; patients will pay $60-80 per visit.
  3. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  4. PowerPoint first launched 1990. I remember using PowerPoint 1997 for first time. Translating overheads to PPT in 2002-2003. Now old. First videoconferencing in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  5. First videoconferencing in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  6. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  7. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  8. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  9. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  10. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.
  11. Video conferencing first used in German Post Offices 1936 Multi-users demonstrated in 1968 Used on manned NASA space flights Global school classes 1993 This is not new.