David creating independence life


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David creating independence life

  1. 1. Creating Independence Life : TelehealthCare …assistive technology and its place in the home David Chang Business Development Manager Tunstall Healthcare , Taiwan “Founding member of the Continua Health Alliance" © 2007 Tunstall Group Ltd 1
  2. 2. Tunstall at a glance • World’s leading telecare & telehealth provider • Global company headquartered in the UK • Operating since 1957, celebrating 50 years anniversary • Full suite of telecare solutions and systems including integration of hardware, software, service, support and 24/7 personal response • Operates in 30 countries worldwide, leading provider in 15 countries • 2.5m people being cared for around the world (50% market share) • 1150 employees worldwide • 5% of revenue invested in R&D © 2007 Tunstall Group Ltd 2
  3. 3. Unrivalled geographic footprint for Telecare Tunstall’s markets represent 75% of global healthcare expenditure North America Europe Asia-Pacific Canada – 1992 Australia- 2001 Nordic region – 2005 UK – 1957 Netherlands – 1993 New Zealand – 2002 Ireland – 2001 Belgium – 1998 US – 2002 France – 2004 Germany – 1991 Taiwan – 2007 Spain – 2004 Portugal – 2007 © 2007 Tunstall Group Ltd 3
  4. 4. What is Telecare? • Telecare is the use of technology such as alarms and sensors in conjunction with telecommunications channels to provide proactive and/or reactive care to people in their home environment. • Communications may be direct to a carer or via a monitoring centre. © 2007 Tunstall Group Ltd 4
  5. 5. Telecare who needs it? The service is available to anyone of any age who would like to feel safer, more protected and independent in their own homes. The system can be specifically programmed to provide benefits for: • The older persons • The physically-challenged who are living alone • People who live in isolated areas • Respite support for carers • Patients who have been discharged from the hospital • People with chronic illnesses • Children who are left alone at home © 2007 Tunstall Group Ltd 5
  6. 6. What is a Smart House? proactive telecare infrastructure • A smart house uses a combination of a base alarm unit and a range of telecare sensors to provide a care solution to meet a client‟s needs. © 2007 Tunstall Group Ltd 6
  7. 7. How does telecare work? telecare base alarm example Tunstall 400 alarm and Amie pendant Able to respond to 12 radio triggers and support a variety of Telecare sensors © 2007 Tunstall Group Ltd 7
  8. 8. How does telecare work? features which make a difference • You can add sensors as you need them • Range of 50m and up to 100m line of sight • You can answer your phone from your armchair! • Completely waterproof – wear your pendant in the shower! • 5 year battery life – and we know when you need a replacement in advance! • We know when your power is out! • We help you test each month! © 2007 Tunstall Group Ltd 8
  9. 9. Proactive infrastructure specialty care sensors <<Pull cord Fall Detector >> <<Enuresis sensor Pressure mat>> <<Bed occupancy sensor Chair occupancy sensor>> <<Epilepsy Sensor Wandering client>> © 2007 Tunstall Group Ltd 9
  10. 10. Proactive infrastructure environmental sensors • <<Flood detector • <<Temperature extreme sensor Identify potentially • <<Smoke Detector life threatening changes in the home environment • <<PIR • ROM>> © 2007 Tunstall Group Ltd 10
  11. 11. How does telecare work? emergency response monitoring Step 1 Step 2 • To raise an alarm • The user talks to the call press the radio Telecare consultant „hands free‟ trigger or the alarm using the powerful speaker and button on the T400 microphone of the T400. The operator can see the users room via the video feed, and the events are recorded. Step 4 Step 3 • The Telecare • The Telecare consultant waits consultant summons online until help the appropriate help arrives. from a carer, or the emergency services. © 2007 Tunstall Group Ltd 11
  12. 12. How does telecare work? PNC4 Database - customer contact record © 2007 Tunstall Group Ltd 12
  13. 13. How does telecare work? PNC4 Database - customer medical record 9999 © 2007 Tunstall Group Ltd 13
  14. 14. Smart House Solution dementia care - reducing wandering risk Door contacts and motion detectors T400 alert to Carer and/or response centre © 2007 Tunstall Group Ltd 14
  15. 15. Smart House Solution falls risk management Night time fall - bed occupancy Carer Bed Sensor Day time fall - inactivity detection or - body-worn fall detector Alarm Unit PNC Monitoring Centre © 2007 Tunstall Group Ltd 15
  16. 16. Telehealth definition • Telehealth is the remote monitoring of patient vital signs by a clinician, nurse or doctor… • Enables the collection and transmission of a patient’s vital signs to a clinical information system • For clinicians to make informed decisions • Serves as communicator between the care provider and the patient • Assists the patient in their own healthcare management © 2007 Tunstall Group Ltd 16
  17. 17. Telehealth – how it works © 2007 Tunstall Group Ltd 17
  18. 18. The Benefits of Telehealth (the “4Ps”) • Reduces Costs Predictive • Improves quality of care • Proactive healthcare Personalised • Increases case management capabilities Preventative of health care providers • Reduces unplanned hospital admissions Participatory • Reduces length of stay in hospital • Promotes independence, confidence and self management • Avoidable surgeries Assessment Data Exchange © 2007 Tunstall Group Ltd 18
  19. 19. Tunstall RTX 3371 Monitor features Built-in GSM/GPRS wireless The Tunstall RTX modem data transmission Speaker for Monitor is designed via GSM network vocalizing text in forease of use by display which elderly people supports reading of text and use by Large graphic color visually impaired or display with easy blind patients readable text Adjustable ”Yes/No” Buttons to sound levels easily collect subjective and Lightweight, small in symptomatic size and easy to information from transport patients © 2007 Tunstall Group Ltd 19 19
  20. 20. Chronic Disease Management Devices Proven technology User friendly Patient centric Bluetooth enabled Approved standards RS232 port Bluetooth InfraRed port © 2007 Tunstall Group Ltd 20
  21. 21. Tunstall RTX 3371 1. CE-marked according to the Medical Device Directive 2.FDA registered K071953/K090886 3.HiPAA complaint 4.Radio approval( FCC and European radio approvals) 5.Bluetooth qualified 6.IEC/UL 60601-1 certified 7.Part 68 approved 8.TBR 21 test passed © 2007 Tunstall Group Ltd 21
  22. 22. Targeting disease groups • Flexible and can be used as a platform for health programs targeting different disease groups • Standard questionnaires for disease groups © 2007 Tunstall Group Ltd 22
  23. 23. Vital signs that can be monitored Vital sign range Monitor additions • Blood Pressure • Disease specific Intelligent health • Pulse questions • Weight • Patient reminders • Oxygen Saturation • Self care advice • INR • Medication prompts • Temperature • Spirometry • Peak flow • ECG (up to 12 lead) • Blood Glucose © 2007 Tunstall Group Ltd 23
  24. 24. Example COPD questions © 2007 Tunstall Group Ltd 24
  25. 25. How does Telecare work? by helping the whole community Vulnerable or at risk, at home or work People who fall & are injured or disoriented Helping free up hospital beds Environmental Criminal threat conditions that could result in personal or Life threatening household damage medical conditions © 2007 Tunstall Group Ltd 25
  26. 26. Why Assistive Technology ? • Recognition that current models of healthcare delivery are not sustainable • Telecare assists the delivery of alternative models of social and health care, by managing risks • Early evidence indicates that “institutional” care can be prevented or delayed © 2007 Tunstall Group Ltd 26
  27. 27. Why Assistive Technology? global trends • Reflected in funding changes internationally – 2000 Japan introduces Long-term Care Insurance law – 2003 NZ provides medical alarm funding for the elderly and disabled through their Disability Allowance Scheme – 2006 UK Health funding for Telecare Preventative Technology Grant £80 million over 2 years – 2006 Taiwan created the Great Warmth Project to fund home care services for elderly and disabled persons – 2007 Europe €12 million Sopranos project – 2007 Australia has launched a $21.5 million fund over 5 years for assistive technology – 2007 UK announces £12M telehealth investment – 2008 Korea will introduce Long-term Care Act © 2007 Tunstall Group Ltd 27
  28. 28. The Facts: why current health care models are unsustainable Ageing Population of 65+ Countries Population 65+ Japan 127.4 M 21.0% Australia 20.4 M 13.2% Hong Kong 7.0 M 12.9% New Zealand 4.1 M 11.9% Taiwan 23.0 M 10.0% Korea 49.0 M 9.6% China 1.3 B 7.9% Singapore 4.5 M 8.5% India 1.1 B 5.1% Malaysia 24.8 M 4.8% Source: www.cia.gov 2007 © 2007 Tunstall Group Ltd 28 Source: Audit Commission
  29. 29. The Facts: Taiwan‟s changing demography • Rising proportion of +65‟s will place a greater strain on health and community resources © 2007 Tunstall Group Ltd 29
  30. 30. Tunstall Response Best Practice establishing quality standards • Fully compliant with Australian Industry Standard • AS4607 for Personal Response Centre Systems • Proven superiority of Tunstall alarm units • Advanced technical support • Highly trained and caring operators • Fully documented policies & procedures • Strict adherence to the Principles of the Privacy Act • Comprehensive Risk Management Policy © 2007 Tunstall Group Ltd 30
  31. 31. Tunstall Response Best Practice our commitment • Every call will be answered by a qualified and compassionate Response Operator at any time 24/7 • Our Operators will… – always ask how they can help, listen and treat clients with respect, empathy and courtesy – do everything they can to help solve client’s problem – stay on line until help arrives – get help even if they cannot hear the client – encourage regular contact to ensure the client can & will use the alarm in an emergency – respect clients’ privacy and ensure their personal details remain confidential © 2007 Tunstall Group Ltd 31
  32. 32. Tunstall Response Best Practice philosophical approach • Compassionate & caring approach to clients • Client focused policies & procedures • Personalised service offering common sense solutions • Network of strategic alliances with leading community care organisations who share our objectives • Commitment to staff training and development © 2007 Tunstall Group Ltd 32
  33. 33. CASE STUDY – Dementia Care Northamptonshire County Council (UK, Woolham 2005). • 21 month comparative study of 2 dementia groups (233 persons in total), • Group 1 at home with assistive technology • Group 2 at home without assistive technology. • A holistic individual needs assessment was undertaken for group 1 and the appropriate technologies installed in their homes © 2007 Tunstall Group Ltd 33
  34. 34. CASE STUDY – Dementia Care Northamptonshire County Council (UK, Woolham 2005). The Results: • Group 1 – 87% of the carers felt less concern for the safety of the person they cared for – the technology was found to be very reliable – able to stay at home longer, safer and for much less cost to the community. – the cost savings to care for Group 1 was £1.5M. • Group 2 were 4 times more likely to be moved to a higher care facility, • Northamptonshire now has a community-wide Safe at Home Program © 2007 Tunstall Group Ltd 34
  35. 35. The Future of Telecare… Continua Health Alliance • Tunstall is a founding partner • The Continua Health Alliance envisions personal telehealth systems that combine diverse products and technologies to enable better personal health care for people worldwide. • The Continua design guidelines will not create new networking standards, but will be based on proven connectivity standard such as Bluetooth® , USB, Wi-Fi™, Z- Wave™ and ZigBee™. © 2007 Tunstall Group Ltd 35
  36. 36. The Smart House …a proactive care solution Assistive technology solutions are designed to improve quality of life, giving the user the confidence and ability to remain in their own home safe in the knowledge that help will always be available when and if it is needed. Although technology alone is not the complete answer; used as part of a holistic package of service, it can reduce the burden on healthcare resources. © 2007 Tunstall Group Ltd 36
  37. 37. Thank You! For more information visit our websites www.tunstall.com.tw or www.tunstallap.com LEGAL NOTICE: The information contained in this document is PROPRIETARY and CONFIDENTIAL to Tunstall Australasia Pty Ltd and has been developed by Tunstall solely for the purposes set forth herein. By accepting this document, the recipient agrees to keep confidential the information contained herein. This document is being generated solely as a basis to obtain information and facilitate further discussions, and is not binding on Tunstall in any way. No representations are made as to the accuracy and completeness of this Information. The requirements and specifications are subject to change in Tunstall’s sole discretion. Nothing contained herein shall be construed as granting any license or right to use any of the information contained herein for any purpose other than for the purposes set forth herein. Distribution or reproduction of this document or the information that it contains in its entirety or any portion hereof, by any means, electronic, mechanical, or otherwise, for any use or purpose not expressly permitted by Tunstall is strictly prohibited. © 2007 Tunstall Group Ltd 37