COPD Telehealth Trial Improves Care
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Evaluation of patient and clinician experience in the Lothian Telehealth trial. Presentation delivered at the World Congress for IT conference, Amsterdam, June 2010.
![Alex Tarling User experience consultant: [email_address] WCIT 2010 The Lothian Telehealth Trial RESEARCHERS: JENNY URE, GILLIAN KYDD, ALEX TARLING LEAD INVESTIGATORS: BRIAN MCKINSTRY, JANET HANLEY, CLAUDIA PAGLIARI, HILARY PINNOCK, AZIZ SHEIKH, WILLIAM MACNEE UNIVERSITY OF EDINBURGH E-HEALTH RESEARCH GROUP INTRODUCTION 15 MINUTES](https://image.slidesharecdn.com/telehealthevaluation-100622063538-phpapp02/85/evaluation-of-patient-and-clinician-experience-in-the-lothian-telehealth-trial-1-320.jpg)
![Lothian Telehealth Trial ,[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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COPD Telehealth Trial Improves Care
- 1. Alex Tarling User experience consultant: [email_address] WCIT 2010 The Lothian Telehealth Trial RESEARCHERS: JENNY URE, GILLIAN KYDD, ALEX TARLING LEAD INVESTIGATORS: BRIAN MCKINSTRY, JANET HANLEY, CLAUDIA PAGLIARI, HILARY PINNOCK, AZIZ SHEIKH, WILLIAM MACNEE UNIVERSITY OF EDINBURGH E-HEALTH RESEARCH GROUP INTRODUCTION 15 MINUTES
- 4. The Telehealth Context of Care $10,000 $1,000 $100 $10 $1 Quality of Life Cost of Care / Day Independent, Healthy Living Community Clinic Chronic Disease Management Doctor’s Office Home Care Assisted Living Skilled Nursing Facility Residential Care Specialty Clinic Community Hospital Emergency Department Acute Care ICU
- 5. Workflow model for the COPD trial Patient and family at home Physiotherapy team contacts patient: videoconference or home visit as appropriate Patient’s daily readings and symptom scores sent to remote server Daily monitoring provided directly by Community Respiratory Team 1 3 2 E-Health Support Technical support issues Technical support issues Community Respiratory Physiotherapist
Editor's Notes
- PHS 30/30/30 Presentation for US RSLT-A-0312, Rev 1.0 Approval Candidate Effective: Pending Approval of 55 On the Continuum of Care, people want to stay at home as long as possible. The home typically provides the highest quality of life, and the lowest cost of care. This chart represents the continuum of care expressed in dollars versus quality of life. The bottom right quadrant of the graph represents the acute care setting. Patient is in the hospital or a specialty clinic. The cost of that care is very high. New models of care are focusing on “staying left” or “shifting left” to the upper left quadrant of the graph. We all can agree that everyone would prefer to “Stay Left” on this chart. Not only is it better for people, but it also reduces the cost of care. Anything that care givers can do to help patients “shift left” not only improves the patient’s quality of life, but also reduces the cost of care.
- The first phase of the trial delivered a service using a monitoring centre to perform an initial triage on patients readings every day. Community focus: delivering services in patients homes
- From the patients perspective – this is quite different to other changes in clinical practice – this is technology and equipment that goes into the home It requires a different level of acceptance, particularly where you want to achieve long-term use. There are also impact for the patients families – what is like to live with this stuff in your home? Importance of this approach is that it allows you to explore and identify changes and challenges to working practice You have then the potential to support innovation in service design from a ‘bottom-up’ perspective – that of the front-line clinician
- So there is a shift in the balance of how care is delivered.
- Deploying mobile working tech alongside telehealth. Ground-up innovation! Patient empowerment and self-management are often cited as one of the opportunities of Tele-health. The team is a strong educational role helping patients self-manage their conditions
- workload in primary care is not reduced by the systems but it may reduce workload in secondary care