R. malin tele health hub know-how

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R. malin tele health hub know-how

  1. 1. Telehealth Hub Know How…. past, present and future Rebecca Malin Head of Business Development and Investment
  2. 2. • District General Hospital • Population of 217,000 over 700 square miles • £140m Turnover • 7 Commissioners (CCGs), 5 x LA Context
  3. 3. Introducing telehealth • tele care • tele coaching • tele monitoring teleconsultation A1
  4. 4. Slajd 3 A1 Use for no. 2 AGH; 2013-05-17
  5. 5. Past….nothing is ever “new”
  6. 6. Past….nothing is ever “new”
  7. 7. Past….nothing is ever “new”
  8. 8. so less in here… We need to move to a system designed for purpose
  9. 9. and more “near me” “I didn’t have to travel to clinic” “I could get advice – now” “….you could bring the specialist to me”
  10. 10. Exemplar...Prison Teleconsultation • Risks, Costs, Quality • 2006 HMP Full Sutton • ISDN lines • Results….
  11. 11. Prison Teleconsultation specialist opinion nurse with patient shared record n = 20 prisons up to 50% cases no longer need transfer out 0 200 400 600 800 Number of Consultations 2011‐12 2012‐13
  12. 12. Teleconsultation – 2010 - Present Care Homes consultation in room or central location results……
  13. 13. 12 Month Results - Care Homes
  14. 14. Patients at home Long Term Conditions SALT / Parkinson’s Lee Silverman voice treatment 1hr/day x 4days/week x 4weeks
  15. 15. Supporting people at the end of life supporting patients (and carers) at home supporting staff delivering consultant opinions to hospice team shared record
  16. 16. Results: 25 COPD patients at home Bed Days used 0 50 100 150 200 250 300 Year pre post Year pre post -29.5% -36.5%
  17. 17. Other uses handover to paramedics use within the hospital supporting clinical handover (HEE funding)
  18. 18. Current status… 20 prisons 30 care homes + 15 care homes + 50 care homes 60 @ home 1 hospice e-learning Customers, Partners….
  19. 19. What are the challenges?  technical (care homes)  tariff  scheduling  collaborative working (community teams, GPs)  culture change…STILL (evidence?)  the importance of scale  noise in the system  ED pressures
  20. 20. Final (obvious) thoughts Redesign means deploying many new approaches together Focus on the right things – services not kit Redesign means stopping something else This is where the headroom comes from Change in healthcare can be delivered
  21. 21. what are we waiting for? •

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