Download - R. malin tele health hub know-how
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Telehealth Hub Know How….past, present and future
Rebecca Malin
Head of Business Development and Investment
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• District General Hospital
• Population of 217,000 over 700 square miles
• £140m Turnover
• 7 Commissioners (CCGs), 5 x LA
Context
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Introducing telehealth
• tele care• tele coaching• tele monitoring
teleconsultation
A1
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Slajd 3
A1 Use for no. 2AGH; 2013-05-17
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Past….nothing is ever “new”
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Past….nothing is ever “new”
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Past….nothing is ever “new”
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so less in here…
We need to move to a system designed for purpose
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and more “near me”
“I didn’t have
totravel
toclinic”
“I could get advice – now”
“….you could bring the specialist to me”
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Exemplar...Prison Teleconsultation
• Risks, Costs, Quality• 2006 HMP Full Sutton• ISDN lines
• Results….
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Prison Teleconsultationspecialist opinionnurse with patientshared record
n = 20 prisonsup to 50% cases nolonger need transfer out
0
200
400
600
800
Number of Consultations
2011‐12
2012‐13
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Teleconsultation –2010 - Present
Care Homesconsultation in roomor central location
results……
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12 Month Results -Care Homes
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Patients at home
Long Term Conditions
SALT / Parkinson’s
Lee Silverman voice treatment1hr/day x 4days/week x 4weeks
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Supporting peopleat the end of life
supporting patients (and carers) at homesupporting staffdelivering consultant opinions to hospice teamshared record
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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%
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Other uses
handover to paramedicsuse within the hospitalsupporting clinical handover (HEE funding)
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Current status…
20 prisons30 care homes+ 15 care homes+ 50 care homes60 @ home1 hospicee-learning
Customers, Partners….
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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
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Final (obvious) thoughtsRedesign means deploying many new approaches togetherFocus on the right things – services not kitRedesign means stopping something elseThis is where the headroom comes fromChange in healthcare can be delivered
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what are we waiting for?
•