Telehealth. Putting the patient at the heart of the journey

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1 Telehealth Putting the patient at the heart of the journey

2 Why telehealth? 1 Telehealth is the remote monitoring of a patient s vital signs and symptoms in their own home proven to enhance the quality of life and clinical outcomes for people with long-term conditions. It also helps people understand and manage their health, enabling them to stay out of hospital and enjoy life with their family and friends. Tunstall s telehealth solutions were at the heart of the UK Department of Health s recent Whole Systems Demonstrator (WSD) programme, which evaluated the use of telecare and telehealth in supporting people with long-term health and care needs to live independently. 1 Results show the following commissioning benefits: 45% reduction in mortality rates 20% reduction in emergency admissions 15% reduction in A&E visits 14% reduction in elective admissions 14% reduction in bed days 8% reduction in tariff costs 1 British Medical Journal 2012, Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial Clinical benefits Encourages self-management Enables early identification of exacerbations Aids medication compliance Identifies trends over time to aid proactive care planning Helps clinicians make more informed medication management decisions Supports efficient caseload management 45% reduction in mortality rates

3 Leading the way 2 Tunstall has been delivering pioneering telehealthcare solutions for more than 55 years, and remains at the forefront of transforming health and care services. Our extensive worldwide experience has helped us define the essential ingredients for a successful telehealth service: Integration the key to efficiency Stakeholder engagement crucial from the very start Large-scale, mainstream implementation maximises the benefits Of course telehealthcare must be user-friendly, secure, reliable and tested, but to be at its most effective it also needs to be carefully embedded into care pathways. That s the Tunstall difference. Our technology is supported by the very best in project management and clinical engagement, including extensive hands-on experience of delivering successful, integrated telehealth services built around the patient s needs. Telehealth will only ever fulfill its potential if it is integrated into a properly designed patient care plan. Paul Burstow, UK Minister for Health, King s Fund International Congress On Telehealth And Telecare, March 2012

4 3 The heart of the matter Tunstall s telehealth solutions help to support people with long-term conditions by enabling them to monitor their vital signs and symptoms daily in their own homes, with the reassurance that if their readings go beyond the limits set for them, a clinician will be informed. Telehealth improves the patient s understanding of their condition, which in turn increases their confidence and empowers them to manage their own health with the support of their health and care team. How telehealth works Clinician alerted if appropriate Monitoring devices myclinic mylife patient portal ii mymedic Monitoring centre Technical and clinical triage and video conferencing Vital signs and interview answers Secure data transfer

5 4 Vital signs Tunstall s telehealth solutions are tailored around the needs of the individual patient, and a number of medical grade peripherals are available to support and manage long-term conditions. Telehealth monitors Telehealth peripherals mytelemedic or myclinic Blood Pressure Monitor Pulse Oximeter Thermometer Weighing Scales Peakflow Monitor/ Lung Monitor 1 lead ECG Blood Glucose Meter Coagulation Meter Intelligent Health Interview COPD Chronic Obstructive Pulmonary Disease package COPD+ Designed for people with more severe COPD CHF Chronic Heart Failure package CHF+ CHF with Atrial Fibrilation CDM CDM (Chronic Disease Management) package Diabetes Coagulation Designed for patients on Anti Coagulation therapy *

6 myclinic 5 Our multi-user telehealth system enables multiple patients to use the same telehealth equipment in a communal location. Each user can access their individual monitoring plans securely with patient ID cards and PIN entry. They can then answer their own personal on screen health questions and take their vital signs readings. mytelemedic Ideal for people living at home, the mytelemedic unit prompts the user, at a set time each day, to begin taking their vital signs. It s easy to use, unobtrusive and reassuring. It also helps demonstrate the relationship between the person s behaviour and their health, enabling them to manage their condition more effectively. Key features and benefits: Tailored vital signs and health questions are configured to the patient s individual needs Accessible large colour display, large soft-touch Key features and benefits: Reliable touchscreen pc tablet with options for GSM or internet connectivity Flexible lightweight and portable tablet device with multiple input options and video conferencing capabilities with camera and inbuilt microphone Secure all data is hosted in Australia and patient ID cards use EHR numbers and PIN entry or other unique identifier Easy to use patient and supervisor modes, large screen displaying clear text and on-screen buttons Telehealth improves the patient s understanding of their condition which in turn increases their confidence and empowers them to manage their own health with the support of their health and care team. buttons and multi-language audio announcements via clear loudspeaker Multiple inputs Bluetooth, serial cable and infrared Secure all data is hosted at a secure Australian hosting facility

7 6 myclinicmobile The myclinicmobile is a wireless telehealth system for multiple users. It enables field based health professionals to deliver tailored and proficient care to patients in the comfort of their own home. The is a wireless telehealth system which enables an individual patient to monitor their own condition from home. The health interview guides the patient through a series of measurements such as blood pressure and temperature and asks pre-set health interview questions. The patient s readings and answers are automatically transmitted to the icp triagemanager clinical software for review and processing by a health professional. Any deviation outside of pre-set parameters alerts the health professional so that treatment can be modified, stabilising the patient s health. Key features and benefits: Tailored vital sign and health interviews are configured to individual patient needs Flexible lightweight and portable tablet device with multiple input options and video conferencing capabilities with camera and inbuilt microphone Easy to use touchscreen colour display with clear text and large on-screen buttons, multi-language audio announcements via clear loudspeaker Secure all data is hosted at a secure Australian hosting facility Each patient has a unique login, which when activated gives access to their individual health interview. The health professional guides the patient through their interview using the vital sign peripherals and touch screen monitor. The health data is then transmitted to the icp triage manager software, which the health professional can access directly from the myclinicmobile monitor. Key features and benefits: Tailored individual patient logins for multiple user health interviews Flexible lightweight and portable tablet device with multiple input options and video conferencing capabilities with camera and inbuilt microphone Accessible remote access to real time patient data Easy to use touchscreen colour display with clear text and large on-screen buttons, multi-language audio announcements via clear loudspeaker Secure all data is hosted at a secure Australian hosting facility

8 Integrated care platform icp triagemanager 7 Our innovative software platform processes readings received from our telehealth monitoring hubs myclinicmobile). Should readings exceed the individual parameters set for the patient, the system will prioritise them on the triage screen, using colour-coding relating to the level of risk. A clinician can then be contacted according to local protocol. Clinicians can also access data remotely at any time, enabling them to make better informed decisions. Telehealth keeps people where they want to be, and that s at home with their family. Patients are reassured by the regular monitoring, which helps keep them calm and reduces the risks of exacerbation and of hospital admission. Dr Richard Berkley, GP NHS South Gloucestershire UK Key features and benefits: CE marked and quality assured complies with European Medical Devices Directive, and was developed under ISO quality system Flexible clinical reporting and patient trend graphs Secure all data is hosted locally and patient ID cards use EHR numbers and PIN entry or other unique identifier Integrated enables multiple stakeholders to share real-time information in order to deliver cohesive health and social care Scalable supports the delivery of small-scale telehealth pilots to large-scale mainstream implementations Auditable provides full audit trail and management reporting Effective task management functionality, plus dashboard and colour coding makes data easy to view and prioritises care delivery

9 icp video conferencing 8 icp video conferencing capability is available with Tunstall myclinic telehealth hubs (myclinic, myclinicmobile). The video conferencing module provides a visual and audio link which allows the patient or their onsite clinician to interact or consult with an offsite clinician in a separate location. High definition, multiparty video conferencing and scheduling capabilities are also available. Key features and benefits: Accessible _ remote access for external or specialist video consultation Manage _ schedule or initiate immediate video conferences Easy to use _ large touch on-screen buttons for patients Secure secure hosted point-to-point video conferencing services Solution no extra software required

10 Telehealth managed services Tunstall provides a range of services which support our telehealth patients to get to know, feel comfortable and confident in using their telehealth equipment. These services increase patient confidence, helping them to better understand and manage their own health conditions. Tunstall hosted environment all patient data safely and securely stored in a secure Australian hosting facility Installation and asset management professional installation and continuous equipment support Customer service support centre 24 hour customer service phone support Training initial product familiarisation and ongoing telehealth training and product support Consultancy services individual telehealth solutions tailored for special care needs Triage services remote access to patient triage services Technical service desk supporting telehealth services 9

11 Telehealth has been a great benefit to me. It helps me manage my condition on a daily basis, whereas before if I became unwell I would wait another day to see if my condition improved. Sadly it never did, and I would end up in hospital for long periods of time. I now know when I m becoming unwell and it s acted on immediately. Harry, 68, telehealth patient

12 Tunstall Healthcare 1/56 Lavarack Ave Eagle Farm QLD 4009 ABN: Freecall: e: w: Tunstall LifeCare 306 Cameron Rd Tauranga 3110 Business No: Freecall: e: w: /tunstall-australasia (TH DS AU )

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