The Complete Telehealth Solution

Transcription

1 The Complete Telehealth Solution Katy Lethbridge, Senior Account Manager Proud to be the 1st organisation to be accredited with the TSA Integrated Code of Practice

2 TELEHEALTH SPECIALIST Technical innovation and development lead by clinical need and expertise REMOTE CARE SPECIALIST In-depth clinical and operational expertise in telecare, OOH and SPOA services INTEGRATED CARE SPECIALIST Comprehensive, flexible telehealth & telecare services Scalable clinical triage & case-management with approved protocols MEDVIVO - Integrated Care Specialist ISO ISO Design and Delivery of Medical Devices TSA Platinum Member & Integrated Code of Practice CQC Registered

3 Integrating Health and Care Mission: To design and deliver patient-centred assisted living services that enhance quality of life, improve medical care and reduce provider cost Comprehensive, Flexible, Integrated

4 Products & Services - Multi-user Pods Surgery Pod Regular or new patient checks QOF compliant Multiple tests and questionnaires customised to needs of GP BMI, BP, smoking, alcohol, asthma, anxiety, depression etc Integrates with existing EPR - automatic read coding / alerts Health Check Pod & Booking Service Point of care GP, clinics, pharmacies Bespoke software, Printable reports, Auto-send to GP QRISK2 CVD risk calculator >300 deployments / ~20,000 Health Checks delivered CommunityPod Pharmacies, walk-in centres, care homes etc Watford New Hope Trust - identify & manage mental health issues in homeless day centre Brings care into the community, promotes self-management Wide range of integrated medical devices & video Conferencing Occupational Health Pod (CVD) Health promotion in workplace Employee MOT health check system, etc Scales, BP, SPO2, glucometer, peak flow, thermometer, ecg, 1hour setup and in one week could screen entire workplace Easily portable system

5 Telehealth, Telecare & Integrated Care Long Term Conditions / Care for People at Home Telehealth HomePod CHF, COPD, diabetes, stroke, mental health, pulmonary rehab, oncology etc. Customisable protocols, Personalised Disease Management User-friendly device, bluetooth peripherals, roaming SIM card Video Conferencing, instructional videos Real-time Data Submission Triage & Case-management Clinically-led call centre with specialist nurses KPIs for response times and alert clearance Enables providers to prioritise workload to focus on greatest need Device agnostic Fully-managed end-to-end Telehealth Service Telecare Promoting safety, security, independence Fully managed end-to-end 24/7 service Installation, monitoring, maintenance and response Integrated Care Development of integrated services focussed on local need

6 Telehealth Service Examples Ayrshire & Arran Telehealth CHF Ayrshire & Arran Virtual Ward Project Argyle & Bute Telehealth COPD Lothian Council Weight Management Gloucester NHS Telehealth Norfolk NHS Telehealth Dorset NHS Telehealth Surrey County Council Telehealth Portsdown Telehealth CHF Portsdown Telehealth COPD 2011 Portsdown Telehealth CHF 2013

7 Argyll & Bute Reductions: 91% in unplanned hospital visits, 89% in av. length of stay, 78% in A&E visits, 40% in GP visits Won every major Scottish healthcare innovation award Ayrshire & Arran COPD service reductions: 26% GP appts, 70% emergency admissions, 86% on-call contacts -> projected savings over 5yrs of 40% v usual care Pulmonary rehab service - personalised exercise & education programme Dorset CHF and COPD Extending to cover Oncology, Palliative Care, Mental Health and Diabetes Bournemouth University studying patient s benefits / experience Gloucester CHF and COPD Estimated admissions avoided in fy : CHF 53, COPD Est total savings on admissions 399,744 Suffolk Diabetes service for adolescents using mobile phones New protocols developed with clinicians Android phone, Bluetooth glucometer, CUI, training, tech triage & support Surrey Largest telehealth deployment in the country CC, CCGs, private providers designed to local pathways Fully managed end-to-end telehealth service

8 Complete Telehealth Solution Project Management Configuration & Optimisation Technical Triage & Support Clinical case managemen t Monitoring & clinical triage Patient selection Clinical engagement

9 Complete Telehealth Solution Personalised Scalable Effective Preventative Cost Effective

10 Portsdown Evaluated Case Study 12 Service Parameters for NHS usage Measured NHS usage 18 months pre-telehealth intervention Measuring NHS usage 18 months post-telehealth intervention Measuring Quality of Life (EQ5D) Case study from the perspective of a GP practice group Effectiveness & Cost-effectiveness of fully managed telehealth service Practicalities and benefits to practice

11 Diagnosis of COPD History of at least 1 hospital admission in the previous 12 months Mix of moderate severe COPD 51 male, 35 female Age range Portsdown Cohort Characteristic

12 Portsdown Post 6 Months Results NHS Usage % Reduction OOH Advice 31 OOH PCC Attend 100 OOH Home Visit 33 GP Telephone consultation 7 GP face to face consultation 67 GP Home visit 85 Practice Nurse consultation 13 A&E Attendance 52 MAU Attendance 88 Unplanned Admission 57 Length of stay 78 Hospital Clinic Attendance 75 All data are COPD specific and relate to the management of COPD only

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14 Behavioural change in self-management Reduced hospital admissions Improved trends in COPD Improved QoL of Patients Development of a good rapport with the patients Satisfied patients

15 Telehealth nurses have helped me to cope with my anxieties. I feel more at ease knowing there is someone checking up on me. I feel I know more about my condition than before.

16 A fully-managed pro-active service which - Allows early detection of symptoms Allows early intervention Avoids unnecessary hospital admissions Avoids unnecessary GP appointments & visits Allows follow up and case management Allows a large number of patients to be managed by one nurse Enables providers to prioritise their workload to focus on those with greatest need

17 Medvivo s Complete Telehealth Solution Benefits to Providers Benefits to Patients Medvivo 85% reduction in GP home visits 67% reduction in GP appointments 57% reduction in unplanned hospital admissions 52% reduction in A & E attendance 75% reduction in hospital clinic attendance & 88% reduction in MAU attendance Est. 0.5M p.a. savings in reduced bed days alone Prioritised workloads focused on greatest need Flexible and adaptable to local care pathways Suitable for RM DES, Whole System Funds etc Fewer GP appointments and home visits Fewer clinic attendances Fewer hospital admissions Shorter hospital stays, earlier discharge Regular access to guidance and information during monitoring and nurse calls Improved understanding of their condition Improved confidence to selfmanage and remain in their own home Reduced anxiety and improved security from knowing they are monitored Greater independence Specialist healthcare company In-house clinical and technical expertise Telehealth, telecare, OOH, SPOA services Over 50% of employees are clinicians In-depth understanding of clinical requirements, governance, cost restraints Comprehensive, flexible endto-end services Efficient and scalable monitoring, triage and casemanagement services Clinical triage and case management with approved protocols Technical triage and flexible software

18 Questions? And Thank You! Katy Lethbridge