Telehealth Pros & Cons. Keir Lewis AARNS Conference 7 th May 2011

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Telehealth Pros & Cons. Keir Lewis AARNS Conference 7 th May 2011"

Transcription

1 Telehealth Pros & Cons Keir Lewis AARNS Conference 7 th May 2011

2 Summary The need for different working Definitions Evidence Base so far (for COPD) Future developments

3

4

5 Change in age-adjusted death rate in the USA from (%) COPD is the only major cause of death that has increased significantly in recent years CHD Stroke CVD COPD All other causes CHD = coronary heart disease; CVD = cerebrovascular disease Mannino DM & Kiri VA. Int J Chron Obstruct Pulmon Dis 2006;1: Moreover 825,000 diagnosed but up to 2.8 M sufferers. (

6 Summary The need for different working Definitions Evidence Base so far (for COPD) Future developments

7

8 Definitions Telecare: Use of technology to help people stay at home Telemonitoring: Use of information technology to monitor patients at a distance Telehealth: Use of technology for diagnosis and monitoring

9 Supporting patient and expectations Ability to provide care any time and any place Connecting patients to a system before they get sick Helping people age in place Better clinical integration (across speciality, across country?) Reducing CO 2 emissions

10 Summary The need for different working Definitions Evidence Base so far (for COPD) Future developments

11 Stable COPD

12 Randomised Post PR n=20 Baseline QoL Docobo 6 months QoL and HCCs Standard care 6 months QoL and HCCs n=20 Baseline QoL Standard care 6 months QoL and HCCs Standard care 6 months QoL and HCCs

13

14

15

16 Primary outcome: Safe and feasible. Secondary outcomes: Well-used with 97% median compliance! p<0.03 Halved hospital admissions p=0.40 No difference in other contacts Journal of COPD. 2010; 7: 44-50

17 Problems Small study 6 months active treatment only Very motivated and optimised patients Already under CDM etc 0.30 vs 0.15 admissions per patient per yr

18 Unstable COPD

19 12% vs 22% readmission HR 0.25 ( ) 14% reduction in other et al

20 But. Screened 1784 patients to get 50 per group Lots of exclusion criteria Tele-videoconferencing for median 11 days post-discharge Set times of day Not randomised but TVC via municipality

21 Other studies Name Type Popln Intervention Main Finding Maiolo Pre-post 20 Tm Admissions 2003 Italy COPD (LTOT) 6 months Contacts Pare QE 20 vs 20 Tm Admissions 2006 Canada COPD 6 months Trappenburg Pre-post 59 vs 56 Tm Admissions 2008 Holland COPD 6 months QoL Vitaccia RCT 57 vs 44 Tm Admissions 2008 Italy mixed 12 months Vontetsianos Pre-post 18 Tm during home visit Bed days 2005 Greece COPD 9 months QoL Dang Pre-post 17 COPD Tm Admissions 2006 Holland 59 total 6 months Contacts Koff RCT 19 Tm?Admissions 2009 Germany COPD 3 months QoL

22 Bensink M, Hailey D. et al. (2006) A systematic review of successes and failures in h telehealth: preliminary results. J Telemed Telecare; 12: 8-16 [TH] Bergmo, T. (2009) Can economic evaluation in telemedicine be trusted? A systemati review of the literature. Cost effectiveness and resource allocation; 7:18 [TM] Davalos M., French M et al. (2009) Economic evaluation. J Telemed Telecare; 15(10): [TH] Jennett P, Hall L (2003) The socio-economic impact of telehealth: A systematic revie Journal of Telemedicine and Telecare; 9(6): [TH] Kairy, D., P. Lehoux, et al.(2009) A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation. Disability a Rehabilitation; 31(6): [TR] Polisena J, Tran K et al. (2009b). Home telehealth for chronic disease management: systematic review and an analysis of economic evaluations. International Journal Technology Assessment in Health Care; 25(3): [TH] Rojas, S., Gagnon, M. P. (2008) A systematic review of the key indicators for assess telehomecare cost-effectiveness. Telemedicine and e-health; 14(9): [TC] Seto, E. (2008) Cost comparison between telemonitoring and usual care of heart fai a systematic review. Telemedicine and e-health; 14(7): [TH] Wade, V. A., J. Karnon, et al. (2010) A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Services Resea 10:1-13 [TH] ECONOMIC

23 General Consensus Evidence is weak See also Bolton et al Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD. doi: /j x J Eval Clin Prac 2010 Jaana M et al. Home telemonitoring for respiratory conditions: a systematic review. Am J Manag Care 2009;15: So it is hard to draw conclusions from available studies What are the areas of weaknesses?

24 Weaknesses Small samples, short term Combine heterogeneous populations Combine heterogeneous interventions Before and after (no control groups) Blinding? (placebo effect) Generisability to local services (mainly US studies) Too many interested parties Manufacturers Governments /managers Lobby groups

25

26 Weaknesses the less obvious? Not enough patient centred outcomes (QoL?) Multi-agency and needs to be integrated e.g with social care (?) but budgets go to silos Could identify more needs! No minimum clinical standards but Association code of practice

27 Summary The need for different working Definitions Evidence Base so far (for COPD) Future developments

28 Phase 2, WAG funded 2 centre, powered, crossover RCT Any admissions COPD within last 2 years Irrespective of PR or severity Registered

29

30 1% GP Consultant 10% true clinical alerts CDM / hospital nurses 90% technical alerts Telecare + team Patient using Tm

31 Costs Estimated costs for Docobo for first year

32 Start-up Costs 115,783 Running Costs 35,147 TOTAL Costs Yr 1 150, Int J Clin Pract 2007; 61: AE attendances saved 84x 691 = 58,044 Hospital admissions saved 36 x = 76,716 GP contacts saved 780x 32 2 = TOTAL Savings Yr 1 = 159, Unit Costs of Health and Social Care

33 Tunstall Docobo Docobo- GPRS Start-up 198, , ,183 Ongoing 35,055 35,147 35,147 TOTAL Yr 1-73, ,790-5,610 Potential savings per Yr (after Yr 1) 124, , ,573

34 Can it be done at scale? Veterans Health Administration (VHA) Now standard integrated care (home telehealth) By 2007 had 31,570 patients, 5000 staff 19% reduction in admissions (hosp and NH) 25% reduction in bed days 86% mean satisfaction score $1600 per patient per year

35

36 Telemonitoring and ITU??

37

38

39 Themes: Utilisation of resources Participants and Carers Cost-effectiveness Organisational issues (sustainability)

40

41

42

43 Demonstrators of Assisted Living Lifestyles at Scales (DALLAS)

44

45 Changes to technology (including costs!)

46

47

48

49

50

51

52 Summary The need for different working Definitions Evidence Base so far (for COPD) Future developments

53

Alexandra Bargiota Assist. Prof. in Endocrinology University Hopsital of Larissa Thessaly, Greece. www.united4health.eu

Alexandra Bargiota Assist. Prof. in Endocrinology University Hopsital of Larissa Thessaly, Greece. www.united4health.eu Applying Evidence-Based Medicine with Telehealth the clinician view Assessing the impact of telehealth/telemedicine either via an RCT or an observational study the voice of a clinician Alexandra Bargiota

More information

DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece

DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece www.united4health.eu Table of Contents Overview of current status and need for Evidence

More information

Telehealth. an overview. Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine. Stacey Marney,

Telehealth. an overview. Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine. Stacey Marney, Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine Telehealth an overview Professor Brian McKinstry GP and Professor of Primary Care E-Health University of Edinburgh Dr Richard

More information

Service delivery interventions

Service delivery interventions Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P

More information

Transforming the patient experience with telehealth in Europe : "Applying Evidence-Based Medicine in Telehealth"

Transforming the patient experience with telehealth in Europe : Applying Evidence-Based Medicine in Telehealth Transforming the patient experience with telehealth in Europe : "Applying Evidence-Based Medicine in Telehealth" George E. Dafoulas, MD, MBA in HSM, PhDc etrikala, Municipality of Trikala 5 th Regional

More information

Telehealth in Respiratory Rehabilitation & Long Term Ventilation May 1 st, 2015

Telehealth in Respiratory Rehabilitation & Long Term Ventilation May 1 st, 2015 GTA Rehab Network Best Practices Day Telehealth in Respiratory Rehabilitation & Long Term Ventilation May 1 st, 2015 Jacinthe Dubois-Webster, OT Reg. (Ont.) West Park Healthcare Centre Telehealth The different

More information

Philips Hospital to Home: redefining healthcare. through innovation in telehealth

Philips Hospital to Home: redefining healthcare. through innovation in telehealth Philips Hospital to Home: redefining healthcare through innovation in telehealth Healthcare costs are at a crisis point, forcing the federal government to make comprehensive changes to healthcare payment

More information

The challenge. What we did. Highlights. Designing and delivering scalable telemonitoring and telecare through partnership.

The challenge. What we did. Highlights. Designing and delivering scalable telemonitoring and telecare through partnership. Telehealthcare Designing and delivering scalable telemonitoring and telecare through partnership The challenge Northern Ireland has a population of approximately 1.8 million people. Around two thirds of

More information

Telehealth Solutions Enhance Health Outcomes and Reduce Healthcare Costs

Telehealth Solutions Enhance Health Outcomes and Reduce Healthcare Costs Text for a pull out can go heretext for a pull out can go heretext for a pull out can go Text for a pull out can go here Text for a pull out can go here Telehealth Solutions Enhance Health Outcomes and

More information

Promotion of a sustainable health workforce

Promotion of a sustainable health workforce Health care challenges in regions with declining and ageing population Hannele Häkkinen 1 Council of European Municipalities and Regions (CEMR) Introduction Most European countries are affected by demographic

More information

Claus Duedal Pedersen Chief Consultant Odense University Hospital Region of Southern Denmark

Claus Duedal Pedersen Chief Consultant Odense University Hospital Region of Southern Denmark Claus Duedal Pedersen Chief Consultant Odense University Hospital Region of Southern Denmark Table of Content It all takes time RENEWING HEALTH in a nutshell Evaluating telemedicine Results & Expectations

More information

Rachel Binks Nurse Consultant Digital & Acute Care Airedale NHS Foundation Trust

Rachel Binks Nurse Consultant Digital & Acute Care Airedale NHS Foundation Trust Rachel Binks Nurse Consultant Digital & Acute Care Airedale NHS Foundation Trust Telehealth, e health, digital health.. Telecare Telemonitoring Teleconsultation Tele care Tele monitoring Tele coaching

More information

Using E-health to improve integrated care for older people with multimorbidity

Using E-health to improve integrated care for older people with multimorbidity Using E-health to improve integrated care for older people with multimorbidity Francesco Barbabella, Ph.D. 1, Maria Gabriella Melchiorre, M.Sc. 1, Sabrina Quattrini, M.Sc. 1, Roberta Papa, B.Sc. 1, and

More information

One COPD. Philips patient care solutions

One COPD. Philips patient care solutions COPD patient care solutions One COPD Philips patient care solutions TREATING patients with advanced technology devices EMPOWERING clinicians and patients with education MONITORING patients with connected

More information

Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience

Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience Haim Silber MD Programs Initiator Maccabi Health Care services and Gertner Institute, ISRAEL

More information

The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012. Penny S. Milanovich President UPMC Visiting Nurses Association

The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012. Penny S. Milanovich President UPMC Visiting Nurses Association The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012 Penny S. Milanovich President UPMC Visiting Nurses Association Cost of Chronic Conditions An average of 40-50% of healthcare

More information

2013 ANNUAL CAHSPR CONFERENCE SCOPING REVIEW: PATIENTS USING TELEHEALTH FOR SPINAL CORD INJURY (SCI)

2013 ANNUAL CAHSPR CONFERENCE SCOPING REVIEW: PATIENTS USING TELEHEALTH FOR SPINAL CORD INJURY (SCI) 2013 ANNUAL CAHSPR CONFERENCE SCOPING REVIEW: PATIENTS USING TELEHEALTH FOR SPINAL CORD INJURY (SCI) NAVINDRA NAVINDRA BALDEO PHD STUDENT, IHPME, UNIVERSITY OF TORONTO CO- AUTHORS: DR. FARAH AHMAD DR.

More information

Transforming Care at Home: Experience of the Belfast Health and Social Care Trust. Colm Donaghy Chief Executive December 2013

Transforming Care at Home: Experience of the Belfast Health and Social Care Trust. Colm Donaghy Chief Executive December 2013 Transforming Care at Home: Experience of the Belfast Health and Social Care Trust Colm Donaghy Chief Executive December 2013 Transforming Your Care Choice Empowerment Right information TeleHealth/Telemonitoring

More information

Telehealth in Connecticut. Perspectives from Home Health Care Providers

Telehealth in Connecticut. Perspectives from Home Health Care Providers Telehealth in Connecticut Perspectives from Home Health Care Providers July 2014 Telehealth in Connecticut Perspectives from Home Health Care Providers 1 SUMMARY. Telehealth refers to the remote provision

More information

Self-Management and Telehealth - design, evidence and implementation

Self-Management and Telehealth - design, evidence and implementation ucl behavioural medicine CONTEXT Self-Management and Telehealth - design, evidence and implementation Drivers for changing the way we deal with chronic conditions Prof Stanton P Newman University College

More information

Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15

Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15 Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15 April 2015 Dr Kieron Earney & Kate Symons Acknowledgements Dr Sarah Deedat Public Health Lead for Long Term Conditions 1 1.

More information

Scaling Telehealth Programs: Lessons from Early Adopters

Scaling Telehealth Programs: Lessons from Early Adopters Case Studies in Telehealth Adoption January 2013 Scaling Telehealth Programs: Lessons from Early Adopters Andrew Broderick and David Lindeman The mission of The Commonwealth Fund is to promote a high performance

More information

The Cost-Effectiveness of Homecare

The Cost-Effectiveness of Homecare The Cost-Effectiveness of Homecare Homecare Reduces Costs by 37 Percent for Heart Failure Patients The May 2004 Journal of the American Geriatrics Society reports a study conducted at six Philadelphia

More information

Reducing Hospital Admissions: Lessons from the Health Buddy Project (Care Management for High-Cost Beneficiaries Demonstration)

Reducing Hospital Admissions: Lessons from the Health Buddy Project (Care Management for High-Cost Beneficiaries Demonstration) Reducing Hospital Admissions: Lessons from the Health Buddy Project (Care Management for High-Cost Beneficiaries Demonstration) Presentation to National Medicare Readmissions Summit June 1, 2009 1 Agenda

More information

NH Broadband Conference May 16, 2014 Grappone Conference Center - Concord, NH

NH Broadband Conference May 16, 2014 Grappone Conference Center - Concord, NH NH Broadband Conference May 16, 2014 Grappone Conference Center - Concord, NH Track: Telehealth and Telemedicine SESSION 1-10:45 am - 11:20 am Telehealth and Telemedicine -The Dartmouth-Hitchcock Perspective

More information

RE: THO North Cardiac Health and Rehabilitation Submission on the Green Paper

RE: THO North Cardiac Health and Rehabilitation Submission on the Green Paper One Health System, Better Outcomes Department of Health and Human Services, GPO Box 125, Hobart, TAS, 7001 RE: THO North Cardiac Health and Rehabilitation Submission on the Green Paper The Cardiac Health

More information

Evidence briefing on teleconsultation

Evidence briefing on teleconsultation Evidence briefing on teleconsultation Telemedicine, telehealth and various other terms are used (often interchangeably) to describe the use of a range of communication and information technologies that

More information

CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations February 6, 2015 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, Maryland 21244 RE: CMS-1461-P Medicare

More information

Working with you to make Highland the healthy place to be

Working with you to make Highland the healthy place to be Highland NHS Board 2 June 2009 Item 5.3 POLICY FRAMEWORK FOR LONG TERM CONDITIONS/ANTICIPATORY CARE Report by Alexa Pilch, LTC Programme Manager, on behalf of Dr Ian Bashford, Medical Director and Elaine

More information

Essentia Health. Heart Failure and Remote Monitoring. Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager

Essentia Health. Heart Failure and Remote Monitoring. Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager Essentia Health Heart Failure and Remote Monitoring Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager Essentia Health Oct 2014 No reproduction without permission Why Heart Failure? Prevalence

More information

Smart self management: assistive technology to support people with chronic disease

Smart self management: assistive technology to support people with chronic disease Paper... Q : assistive technology to support people with chronic disease Huiru Zheng*, Chris Nugent*, Paul McCullagh*, Yan Huang*, Shumei Zhang*, William Burns*, Richard Davies*, Norman Black*, Peter Wright,

More information

5/6/2014. Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions. Objectives. The Issue at Hand

5/6/2014. Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions. Objectives. The Issue at Hand Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions Kelly Brittain, PhD, RN Assistant Professor MCRH-Nursing Grand Rounds May 8, 2014 Objectives 1. Summarize previous research

More information

Making Telehealth Sustainable in South Australia Dr Victoria Wade

Making Telehealth Sustainable in South Australia Dr Victoria Wade Making Telehealth Sustainable in South Australia Dr Victoria Wade Clinical Director, Adelaide Unicare e-health and Telehealth Unit Research Fellow, Discipline of General Practice The University of Adelaide

More information

Diabetes: Factsheet. Tower Hamlets Joint Strategic Needs Assessment 2010-2011. Executive Summary. Recommendations

Diabetes: Factsheet. Tower Hamlets Joint Strategic Needs Assessment 2010-2011. Executive Summary. Recommendations Diabetes: Factsheet Tower Hamlets Joint Strategic Needs Assessment 2010-2011 Executive Summary Diabetes is a long term condition that affects 11,859 people in Tower Hamlets, as a result of high levels

More information

J of Evolution of Med and Dent Sci/ eissn- 2278-4802, pissn- 2278-4748/ Vol. 3/ Issue 65/Nov 27, 2014 Page 13575

J of Evolution of Med and Dent Sci/ eissn- 2278-4802, pissn- 2278-4748/ Vol. 3/ Issue 65/Nov 27, 2014 Page 13575 EFFECT OF BREATHING EXERCISES ON BIOPHYSIOLOGICAL PARAMETERS AND QUALITY OF LIFE OF PATIENTS WITH COPD AT A TERTIARY CARE CENTRE Sudin Koshy 1, Rugma Pillai S 2 HOW TO CITE THIS ARTICLE: Sudin Koshy, Rugma

More information

Veterans Health Administration Office of Rural Health (VHA ORH) investments in North and South Carolina

Veterans Health Administration Office of Rural Health (VHA ORH) investments in North and South Carolina Veterans Health Administration Office of Rural Health (VHA ORH) investments in North and South Carolina For More Information: Gina L. Capra, MPA, Director, Office of Rural Health (Gina.Capra@va.gov) Thomas

More information

A Population Health Management Approach in the Home and Community-based Settings

A Population Health Management Approach in the Home and Community-based Settings A Population Health Management Approach in the Home and Community-based Settings Mark Emery Linda Schertzer Kyle Vice Charles Lagor Philips Home Monitoring Philips Healthcare 2 Executive Summary Philips

More information

KNOWLEDGEABLE SERVICE ROBOTS FOR AGING

KNOWLEDGEABLE SERVICE ROBOTS FOR AGING KNOWLEDGEABLE SERVICE ROBOTS FOR AGING Workshop on ICT and Robotics for Care and Service An advanced care system Hamburg December 2012 Dr. Hadas Lewy Maccabi Healthcare Services Maccabi Healthcare Services

More information

Using telehealth to monitor patients remotely:

Using telehealth to monitor patients remotely: ehealth and nursing practice Using telehealth to monitor patients remotely: an RCN guide on using technology to complement nursing practice RCN Legal Disclaimer This publication contains information, advice

More information

Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia

Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia Drago Rudel1, C.Slemenik Pušnik2, M.Epšek Lenart2, S.Pušnik3, and J.Lavre2 1MKS Electronic Systems

More information

Measuring quality along care pathways

Measuring quality along care pathways Measuring quality along care pathways Sarah Jonas, Clinical Fellow, The King s Fund Veena Raleigh, Senior Fellow, The King s Fund Catherine Foot, Senior Fellow, The King s Fund James Mountford, Director

More information

Post discharge tariffs in the English NHS

Post discharge tariffs in the English NHS Post discharge tariffs in the English NHS Martin Campbell Department of Health 4th June 2013 Contents Rationale and objectives Non payment for avoidable readmissions Development of post discharge tariffs

More information

Telehealth for patients with long term conditions

Telehealth for patients with long term conditions Telehealth for patients with long term conditions Telehealth is a broad term used to describe the use of communication and information technologies that aim to provide healthcare at a distance. Vale of

More information

Burden of Chronic Diseases COPD. Dr Randeep Guleria M.D, D.M. (Pulmonary Medicine) Professor Department of Medicine A.I.I.M.S

Burden of Chronic Diseases COPD. Dr Randeep Guleria M.D, D.M. (Pulmonary Medicine) Professor Department of Medicine A.I.I.M.S Burden of Chronic Diseases COPD Dr Randeep Guleria M.D, D.M. (Pulmonary Medicine) Professor Department of Medicine A.I.I.M.S Definition Chronic Obstructive Pulmonary Disease (COPD) is a preventable and

More information

Nye resultater med hjemme-niv. PD Dr. med. Thomas Köhnlein Respiratory Medicine (Head of Department: Prof. Dr. Tobias Welte)

Nye resultater med hjemme-niv. PD Dr. med. Thomas Köhnlein Respiratory Medicine (Head of Department: Prof. Dr. Tobias Welte) Nye resultater med hjemme-niv PD Dr. med. Thomas Köhnlein Respiratory Medicine (Head of Department: Prof. Dr. Tobias Welte) Physiologic targets of ventilation in COPD mechanical pressure support reduces

More information

Statins and Risk for Diabetes Mellitus. Background

Statins and Risk for Diabetes Mellitus. Background Statins and Risk for Diabetes Mellitus Kevin C. Maki, PhD, FNLA Midwest Center for Metabolic & Cardiovascular Research and DePaul University, Chicago, IL 1 Background In 2012 the US Food and Drug Administration

More information

Putting information at the heart of nursing care

Putting information at the heart of nursing care ehealth and nursing practice Putting information at the heart of nursing care How IT is revolutionising health care Introduction Information technology (IT) has become part of our everyday lives. We watch

More information

RT AS PROJECT MANAGER:

RT AS PROJECT MANAGER: RT AS PROJECT MANAGER: IMPROVING CARE TRANSITIONS DECREASES UNPLANNED READMISSIONS TAMMY JARNAGIN, BHS, RRT DIRECTOR CARDIOPULMONARY SERVICES, NEURODIAGNOSTICS, HOME MEDICAL EQUIPMENT Objectives Recognize

More information

The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS)

The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS) RESEARCH Original article... Q The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS) Lathy Prabhakaran*, Wai Yan Chee*, Kia Chong Chua,

More information

Presented by: Char Brar, ACNP, MS(Chem.), MSN, RN Cardiology Nurse Practitioner JBVAMC, Chicago

Presented by: Char Brar, ACNP, MS(Chem.), MSN, RN Cardiology Nurse Practitioner JBVAMC, Chicago Presented by: Char Brar, ACNP, MS(Chem.), MSN, RN Cardiology Nurse Practitioner JBVAMC, Chicago 200 bed acute care facility 4 Community Based Out-patient Clinics (CBOCs) 58,000 Veterans IN FY 2008 : 768

More information

The National Service Framework for Cardiac Disease: Strategic Aims and Implementation A Cardiac Work Programme for Wales

The National Service Framework for Cardiac Disease: Strategic Aims and Implementation A Cardiac Work Programme for Wales The National Service Framework for Disease: Strategic Aims and A Work Programme for Wales Disease Strategic Framework 2008-11 1 CONTENTS Page 1. Introduction 3 2. Part 1 Strategic Aims 3 3. Part 2 Standard

More information

Innovations@Home. Home Health Initiatives Reduce Avoidable Readmissions by Leveraging Innovation

Innovations@Home. Home Health Initiatives Reduce Avoidable Readmissions by Leveraging Innovation How Does CMS Measure the Rate of Acute Care Hospitalization (ACH)? Until January 2013, CMS measured Acute Care Hospitalization (ACH) through the Outcomes Assessment and Information Set (OASIS) reporting

More information

The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review

The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review A. S. Hameed 1,3, S. Sauermann 2, G. Schreier 3 1 Faculty of Business and Economics,

More information

Telehealth in the Home: Palliative Care, Aged Care and Clinical Rehabilitation in SA

Telehealth in the Home: Palliative Care, Aged Care and Clinical Rehabilitation in SA Telehealth in the Home: Palliative Care, Aged Care and Clinical Rehabilitation in SA Funded by the Australian Government under the National Broadband Network (NBN) Enabled Telehealth Pilots Program Project

More information

Overview. Service Innovation

Overview. Service Innovation Customer Case Study Telefonica E- Health Remote Patient Management Services EXECUTIVE SUMMARY COMPANY OVERVIEW Customer Name: Telefonica Industry: Telecommunications Location: Spain, Global BUSINESS CHALLENGE/OPPORTUNITY

More information

TELEMEDICINE IN DEVELOPING COUNTRIES. Norm Archer, Ph.D. Information Systems Dept. and ehealth Program McMaster University

TELEMEDICINE IN DEVELOPING COUNTRIES. Norm Archer, Ph.D. Information Systems Dept. and ehealth Program McMaster University TELEMEDICINE IN DEVELOPING COUNTRIES Norm Archer, Ph.D. Information Systems Dept. and ehealth Program McMaster University INTRODUCTION Telemedicine in developing countries is a tool of Global Health Global

More information

National Clinical Programmes

National Clinical Programmes National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission

More information

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Services January 2015 1 IPU Submission to the Department

More information

For want of evidence: a meta-review of home-based telehealth for the

For want of evidence: a meta-review of home-based telehealth for the For want of evidence: a meta-review of home-based telehealth for the management of long-term conditions. Catherine Pope, Professor of Medical Sociology Faculty of Health Sciences University of Southampton

More information

NHS Leeds South and East CCG Governing Body Meeting

NHS Leeds South and East CCG Governing Body Meeting Agenda Item: LSEGB2014/06 FOI Exempt: No NHS Leeds South and East CCG Governing Body Meeting Date of meeting: 23rd January 2014 Title: Primary Care Engagement Lead Board Member: Dr Jackie Campbell, Director

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience

More information

Telemedicine - a challenge rather than solution for payers and service providers in EU

Telemedicine - a challenge rather than solution for payers and service providers in EU Telemedicine - a challenge rather than solution for payers and service providers in EU K. Dziadek, MAHTA G. Waligora Keywords: adherence, e-health, telemedicine, telemonitoring DOI: 10.7365 / JHPOR.2015.1.1

More information

Telehealth and Telemedicine Mary C. Foster, DNP, MSN, ANP VISN 6 Mid-Atlantic Health Care Network

Telehealth and Telemedicine Mary C. Foster, DNP, MSN, ANP VISN 6 Mid-Atlantic Health Care Network Telehealth and Telemedicine Mary C. Foster, DNP, MSN, ANP VISN 6 Mid-Atlantic Health Care Network Not VA Telehealth One VA Provide the right care, in the right place, at the right time. This is our goal

More information

Whole Systems Demonstrators An Overview of Telecare and Telehealth

Whole Systems Demonstrators An Overview of Telecare and Telehealth Whole Systems Demonstrators An Overview of Telecare and Telehealth The WSD Programme The WSD Programme The Whole System Demonstrator (WSD) programme is a two year research project funded by the Department

More information

Home Telehealth for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis

Home Telehealth for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis Home Telehealth for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis J Franek March 2012 Ontario Health Technology Assessment Series; Vol. 12: No. 11, pp. 1 58, March

More information

Clinical pathway concept - a key to seamless care

Clinical pathway concept - a key to seamless care SECTION 5: PATIENT SAFETY AND QUALITY ASSURANCE 1 Clinical pathway concept - a key to seamless care Audrey Janoly-Dumenil, Hôpital Edouard Herriot, CHU Lyon Marie-Camille Chaumais, Hôpital Antoine Béclère,

More information

COCIR GLOSSARY OF TERMS

COCIR GLOSSARY OF TERMS COCIR GLOSSARY OF TERMS 2 European Coordination Committee of the Radiological, 13 COCIR TELEMEDICINE TOOLKIT 2011 Part 2 GLOSSARY OF TERMS Introduction.............................. 14 Part I: Telemedicine

More information

ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT

ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT MRS PHIL MAHON 7 APRIL 2006 ENHANCING PRIMARY AND COMMUNITY CARE Community Rehabilitation Sub Group 1. Introduction 1.1

More information

Success factors in Behavioral Medicine

Success factors in Behavioral Medicine Success factors in Behavioral Medicine interventions post myocardial infarction Depression Gunilla post myocardial Burell, PhD infarction Department of Public Health, Uppsala University, Sweden XIII Svenska

More information

Preoperative tests. National Clinical Guideline Centre. Routine preoperative tests for elective surgery. Clinical guideline <...

Preoperative tests. National Clinical Guideline Centre. Routine preoperative tests for elective surgery. Clinical guideline <... National Clinical Guideline Centre Draft for consultation Preoperative tests Routine preoperative tests for elective surgery Clinical guideline Appendix N: Research recommendations October 2015 Draft

More information

Avoiding hospital admissions

Avoiding hospital admissions Author Sarah Purdy December 2010 Avoiding hospital admissions What does the research evidence say? Executive summary Emergency admissions that is, admissions that are not predicted and happen at short

More information

NIHI Big Data in Healthcare Research Case Study

NIHI Big Data in Healthcare Research Case Study NIHI Big Data in Healthcare Research Case Study Professor Rob Doughty Heart Foundation Chair of Heart Health National Institute for Health Innovation and the Dept of Medicine, University of Auckland &

More information

Rural Pulmonary Rehab Program-

Rural Pulmonary Rehab Program- Rural Pulmonary Rehab Program- Saskatchewan s s First Presented by: Sandra Pieterse, Nurse Practitioner and Lia Boxall, Nurse Practitioner Kelsey Trail Health Region Kelsey Trail RHA 41,500 population

More information

Butler Memorial Hospital Community Health Needs Assessment 2013

Butler Memorial Hospital Community Health Needs Assessment 2013 Butler Memorial Hospital Community Health Needs Assessment 2013 Butler County best represents the community that Butler Memorial Hospital serves. Butler Memorial Hospital (BMH) has conducted community

More information

THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams

THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams Agenda Overview Impact of HIT on Patient-Centered Care (PCC)

More information

Emerging g Trends in Home Care

Emerging g Trends in Home Care Emerging g Trends in Home Care Dana Sheer, ACNP, MSN Susan Beausoliel, BSN, MS, DNP 1 The Triple Aim Goals Quality Improve Patient Outcomes Goal Readmissions Cost Reduce costs/penalties associated w/ readmissions

More information

Improvement in Dyspnea Implementing Pulmonary Rehabilitation in the Home

Improvement in Dyspnea Implementing Pulmonary Rehabilitation in the Home Improvement in Dyspnea Implementing Pulmonary Rehabilitation in the Home Mary Cesarz MS, PT Lisa Gorski MS, APRN, BC, FAAN Wheaton Franciscan Home Health & Hospice Milwaukee, WI Objectives To identify

More information

Dementia and Mild Cognitive Impairment

Dementia and Mild Cognitive Impairment Standard 5.1 Dementia and Mild Cognitive Impairment Aims To reduce the gap between expected and actual dementia prevalence and the variance between practices. To improve the assessment of all patients

More information

Population Health Management Program

Population Health Management Program Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care

More information

Townsville NBN diabetes in-home monitoring trial Dr Karen Carlisle Townsville-Mackay Medicare Local

Townsville NBN diabetes in-home monitoring trial Dr Karen Carlisle Townsville-Mackay Medicare Local Townsville NBN diabetes in-home monitoring trial Dr Karen Carlisle Townsville-Mackay Medicare Local The Trial is supported by funding from the Australian Government under the Digital Regions Initiative

More information

Improving General Practice a call to action Evidence pack. NHS England Analytical Service August 2013/14

Improving General Practice a call to action Evidence pack. NHS England Analytical Service August 2013/14 1 Improving General Practice a call to action Evidence pack NHS England Analytical Service August 2013/14 Introduction to this pack This evidence pack has been produced to support the call to action to

More information

Advanced Practice Nurse-managed Heart Failure Clinic Benefits Patient s Quality of Life and Limits Readmissions

Advanced Practice Nurse-managed Heart Failure Clinic Benefits Patient s Quality of Life and Limits Readmissions Nursing and Health 1(3): 47-51, 2013 DOI: 10.13189/nh.2013.010301 http://www.hrpub.org Advanced Practice Nurse-managed Heart Failure Clinic Benefits Patient s Quality of Life and Limits Readmissions Christina

More information

Telehealth. Putting the patient at the heart of the journey

Telehealth. Putting the patient at the heart of the journey Telehealth Putting the patient at the heart of the journey 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

More information

Bridging the Gap: Win-win from Integrated Discharge Support for Elderly Patients

Bridging the Gap: Win-win from Integrated Discharge Support for Elderly Patients Bridging the Gap: Win-win from Integrated Discharge Support for Elderly Patients Community collaboration project in elderly services HA Convention 2011 7 June 2011 Dr MF NG Dr KY SHA Dr BC TONG Associate

More information

HSE Transformation Programme. to enable people live healthier and more fulfilled lives. Easy Access-public confidence- staff pride

HSE Transformation Programme. to enable people live healthier and more fulfilled lives. Easy Access-public confidence- staff pride HSE Transformation Programme. to enable people live healthier and more fulfilled lives Easy Access-public confidence- staff pride The Health Service Executive 4.1 Chronic Illness Framework July 2008 1

More information

Rutland JSNA Executive summary

Rutland JSNA Executive summary Rutland JSNA Executive summary Aim of the JSNA This Joint Strategic Needs assessment is the means by which Leicestershire County and Rutland PCT and Rutland County Council will describe the current and

More information

BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005

BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005 ACCESS TO HEALTH CARE OCTOBER 2005 BriefingPaper Towards faster treatment: reducing attendance and waits at emergency departments Key messages based on a literature review which investigated the organisational

More information

Why do health and social care services for older people need to change?

Why do health and social care services for older people need to change? Welcome to our booklet on Reshaping care for older people in Ayrshire and Arran. We want to talk to you about care for older people now and in the future. Partners in this care are: NHS Ayrshire & Arran

More information

Wider Implementation of Telemedicine in Estonia

Wider Implementation of Telemedicine in Estonia Wider Implementation of Telemedicine in Estonia A summary of the study s results Full version (in Estonian) accessible at: http://www.praxis.ee/index.php?id=1140 Contact: priit.kruus@praxis.ee Authors:

More information

VHA Home Telehealth and Remote Patient Monitoring. Sandy Murphy sandy.murphy@va.gov Department of Veteran Affairs VISN 21 Telehealth Program Manager

VHA Home Telehealth and Remote Patient Monitoring. Sandy Murphy sandy.murphy@va.gov Department of Veteran Affairs VISN 21 Telehealth Program Manager VHA Home Telehealth and Remote Patient Monitoring Sandy Murphy sandy.murphy@va.gov Department of Veteran Affairs VISN 21 Telehealth Program Manager Professional Definition: the wider application of care

More information

Patient Centred Goal Setting

Patient Centred Goal Setting Patient Centred Goal Setting Some Background Subacute and Aged Care Services undertook a review and redevelopment of subacute processes The aim of the review was to improve patient outcomes (in particular

More information

ehealth and Telemedicine Services in Catalonia

ehealth and Telemedicine Services in Catalonia ehealth and Telemedicine Services in Catalonia Joint AIM EHTEL Telehealth Study visit Barcelona, 12 March 2013 Francesc Moya, Ignasi Garcia-Milà Pàgina 1 Organisation and roles HEALTH DEPARTMENT / CATSALUT

More information

NCQA Corrections, Clarifications and Policy Changes to the 2012 DM Standards and Guidelines March 26, 2012

NCQA Corrections, Clarifications and Policy Changes to the 2012 DM Standards and Guidelines March 26, 2012 This document includes the corrections, clarifications and policy changes to the 2012 DM Standards and Guidelines. NCQA has identified the appropriate page number in the printed publication and the standard

More information

Taming Of The Queue VI. Christine Struthers APN Cardiac Telehealth University of Ottawa Heart Institute

Taming Of The Queue VI. Christine Struthers APN Cardiac Telehealth University of Ottawa Heart Institute Taming Of The Queue VI Christine Struthers APN Cardiac Telehealth University of Ottawa Heart Institute March 2009 The Heart Failure Continuum 2 Leadership. Knowledge. Community. HF Readmissions Hospital

More information

Impact of VA Home Based Primary Care: Access, Quality and Cost National Health Policy Forum

Impact of VA Home Based Primary Care: Access, Quality and Cost National Health Policy Forum Impact of VA Home Based Primary Care: Access, Quality and Cost National Health Policy Forum Thomas Edes, MD, MS Director, Geriatrics and Extended Care Office of Clinical Operations U.S. Department of Veterans

More information

HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS

HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS "HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS" HOPE EXCHANGE PROGRAMME 2009 HOPE, the European Hospital and Healthcare Federation, is a non-profit

More information

New Technologies in Psychogeriatric care: The use of Telehealth in underserved areas

New Technologies in Psychogeriatric care: The use of Telehealth in underserved areas New Technologies in Psychogeriatric care: The use of Telehealth in underserved areas A. Politis, Ass. Prof. Psychiatry Division of Geriatric Psychiatry National and Kapodistrian University of Athens ehealth

More information

Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use

Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use Medicare Savings and Reductions in Rehospitalizations Associated with Home Health Use June 23, 2011 Avalere Health LLC Avalere Health LLC The intersection of business strategy and public policy Table of

More information

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy The Stroke Strategy confirmed that the Department would commission a short analysis of research evidence in relation to the strategy and the top ten research areas identified in it. We said that we would

More information

Making the Shift: Key Success Factors A rapid review of best practice in shifting hospital care into the community

Making the Shift: Key Success Factors A rapid review of best practice in shifting hospital care into the community Health Services Management Centre Making the Shift: Key Success Factors A rapid review of best practice in shifting hospital care into the community July 2006 Debbie Singh DH INFORMATION READER BOX Policy

More information