TELEHEALTH&

TELECAREDELIVERING PERSON –

CENTERED CARE

DONNA CANTRELLRMN / DIP NUR / BSc(HONS) HEALTH AND SOCIAL CARE

BACKGROUND Stoke PCT has commissioned a prototype of

‘Simple Telehealth’, the mobile phone / text based Telehealth solution

The solution is 100% owned by Stoke PCT and the development is being supported by MidTech, the SHA’s Innovation Unit

Feedback from commissioners suggests that the system will be very low cost when compared to traditional solutions and will be cost effective enough to deploy patients for which there is no current affordable Telehealth solution.

AREAS LEADING ON THE DEVELOPMENT OF THE SOLUTION

Community MatronsPBC General PracticeDiabetesDementiaSmoking CessationYear of CareVascular and Cognitive ImpairmentDistrict Nursing

Mental Health – the first Mental Health service nationally to pilot this solution.

DESCRIPTION Simple telehealth uses proved industry and clinical

protocols to provide an automatic, bi-directional, SMS based behavioural, educational and monitoring service which automatically interacts with patients via a series of personalised, planned and timed reminders, educational information, compliance and monitoring messages to assist with and aid patient self care.

The system is extremely cost effective, free for patients, accessible to the majority of the population and can be used anywhere by both patients and clinicians.

OPTIONS

SIMPLE TELEHEALTH

TELEHEALTH SYSTEMS

TELECARE SYSTEMS

HEALTH HUB

SIMPLE TELEHEALTH

OBJECTIVES

OBJECTIVES

TARGET USAGE

THE SYSTEM WILL PROVIDE AUTOMATED MONITORING FOR PATIENT CONDITION, EDUCATION AND IMPROVEMENT OF SELF CARE

THE SYSTEM WILL ENABLE PERSONAL CHOICE FOR PATIENTS BY OFFERING THE ABILITY TO HAVE MOBILE PHONE OR LANDLINE CONSULTATIONS BASED ON READINGS TAKEN AT THE PATIENTS CONVENIENCE INSTEAD OF A SURGERY VISIT

THE SYSTEM CAN BE USED FOR PATIENTS WHOSE CLINICIAN WOULD BE MORE ABLE TO MANAGE THE CONDITION WITH ACCESS TO REGULARLY RECORDED READINGS INSTEAD OF RELYING ON READINGS ONLY WHEN THE CLINICAN IS PRESENT

THE KEY FEATURE BEING , THE ABILITY TO SEND PATIENT REMINDERS WITH OR WITHOUT CONFIRMATION, I.E REMINDERS SENT AT SPECIFIC TIMES / DAYS TO REMIND PATIENTS TO TAKE MEDICATION, EXERCISE OR OTHER ACTIONS.

HOW DOES IT WORK........

LETS’S HAVE A GO!!.......SEND THE FOLLOWING MESSAGE

TO SUBSCRIBE 84433

THE CLINICIAN SENDS AN SMS TO A DEDICATED SHORTCODE NUMBER, I.E 81234 WITH THE PATIENTS MOBILE NUMBER AND THE CONDITION TO BE MONITORED, I.E ‘BP’ FOR BLOOD PRESSURE AND THE SYSTOLIC / DIASTOLIC THRESHOLDS AND THE FREQUENCY / TIME READINGS SHOULD BE TAKEN

THE CLINICIAN GETS CONFIRMATION THAT THE REQUEST HAS BEEN ACCEPTED

THE PATIENT IMMEDIATELY RECEIVES A TEXT TO CONFIRM THAT A REQUEST HAS BEEN SENT TO THE SYSTEM TO ENROL THEM.

THE PATIENT SENDS AN ‘OK’ TEXT BACK TO THE ‘81234’ AS CONFIRMATION TO ENROL

THE PATIENT RECEIVES A WELCOME TEXT INCLUDING INSTRUCTIONS

WHAT HAPPENS NEXT.......

•ONCE THE PATIENT HAS TAKEN A READING IT CAN BE SENT IMMEDIATELY TO THE SYSTEM VIA THE TEXT MESSAGE

•THE PATIENT WILL RECEIVE CONFIRMATION EACH TIME A READING IS ACCEPTED BY THE SYSTEM ALONG WITH A SUMMARY OF RECENT READINGS

•IF A PATIENT DOES NOT SUBMIT READING WITHIN THE DEFINED PERIOD, THE SYSTEM WILL SEND OUT A SERIES OF REMINDERS

POSSIBLE USES MEDICATION REGIME – REMINDERS TO TAKE AND

COLLECT APPOINTMENTS REMINDERS – TO REDUCE THE

RATE OF DNA’S MOTIVATIONAL AND BEHAVIOURAL CHANGE TOOL - PHYSICAL HEALTH MONITORING – LONG TERM BP,

BM HEALTHY OPTION REMINDERS – DIET / EXERCISE CPA REMINDERS / INFO – ADDRESSING KEY

PERFORMANCE INDICATORS SOCIAL INCLUSION – GROUP ACTIVITIES AND

PLANNED AGREED CARE

TELEHEALTH SYSTEMS

VITAL OBSERVATIONSA VARIETY OF EQUIPMENT WHICH WILL

ALLOW THE PATIENT TO RECORD THEIR VITAL OBS AND THIS INFORMATION IS SENT TO THE CONTROL ROOM FOR ANALYSIS / MONITORING – ALERTS CAN BE SENT OUT WHEN NEEDED AND CLINICANS WILL BE ALERTED IN THE EVENT OF PROBLEMS

TELECARE SYSTEMS

WHAT IS TELECARE TELECARE IS MADE UP OF A RANGE OF

DETECTORS / MONITORS WHICH ARE LINKED VIA A TELEPHONE LINE TO A COMMUNITY ALARM SYSTEM.

WHEN AN ALARM IS TRIGGERED IT SENDS A WARNING TO A CONTROL CENTRE THAT CAN BE RESPONDED TO WITHIN A DEFINED TIMESCALE.

AN ALARM CAN BE TRIGGERED ON A DETECTED EVENT SUCH AS A FALL, OR IF AN UNUSUAL PATTERN OF ACTIVITY HAS NOT BEEN FOLLOWED SUCH AS A FRIDGE DOOR NOT BEING OPENED WITHIN A 24 HOUR PERIOD.

AVAILABLE EQUIPMENT

Health hub

AA

A SMALL HAND HELD TELEHEALTH MONITOR DESIGNED FOR EASE OF USE BY PATIENTS AND CARERS OF ALL AGES, IN

ANY LOCATION AND AT ANY TIME.

OVERVIEW Purpose designed for home use by patients of

all ages with Long Term Conditions, the Docobo HealthHub is an innovative European solution to the growing burden placed on health providers for managing patients at home and in the community. Similar to a PDA and using the principle of “store and forward”, vital signs measurements and changes in symptoms, side effects, life style and quality of life are securely recorded and transferred to the centre of care