PLUS

researching the factors behind the telecare decision

>the iVi

Silverchain

TelehealthcareEDITION 2 2013 NEWS FOR TELECARE AND TELEHEALTH PROFESSIONALS

• takecare anywhere... Tunstall introduces the latest in mobile telehealthcare

• ask warren- solving your tricky troubleshoots

• Tunstall LifeCare NZ- bethlehem village project

introducing the new intelligentfalls detector pendant

Telehealth: a

case study from

the recent Heart

Failure Service

RBWH trial

page 7

the NDISincreasing accessibilty to telehealthcare

gary’s corner

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WELCOME...face to face healthcare a reality for regional australia

...TO TUNSTALL’S SECOND EDITION OF THE TUNSTALL TELEHEALTHCARE TIMES FOR 2013

LYN DAVIESManaging Director

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In this edition we present an interesting article from our agent in Western Australia, Silver Chain. Silver Chain works with various Governments - Federal, State and Local; and non-Government organisations in providing services across the community and they are committed to building community capacity to optimise health and wellbeing. The article focuses on the benefits of having an alarm and some of the reasons why some people choose not to have one.

Don’t jump to the last pages just yet, but don’t miss them either. Read the heartfelt story about one our clients Madeline, a special lady.....

Gary gives us an insight into the framework for the new National Disability Insurance Scheme and how we at Tunstall will be working closely with providers to ensure there is continued awareness around

assistive technology solutions that can make a difference to the lives of people with disabilities.

Have a look at our wonderful new fall detector, how light weight and easy to use it is and hear about Warren’s views on Tunstall’s pendant testing program for our clients.

We give you an update on our most recent TakeCare Anywhere product launch which includes our GSM alarm solutions and Find-Me watch along with our new ConnectMe flagship alarm. Telehealth news includes John’s story, explaining the impact telehealth is having on helping him to manage his chronic heart condition. John’s telehealth service was recommended by his clinician under a research program of the Royal Brisbane Women’s Hospital Health Services District and the University of South Queensland.

And...more news on the NBN and how our alarms are working fine over NBN connections, but if you need help just call us!

You will see a photo inside with me alongside our General Manager, Stephen over in New Zealand outside the beautiful Bethlehem Country Club, where we recently helped them deck out their independent living units and club house with emergency support solutions. What a wonderful place to retire and we were so pleased to be able to provide their clients with the reassurance of a safe solution.

Check out all the new faces at Tunstall – our new team members that we have welcomed recently as part of the Tunstall family – ready to help, take your call and solve your problem. We are also very excited to be opening our Clinical Services Centre, providing co-monitoring and technical triage for our telehealth clients and their patients.

Happy reading and don’t miss the messages about the upcoming events.

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Silver Chain: researching the factors behind the telecare decision

Silver Chain has been associated with Tunstall for over 12 years now. During that time they have been able to provide tens of thousands of Western Australians with the help and support to remain independent – and there have been many instances where having a Tunstall alarm has made a significant difference to the life of a Silver Chain client.

Today, more than 4,700 Silver Chain clients have an alarm and know that help is available at the push of a button. However, the sad reality is many more would benefit from it. Recently the Silver Chain Research Department* has been undertaking a large study to better understand the factors that influence the purchase or rent of an alarm, and also the reasons why some people choose not to get an alarm.

While the study is still underway, some of the initial findings are;

• Keyreasonsforpurchasinganalarminclude;having had a recent fall, having a medical condition, wanting to provide peace of mind for their family, wanting to gain faster assistance in an emergency situation and for personal security.

• Themainreasonfornotpurchasingthealarmafter the initial enquiry is affordability.

• Familymembersplayamajorroleinthedecisionto purchase an alarm. 64% per cent of people who purchased an alarm reported that their family were involved in their decision, whilst for those who decided not to purchase the alarm only 27% of their family were involved or had enquired about the alarm on their own behalf.

• Ofthosethatpurchasedthealarm33.5%ofrespondents had an emergency in the first six monthswith52%ofthoseemergenciesrelatingto falls. Other emergencies included breathing

difficulties, chest pain and dizziness.• Of the people who did not purchase the alarm,

45%hadanemergencyinthesixmonthssincefirst enquiring about the alarm. The majority of these emergencies (62%) were also related to falls.

Continuing a strong relationship with Tunstall, Silver Chain Alarms is proud and excited to see what the future holds for clients new and current. Silver Chain is a Tunstall agent in Western Australia. Should you wish to contact Silver Chain for further informationyoumaydosobyphoning1300557551or emailing: alarms@silverchain.org.au.

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“ Research such as this is important to enable organisations such as Silver Chain to lobby for the cost of the alarms to be funded for at risk individuals who simply don’t have the financial resources to pay for them – as they are in Victoria and South Australia – and while we haven’t won the argument yet we are committed to continuing to gather the evidence and place it before potential funders ”

Ricki Smith Head of Partnerships and Strategic

AlliancesSilver Chain

*Researchofficer-KristenDeSanMiguel

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Gary’s Corner

- Gary Morgan; Health Services Director

Follow Gary on Twitter:

@morgan_gary

On 28 March 2013, the text of the bill to establish legislation for DisabilityCare Australia was passed by both houses of the Australian Parliament.

The bill establishes a framework for the National Disability Insurance Scheme, a scheme which will give greater choice and control to over 400,000 Australians with a disability, their families and carers over the type of disability care and support they receive.

On 1 May 2013, the Prime Minister announced changes to the Medicare levy to secure funding for DisabilityCare Australia. The government will invest $14.3 billion to establish the scheme over a period of seven years.

Under the scheme, people with significant and permanent disability will have a greater say in how they manage their funding, the types of supports they want, and how and by whom those supports will be delivered. A personal care plan will be

developed for the individual in consultation with DisabilityCare Australia, that considers their long-term care needs and gives them a greater say in their own care. The new system is ultimately set to provide greater choice, control and flexibility for the individual and increase the accessibility of supports (such as telehealthcare).

Tunstall is working closely with leading community groups including Endeavour Foundation and the Independent Living Centres across Australia to provide assistive technology solutions which help support those with disabilities, and their families and carers to manage their care role.

DisabilityCare Australia will start in July 2013 in launch sites in New South Wales, Victoria, Tasmania and South Australia.

Disability reform to increase the accessibility of telehealthcare solutions

To access information about the National Disability Insurance Scheme you can visit: http://www.ndis.gov.au/

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Introducing the W

HAT

S N

EW iVi

- Gary Morgan; Health Services Director

Constant care,

automatically

Lightweight and discreet with a range of wearing options and adjustable sensitivity, the iVi intelligent pendant is the only fall detector that can tell you if it’s not being worn.

• Adjustable sensitivity to suit individual needs• Audio and visual alerts when a fall has been detected• Water resistant allowing the iVi to be worn in the bathroom • ‘Not worn’ alert if the iVi has failed to sense movement• Compatible with ConnectMe and Connect+ alarm units• Choice of wearing options for ultimate wearability

The iVi intelligent pendant is coming soon. To find out more visit www.tunstallhealthcare.com.au or call our friendly sales team on

1800611528.

Warren our Telehealthcare Consultant is one of Tunstall’s longest serving employees, sharing his years of Tunstall wisdom, by providing training and support for our customers and installers.

<Q.> What are the advantages for a client in doing a monthly pendant test? <A.> There are three key benefits. We encourage clients to make regular monthly test calls using their pendants because:

1) It helps clients to remain familiar and comfortable with the alarm - how to use the equipment, the sounds of the alarm, and in speaking to the response operator over the the alarm.

2) It acts as an equipment check - regular monthly testing allows our response operators to check the quality of the call, address any call or connection interference, and if necessary arrange a technician to make an onsite visit.

3) It is also an easy way of checking the battery in the pendant - a regular test call activation using the pendant, will identify if the battery in the pendant is functioning at its optimum level or if it may need to be replaced.

If you have a question for Warren send us an email at: askwarren@tunstallhealthcare.com.au

Warren Duce

Telehealthcare Consultant

Tunstall Healthcare

ask Warren

Tunstall has launched a new range of mobile telehealthcare technologies during a series of product launch events across Australia and New Zealand.

The Tunstall launch presentation explored the future of telehealthcare technologies at home and on the go with special industry guest speakers including;KylieMaidment,TelehealthPolicyManager for Medical Technology Association of Australia (MTAA); Desleigh De Jonge from the Australian Rehabilitation & Assistive Technology Association (ARATA); David Barbagallo, Chief Executive Officer of the Endeavour Foundation; Greg Madson, Vice President of Blind Citizens Australia; and Professor Greg Tegart, Fellow of Australian Academy of Technological Sciences and Engineering.

The featured product range is set to offer Tunstall clients a new sense of freedom by eliminating the need for a traditional copper landline connection in order to raise an alarm.

“Mobile telehealthcare technologies will play a key role in providing older people and those with long-term care needs the freedom to live their lives. We are excited to be launching a new range of solutions that our clients can use both at home and when they are out and about,” said Lyn Davies, Managing Director.

“Two of our new products, the innovative Find-Me Tunstall watch and Caresse GSM alarm

operate using the cellular mobile phone network, eliminating the need for a traditional copper landline connection in order to raise an alarm.

The Find-Me Tunstall watch–a mobile phone, alert button and GPS tracking device in one–is ideal for dementia patients or lone workers. With its unique mapping capabilities, the watch is designed to easily pinpoint the location of a wandering or remote client, or carer in the community without delay.

Along with the watch and alarm, the Tunstall myclinic telehealth solution was also unveiled, showcasing a new high definition multi-party video conferencing function. Although not yet widely used throughout Australia, Tunstall telehealth solutions are set to introduce a new mode of healthcare, with some states already implementing trial programs to better manage the health of people living with chronic health conditions in their region.

Also new to the market, the iVi intelligent pendant with fall detection capabilities. Light weight and discreet, with a range of wearing options, the iVi pendant will automatically detect if a wearer has fallen and raise an alarm, providing a means of calling for help anywhere in the home.

For further information on the TakeCare Anywhere product launches held around Australia visit www.tunstallhealthcare.com.au or call 1800611528foraproductrangeinformationkit.

Tunstall launches new mobile Telehealthcare range

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Congratulations to our TakeCare Anywhere product launchcompetition winners ...They have each won a DELL Latitude ST tablet

Fundraising- Australia’s Biggest Morning Tea

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• Bill Jeffers• Pam Huston• Jess Green

Our Brisbane office has recently been busy baking up a storm, with staff bringing in a range of homemade culinary delights to share around the office all in the name of a good cause - Australia’s Biggest Morning Tea. Registered with the Cancer Council Australia, all funds and donations made were in support of vital research and resources for those affected by cancer.

Telehealth: Heart Failure Service RBWH Trial

John is 88 years of age and has chronic heart failure. Secondary problems associated with his condition include hypertension, breathlessness, fatigue and respiratory issues.

Case Study- John’s Story

John suffers from ischemic cardiomyopathy; a narrowing or hardening of the small blood vessels that bring blood and oxygen to his heart.

When these are blocked or very narrowed, over time, the heart muscle does not work as well resulting in congestive heart failure. John’s condition means that his heart has lost the ability to efficiently pump enough blood to supply his body with optimal levels of oxygen and nutrients.

As a result, John suffers symptoms including fatigue, weakness and shortness of breath. Secondary respiratory infections are also a concern due to excess fluid build up in John’s lungs.

John was reccommended by his clinician for the Heart Failure Service Royal Brisbane Women’s Hospital (RBWH)Health Services District telehealth trial (a research program of RBWH HFS and the University of Southern Queensland). His condition was becoming increasingly unstable and indicators such as his weight and blood pressure were often difficult to accurately monitor by phone.

The solutionA Tunstall telehealth solution was installed in John’s home, including an RTX monitor, blood pressure monitor, pulse oximeter and weight scale.

John was shown how to measure his vital signs using the RTX monitor and to answer a series of clinical questions to determine his current condition. John’s vital signs were monitored daily by a clinician who works closely with him and his wife to better manage his condition.

How it worksTelehealth allows a patient to manage their conditionfrom home, reducing unplanned GP visits and decreasing the need for emergency hospital visits. Telehealth requires the patient to take their vital signs, such as heart rate, weight and blood pressure, and answer a series of health related questions on a regular basis.

These details are then transmitted to a monitoring centre where the data is compared to the patient’s ‘normal’ readings. Abnormal readings are flagged for follow up and passed onto the patient’s doctor. The doctor can then advise the patient of what action needs to be taken, including adjustments to medication.

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Telehealth provides the patient’s doctor with ongoing information so that a decline in health can be identified and managed well before it reaches crisis point.

The resultsJohn completed his telehealth interview and took his vital sign readings consistently every morning between 7-8am.

John’s clinicians found the daily telehealth interview helped to set a regular routine for John, encouraging him to be more consistent in monitoring his vital signs and symptoms each day.

By tracking John’s weight and oxygen saturation levels; the icp triage manager software was able to track changes outside of John’s set of safe parameters.

Should John’s weight increase rapidly and his oxygen saturation reduce, the monitoring centre could immediately alert John’s clinicians to the changes, allowing them to initiate proactive medication management.

By monitoring John’s condition remotely, his condition could be stabilised and unplanned hospital admissions avoided.

The futureTo manage John’s condition, a continuing focus will be placed on regular monitoring of his vital signs and symptoms. This will allow his medication to be properly adjusted as required.

John now understands the benefit and importance of measuring his vital signs everyday. Over the course of the program, John says he learnt a lot about his condition, his symptoms and the importance of daily monitoring.

John says, “I learnt a lot about myself and it (telehealth) taught me discipline, daily use at the same time each day was most important. I would recommend it to anybody”.

The equipment allowed us to respond rapidly to changes in John’s weights or vital signs. It helped keep him out of hospital and more stable due to the close monitoring” - Linda ; John’s clinician

Tunstall Healthcare, 1/56 Lavarack Ave Eagle Farm QLD 4009t: (07) 3637 2200 f: (07) 3637 2255 e: sales@tunstallhealthcare.com.au

w: www.tunstallhealthcare.com.au

For further information contact 1800 611 528

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For further information please contact Tunstall Customer Service on 1800 603 377

Tunstall medical alarms functionality over the NBNThe National Broadband Network (the NBN) is planned to provide a high-speed optical fibre connection to 93% of Australians, with the remaining 7% in non-urban areas served by wireless or satellite service.

The NBN will ultimately replace the copper network and all other public fixed-line telecommunications networks in Australia within the fibre footprint.

Medical alarms supplied by Tunstall have been tested and work when correctly connected to the NBN, via the UNI-V (Voice ports) or via an ATA connected to the UNI-D (Data ports) ports once activated.

Tunstall Healthcare are working closely with many of the NBN Co registered Retail Service Providers (RSPs). We can assist you with selecting the right RSP service to meet your needs and to answer any questions you might have.

If the NBN is rolling-out in your area, please call Tunstall Customer Service for support and advice on the connection requirements to suit your needs - Free Call 1800 603 377 or visit www.nbnco.com.au

TUNSTALL ALARMS AND THE NBN

THE NATIONAL BROADBAND NETWORK IS CURRENTLY BEING ROLLED OUT ACROSS AUSTRALIA.TO HELP YOU BETTER UNDERSTAND WHAT THIS NEW HIGH SPEED BROADBAND NETWORK WILL MEAN FOR EXISTING TELECARE CLIENTS WE’VE RELEASED A STATEMENT TO HELP YOU UNDERSTAND THE IMPACT.

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NEW faces at Tunstall

Here at Tunstall we put people first, carefully selecting the staff we employ and associate with. This ensures they share our same values and beliefs and will uphold Tunstall’s vision.

We introduce you to the newest members of our expanding Tunstall team.

Leanne Watson-HallSenior Customer Care

Consultant

Joveyl BautistaSenior Clinical

Consultant

KarenaKingProject

Administrator

AndrewKellySenior Business Devlopment

Manager NSW/ACT

Ilkka HowardTelehealthcare Consultant

NSW/ACT

WilliamKizilkanDay Shift Customer Care

Consultant

Leanne is a part of our dedicated Customer Service team, and joins us with previous experience and extensive customer care knowlege from our Tauranga response centre in New Zealand.

Joveyl joins Tunstall as the newest member of our Clinical Services team. With extensive nursing experience Joveyl will work closely with our Clinical Services Manager to ensure the smooth roll out of new telehealth projects.

Andrew joins Tunstall as part ot our Business Development team with previous experience in the Aged Care industry. His primary focus will be implementing and supporting new customer projects for the NSW/ACT area.

Ilkka joins Tunstall as part of our Business Development team with previous experience in Sales. His role will focus on providing training and support to our NSW/ACT customers, referring organisations community groups.

KarenajoinsTunstallasprojectsadministrator and will be a key support for the Tunstall Projects Management Office. She has extensive project coordination experience in the Health Services industry.

William is the newest member in our 24 hour Response team. He comes to Tunstall with a strong background in customer service and administration, and is looking forward to the both the challenges and rewards of his new role.

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Clinical services

Here at Tunstall, we have recently opened our new state of the art telehealth clinical services centre. The centre will base our clinical services team, who will provide a clinical process of co-monitoring via the Telehealth portal to external telehealth clients.

The co-monitoring process involves the clinical services team, care team member and the GP practice to provide clinical assistance through Telehealth monitoring in the patients home.

The new facility, equipped with the latest technology and software systems will assist the team to assess and view various clinical data being collated and relayed back to the triage team.

The data collected externally by the client is securely transmitted to the clinical services centre for review by a registered nurse clinician. Abnormal readings for the patient are flagged for follow up and intervention such as clinical coaching, nursing visit or GP appointment is organised. The collected data may also be passed on to the patient’s doctor for further review or intervention.

The clinical services team also provides assistance to the patients external care team via video conferencing capabilities and troubleshooting assistance. The team will be the contact point between the external care team members and Tunstall Healthcare.

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Tunstall LifeCare has been contracted to supply personal alarm units to the residents of Bethlehem Country Club, the Sanderson Group's luxury lifestyle village. The Bethlehem Country Club in the Bay of Plenty is widely recognised as setting the highest standards for retirement living in New Zealand.

The village of 130 homes is set to be expanded mid this year with a further 42 Acres of waterfront land and another 200 homes, bringing the total village area to 62 acres and 330 homes.

Tunstall LifeCare NZ- Bethlehem Village project

General Manager Tunstall LifeCare NZ, Stephen Murray with Managing Director Tunstall Australasia, Lyn Davies on a recent tour of Bethlehem Village NZ.

Clinical Services Manager, Ruth Skinner-Smith with Senior Clinical Consultant, Joveyl Bautista in front of the new Tunstall Clinical Services Centre.

Industry events not to be missed.

We invite you to visit us at our

Tunstall stand and learn more

about our products and services.

upcoming Events

17th- 18th 24th-26th

Aged Care Reform ForumNorth Sydney

OTA Conference Adelaide

JULY

24th

Digital Innovations Enabling Healthcare SolutionsMelbourne

AUGUST

22nd-23rd

ADMAConferenceSydney

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a hand quilted thank you

For the past 6 years Tunstall has received a small gesture of thanks from 91 year old client Madeline Grannall. Every 6 months Ms Grannall continues to mail our staff one ladies and one mens handkerchief, as a thank you to ‘her guardian angels at Tunstall’.

Over the years these lovely gestures have been saved and recently our dedicated Customer Care consultant Suzy Broadley has very carefully machine sewn and hand quilted these into a beautiful knee quilt which has since been delivered back to Ms Grannall.

28th-29th

Consumer Directed Care ConferenceSydney

Tunstall Healthcare1/56LavarackAve

Eagle Farm QLD 4009

1800611528www.tunstallhealthcare.com.au

Life Changing, Life Saving

What makes you SMILE ?Strive for excellence Make a difference Innovative and Agile Listen and Understand Everybody Matters

Our brand values and goals are critical to the success of both the products and services we provide, and need to be embraced and communicated positively by everyone who is a part of Tunstall.

Thisedition,Karenaourprojectsadministratorshareswithus what makes her SMILE...

What makes me smile about working at Tunstall is the commitment

and dedication by every staff member towards providing

independence, security and quality of life for those in our communities.

Daily I am reminded that the project work I complete makes a

difference and this encourages me to strive for excellence every day. On

the personal side, my family make me smile constantly as for me this is

the most precious thing anyone could have.

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