Something's gotta give……
Sector
Pressure
Viability and
Public
Perception
Demand and
Changing
expectations
Fiscal
Pressures
Political will for
Change
Demand for Aged Care
Services
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
2006 2011 2016 2021 2026 2031 2036 2041
000s
Aged Australian Population Projections
85 years and over
65 years and over
Profile of Users of Aged
Care Services
0%
10%
20%
30%
40%
50%
60%
70%
80%
Residential Low Care Residential High Care
Proportion of High and Low Care Places
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Living Longer Living
Better
• Accommodation charges
• Community care
• Consumer Directed Care
4
Living Longer Living
Better Gateway
Assessment
Specified Care and Services
Additional Amenity
Impact of Sector Reform -
Denmark
New Zealand – Changing
Sector Profile
Providers
Consumer Choice
8
Consumer centric
services
Consumer
Provider
Provider
Provider
Provider
Community Care
CDCs
Budget holding
Contracting other providers
Monthly reporting
10
Brokering
Carers
Volunteers
Technology
Home monitoring
11
Health care
services
Social care services GP
GP
Hospital
Outpatient
clinics
Optometrist
Physiotherapist
Help with
shopping
Home
care
DVA
transport
Home
modification
service
Meals on Wheels
PCEHR HACC
records
Telehealth
Allows people to take
their vital signs in their
home daily, monitored
by a clinical nurse or
health professional.
Feros Care’s Technology Enablers
Challenges Technology Response
Independence & Security Telecare Smart Home technologies
Chronic Disease Management Telehealth Vital Signs Monitoring
Social Isolation
Senior “e-connecting”
Complexity of Accessing
Services
Feros Community Gateway “central contact and
referral centre”
Efficient & Effective Service
Models
Community Gateway
Electronic Health record
Virtual Offices
Cloud Computing
Telehealthcare - Assistive Technologies
• Established LifeLink in
December 2009
• 9 month Trial to Oct 2010
• NNSWLHD Trial to Nov
2011
• 500 Smart Homes to Dec
2011
• Key suppliers: Intel, Telemedcare, Chubb, Tunstalls Product
Comparison
• Nottingham & Torbay and York, Dublin, UK.
• Trials: Mildura, Ipswich Australia
Technology in Operation
Telehealth Deviceshlth
Pulse
Oximeter
Thermometer
Telehealth Hub
Glucose Monitor
Blood Pressure Monitor Scales
Age: 55 to 89
Conditions
Unstable Blood Pressure
Diabetes
COPD
Chronic Heart Failure
Our Clientsts
Outcomes
Our Clients
General Practitioners
• Decreased worry about not being aware of daily severity of condition
69%
• Technology allows me to be more independent
94%
• I can manage better with the technology
100%
“With Telehealth the RN
is monitoring mums
vitals everyday.
No hospital admission
this winter – the first
time in 3 years”
Daughter
• Involving patients in monitoring has a positive compliance impact
69%
• Daily monitoring helps reduce A&E visits and re-hospitalisation
86%
• I would recommend monitoring services to other physicians
86%
Daily monitoring of BSL
and BP has assisted in
stabilizing her medical
conditions GP
SMART HOME TECHNOLOGY
Feros Care has 180 smart homes installed
Telecare Outcomes
Our Clients
Their Carers and Family
• Reduced fear of undetected falls 88%
• Increased confidence for household activities
87%
• The technology improves my security 94%
“the emergency devices
give me more confidence
and make me feel safer
at home by myself”
Client
• Improved client independence 56%
• Reduction in carer anxiety 44%
• Reduced need for residential care 28%
I can’t provide much
assistance myself, but with
the Feros visits and
telehealthcare services, I
think mum can remain at
home for years.
Son
Mobile Technology in Community
Care
About Silver Chain Group
Statistics 2010:2011
Hours of care: 1,619,124
Clients assisted: 62,337
Clients visited per day: 4,943
Occasions of service: 2,271,426
Klms travelled : 20,797,206
Staff (Volunteers): 3,380 (411)
Revenue $193 million
• Large and mobile workforce – need to be able
to provide and capture up to date information 24/7
• Enables our nurses to be able to access
information about clients such as their details,
referrals, diagnosis, alerts, contacts and services.
• Enables nurses to record in real time the clients
assessment details and information about wound
care.
The Application
Clients Assessments Admission wizard
Contacts Clinical details Messages
Access comments Wound management Alerts
Service details Schedule/roster Maps and GPS tracking
Task details Timesheet OSH checklist
Client equipment Manuals (nursing & quality) Continuous Improvements
The Devices
The Supporting Platform
The (WA) Users (total group mobile users 2,000+)
The Benefits
Clients
Better care
Increased privacy
Reduced errors
Less hospital visits
Improved quality of life
Staff
Greater safety
Better information
Feel connected
Reduce travel time
Reduce paperwork
Organisation
Reduce overheads
Improve unit costs
Efficient processes Increased productivity
Reduce travel time
Better information
The Business Cycle
DATA
INFORMATION
KNOWLEDGE
UNDERSTANDING
COMMUNICATION
ACTION
Mobile Timesheets
DATA
INFORMATION
KNOWLEDGE
UNDERSTANDING
COMMUNICATION
ACTION
“Oh no something else I have to
learn and worried that it was going
to that will take up time…….
“But now yeah it great, its been
very easy to learn”
• Auto download of care
workers workload / timesheet
• Updated daily for today and 4
days ahead
• Data recorded in real time
and submitted daily
• 600 mobile timesheet users
Saving
s
Project Total savings
(est.)*
Timesheets (TS) - messaging $60,000
TS - Carrier voice contract $180,000
TS - Calls to Customer Operations $620,000
TS - Remove paper system $500,000
TS – Total estimated savings per
year $1,360,000
Mobile Timesheets
DATA
INFORMATION
KNOWLEDGE
UNDERSTANDING
COMMUNICATION
ACTION
• 16,784 wounds total
• 2,456 active wounds
• 20,316 assessments
• 21,551 treatment
plans
• 14,469 treatments
• 353,071 dressings
• 5,943 Notes
Wound Care
“With the phone we can bring wound care in real time with real data.”……… “We can now prove the worth of the work our nurses have been doing for
years.”
A Connected Workforce
Summary
Improve client care and increase
capacity
Drive down Logistics costs and
reduce inefficiencies