Opportunities in Technology & Care - Donna Henderson (JIT), Rowan Norrrie (WHI Project)
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Transcript of Opportunities in Technology & Care - Donna Henderson (JIT), Rowan Norrrie (WHI Project)
Opportunities in Technology and CareWHI event, 7th September 2010
Donna HendersonTelecare Development Programme
It’s ‘Time for Action’…..
Definitions
> Telecare: Remote or enhanced delivery of care services to people at home or in community using telecommunications/ICT
> Telehealth: Provision of health services at a distance using a range of digital technologies, including VC, broadband, telephone
Basic Telecare Service Elements
1. Something
happens in
the home
2. An alert is
sent via the
telecare
equipment3. The detail of
the situation is
reviewed by a
trained
operator
4. An
appropriate
and timely
response
Expanding Range of Telecare Equipment
Wristcare
Medication Reminder
Wayfinder
Locator
Epilepsy
sensor
Telehealth
Developments in Scotland since 2006
Telehealth> Significant Stroke
Management & Paediatrics Programmes
> Support provided to Health Boards in their Telehealth projects
> Awareness Raising> Review of progress
undertaken and successful move into NHS24 now complete
> Telehealth Champions Network Launched
Telecare> All 32 local partnerships
progressing telecare programmes
> 25,833 people received telecare services as result of TDP
> Basic telecare services moving to enhanced provision
> Independent review of progress identified ‘promising start’
> Telecare Learning Network Established
What next?
JIT/SCT recognise benefits of a strategic & integrated approach to achieve shared outcomes –
Ensuring better, local and faster access to public health and care servicesImproving the quality, delivery and efficiency of public health and care servicesBetter supporting the citizens and carers of ScotlandConnecting the population of Scotland to appropriate, timely care
Telehealthcare
“The convergence of telecare and telehealth to provide a technology enabled and integrated approach to the delivery of effective, high quality health and care services”
Innovation & Integration - Telehealthcare
> Monitoring ‘Health at Home’
> Preventing & Managing Falls
> Housing & Care Models
A Phased Approach to Telehealthcare
Phase 1 (2006-9): Raise awareness/develop local & national expertise
Phase 2 (2010-12): Joint strategic drive, strengthen underpinning infrastructure & expand/integrate national programmes (90% roll-out/10% innovation) = Robust Platform
Phase 3 (2013-15): Increased innovation/data integration & analysis, mainstream & national services
Expansion
Innovation
Phase Two: Telehealthcare Priorities (2010/12)
Further expansion: 13,000 additional telehealthcare service users
Integration: Care pathways for Falls Prevention & Management/COPD etc,
Joint Telehealthcare Action Plan: JIT/SCT/NHS24– linked to key policy agendas e.g. Reshaping Care/NHS Quality Strategy
Roll out of 4 National Telehealth Programmes: Stroke, Paediatrics, Mental Health & COPD
Implement Telehealthcare Education & Training Strategy: 7 Workstreams
Effective Procurement Options & Standards Support Key Areas of Innovation Continue to Monitor and Evidence progress – learn as we
progress
Telehealthcare Education & Training Action Plan
7 workstreams; Ethical framework & common principles Knowledge & Skills Framework Core Curriculum & Continuing Professional Dev. Induction & Accredited Training (SVQ’s) Carer Awareness Raising & Training Innovation in Education & Training Phase 2 for Acute Sector Health Staff
Cultural issues
> Resistance to change
> Fear of increased risk and inferior service provision
> Lack of confidence in technology
> Impersonal
> Perceived lack of service user acceptance / usability
Integration issues Service Delivery Integration: e.g. Falls
Prevention & Management pathways, Stroke, Older People Services. Will require service (business process) redesign.
Equipment Integration: Interoperability issue restricting choice of equipment and expansion of services.
Data Integration: Limited use of data from telehealth & telecare within case/care management.
Opportunities to support expansion
In order to expand at scale, we need to:
> Build on our own experience and that of others > Explore funding options within UK and Europe> Develop partnerships with academia and industry> Embed technology into redesigned services
We welcome your views on…
How can the experience and skills of industry best play into the mainstreaming of telehealthcare in Scotland?
What can we (JIT / SCT) do to involve industry partners more effectively in the development of telehealthcare in Scotland?
ContactMoira MacKenzie
Telecare Development Programme Manager
Joint Improvement Team
Donna Henderson
Consultant
Joint Improvement Team