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

Moira.Mackenzie@scotland.gsi.gov.uk

Donna Henderson

Consultant

Joint Improvement Team

Donna@antaraconsulting.co.uk