john north ben rowney alison mcgill november 2011

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Telemedicine in Orthopaedics John North Ben Rowney Alison McGill November 2011

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Page 1: John North Ben Rowney Alison McGill November 2011

Telemedicine in Orthopaedics

John NorthBen RowneyAlison McGill

November 2011

Page 2: John North Ben Rowney Alison McGill November 2011

No conflict of interest to declare

Declaration

Page 3: John North Ben Rowney Alison McGill November 2011

Small Beginnings?

(Telehealth http://www.health.qld.gov.au/qhcss/telehealth/clinicians/default.asp)

Page 4: John North Ben Rowney Alison McGill November 2011

Strengths

‘SWOT’

Page 5: John North Ben Rowney Alison McGill November 2011

Strengths

Weaknesses

‘SWOT’

Page 6: John North Ben Rowney Alison McGill November 2011

Strengths

Weaknesses

Opportunities

‘SWOT’

Page 7: John North Ben Rowney Alison McGill November 2011

Strengths

Weaknesses

Opportunities

Threats

‘SWOT’

Page 8: John North Ben Rowney Alison McGill November 2011

Cost Benefits

Opportunities

Page 9: John North Ben Rowney Alison McGill November 2011

Cost Benefits

◦ Alison McGill ‘Cost Benefit Analysis’

◦PAH / Mt Isa Fracture Clinic

Opportunities

Page 10: John North Ben Rowney Alison McGill November 2011

Patient Benefits

Opportunities

Page 11: John North Ben Rowney Alison McGill November 2011

Patient Benefits

◦ Consultant Advice

Opportunities

Page 12: John North Ben Rowney Alison McGill November 2011

Patient Benefits

◦ Consultant Advice

◦ Paediatric Advice

Opportunities

Page 13: John North Ben Rowney Alison McGill November 2011

Patient Benefits

◦ Consultant Advice

◦ Paediatric Advice

◦ Transfer Avoidance

Opportunities

Page 14: John North Ben Rowney Alison McGill November 2011

Patient Benefits

◦ Consultant Advice

◦ Paediatric Advice

◦ Transfer Avoidance

◦ Family sanity preserved

Opportunities

Page 15: John North Ben Rowney Alison McGill November 2011

Administration Benefits

Opportunities

Page 16: John North Ben Rowney Alison McGill November 2011

Administration Benefits◦ Fewer complaints

Opportunities

Page 17: John North Ben Rowney Alison McGill November 2011

Administration Benefits◦ Fewer complaints

◦ Better service

Opportunities

Page 18: John North Ben Rowney Alison McGill November 2011

Administration Benefits◦ Fewer complaints

◦ Better service

◦ Faster service

Opportunities

Page 19: John North Ben Rowney Alison McGill November 2011

Administration Benefits◦ Fewer complaints

◦ Better service

◦ Faster service

◦ Earlier Return to Work

Opportunities

Page 20: John North Ben Rowney Alison McGill November 2011

Administration Benefits◦ Fewer complaints

◦ Better service

◦ Faster service

◦ Earlier Return to Work

Opportunities

Page 21: John North Ben Rowney Alison McGill November 2011

Treatment Triage

Follow up Support

Opportunities

Page 22: John North Ben Rowney Alison McGill November 2011

BUT…………

Page 23: John North Ben Rowney Alison McGill November 2011

Threats

Page 24: John North Ben Rowney Alison McGill November 2011

Consultant funding

Threats

Page 25: John North Ben Rowney Alison McGill November 2011

Consultant funding

Radiographic funding

Threats

Page 26: John North Ben Rowney Alison McGill November 2011

Consultant funding

Radiographic funding

PACS funding

Threats

Page 27: John North Ben Rowney Alison McGill November 2011

Consultant funding

Radiographic funding

PACS funding

Admin funding

Threats

Page 28: John North Ben Rowney Alison McGill November 2011

PACS access?

Threats

Page 29: John North Ben Rowney Alison McGill November 2011

PACS access?

Firewalls

PACS

Page 30: John North Ben Rowney Alison McGill November 2011

PACS access?

Firewalls

QH contracts with private suppliers

PACS

Page 31: John North Ben Rowney Alison McGill November 2011

PACS access

Firewalls

QH contracts with private suppliers

PACS Access ‘LIMITED’

PACS

Page 32: John North Ben Rowney Alison McGill November 2011

Patient

Fracture Clinic

Page 33: John North Ben Rowney Alison McGill November 2011

Patient

Medical Officer

Fracture Clinic

Page 34: John North Ben Rowney Alison McGill November 2011

Patient

Medical Officer

Radiographer

Fracture Clinic

Page 35: John North Ben Rowney Alison McGill November 2011

Patient

Medical Officer

Radiographer

Plaster Technician

Fracture Clinic

Page 36: John North Ben Rowney Alison McGill November 2011

Tele-health equipment

PACS Access from PAH

Tele-health

Page 37: John North Ben Rowney Alison McGill November 2011

Tele-health equipment YES

PACS Access from PAH

Page 38: John North Ben Rowney Alison McGill November 2011

Tele-health equipment YES

PACS Access from PAH NO

Page 39: John North Ben Rowney Alison McGill November 2011

Only the Start

Page 40: John North Ben Rowney Alison McGill November 2011

Small Beginnings?

(Telehealth http://www.health.qld.gov.au/qhcss/telehealth/clinicians/default.asp)

Page 41: John North Ben Rowney Alison McGill November 2011

……Great Start

(Telehealth http://www.health.qld.gov.au/qhcss/telehealth/clinicians/default.asp)

Page 42: John North Ben Rowney Alison McGill November 2011

……Great Opportunity

(Telehealth http://www.health.qld.gov.au/qhcss/telehealth/clinicians/default.asp)

Page 43: John North Ben Rowney Alison McGill November 2011

Don’t Waste the Opportunity

(Telehealth http://www.health.qld.gov.au/qhcss/telehealth/clinicians/default.asp)

Page 44: John North Ben Rowney Alison McGill November 2011

Thankyou

Page 45: John North Ben Rowney Alison McGill November 2011

TELE-HEALTH

Ben Rowney, John North, Alison McGill

Connecting PAH to Mt Isa