BEIP – Happy Healthy and at Home Medication Management via Video

Med-e-Tel Luxembourg 11 April 2013 Stelvio Vido RDNS Australia

BEIP – Happy Healthy and at Home Today’s Presentation RDNS – Who are we? • Our context – external • Our context – internal • BEIP what is it • how does it work • findings to date • Next Steps

BEIP – Happy Healthy and at Home Who is RDNS? • NGO • 130 years old • Home nursing and home support • 45,000 clients • Australia and New Zealand operations • 2,000+ staff • Strong clinical focus

BEIP – Happy Healthy and at Home Our context – external An ageing population

0

100

200

300

400

500

600

2010 2020 2030 2040 2050

Australia's Ageing Population Trend 2010 - 2050

Index Base = 100

0–64

70+

85+

85+ population forecast to

increase from 365,000 to

1, 800,000 over next forty years

BEIP – Happy Healthy and at Home Our context – external A population that is living longer…..

74

76

78

80

82

84

86

88

90

1983 2001 2012

Life Expectancy at age 65

Men

Women

BEIP – Happy Healthy and at Home Our context – external …and needs increase as people age

0

20

40

60

80

100

120

140

160

180

Domesticassistance

Meals Transport Nursing

Service Need according to Age Number of people per '000 pop'n

65–74

75–84

85+

BEIP – Happy Healthy and at Home Our context – external Our client population is becoming more diverse

0

20

40

60

80

100

120

Italy

Greece

Viet Nam

China

Germany

Philippine

s

Netherla

ndsIndia

Lebanon

Poland

Peop

le a

ged

65 ye

ars a

nd o

ver (

'000)

1996 2011 2026

BEIP – Happy Healthy and at Home Our context – internal • Our workforce is also

ageing

• Many home visits include medication management

• Travel time is high and increasing

Average is 43 years and increasing

Over 430,000 visits per

year 21% of

paid time – 235,000 hours per

year

BEIP – Happy Healthy and at Home Our context – internal

Past Dimension Future Block/ episodic Funding Packaged Care

Provider Funds holder Consumer State based Funding Program National

Low Competition Increasing NGOs, Charities Competitors Broad mix

Low ICT investment Critical to survival

BEIP – Happy Healthy and at Home Telehealth – one response to our challenges The RDNS Telehealth Platform Customer Service Centre • 24/7 • Clinically led • Contact centre disciplines • Effective ICT

BEIP in a Nutshell

BEIP – Happy Healthy and at Home

BEIP – our objectives • Empowerment and enablement • Improved nursing workforce utilisation • Build interdisciplinary teams to deliver nursing

e-health • Service delivery cost reduction • Cost benefit analysis of home health

technologies.

BEIP – Happy Healthy and at Home

BEIP – Happy Healthy and at Home

5 -6 Video visits per week plus one face to face visit

per week

The BEIP Service Model

BEIP – Happy Healthy and at Home BEIP Age Profile

4% 4% 9%

26% 43%

13%

BEIP Clients - Age profile

40 to 49

50 to 59

60 to 69

70 to 79

80 to 89

90 to 99

BEIP – Happy Healthy and at Home BEIP – Impact on visit times Weekly visit duration

4.2 Hours

2 Hours

Weekly Client time – f2f and

travel time

Pre BEIP

With BEIP

BEIP – Happy Healthy and at Home The Project May 2012 June 2013

Target - 50 Clients

49 Clients to date

Calls to Date

Over 3,000

Calls per Client

20+ per month

Home visits per Client

5 per month

Client engagement

BEIP Visits

750 per month

BEIP – Happy Healthy and at Home Our Approach • Research ethics approval • Clinical leadership and governance • Reference Group • Client selection and enrolment • Client choice paramount • Independent evaluation

BEIP – Happy Healthy and at Home Attitudes • Clients • Staff

BEIP – Happy Healthy and at Home Findings to Date – Staff

0 20 40 60 80 100

Allow clients more flexibility in how they use their day

Help clients to live independently

Help clients to manage their medication in their home

Be a positive experience for clients

Help supplement home visits

Positively impact on client nurse relationships

Improve the way RDNS utilises its current workforce

Assist RDNS to manage workforce shortage issues

Assist RDNS to provide care to more clients

RDNS Nursing Survey Results - pre Project

Agree

Undecided

Disagree

BEIP – Happy Healthy and at Home Next Steps • Complete formal evaluation • Assess suitability for business as usual • Business case to support transition Key challenge • Funding and business models

BEIP – Happy Healthy and at Home Questions Contact Stelvio Vido svido@rdns.com.au +61 3 9536 5267 www.rdns.com.au