Healthy, Happy and at Home: National Broadband Network-enabled

medicine management for older adults living independently

Broadband Enabled Innovation Project (BEIP)

Carol Towers

Mat Tyler

Background

Aims

The BEIP Process

Collaborators

Participants

Client Criteria

Evaluation

Progress to Date

What is BEIP?

WHO estimates:

• Non compliance in prescribed medicines

• approx 50% patients in developed countries (Sabate et al, June 2001)

Australian Government (March 2010) estimates:

• Ageing Population

• Population Growth

• Chronic Disease

• Increasing healthcare costs

• Workforce shortages

Background

RDNS (2011) estimates: (Sample size 15,200)

Background

• Trial an alternate service delivery model

• Happy, Health and at Home

• Compare costs/savings of video conference vs. home

visits to clients for medication management to maximise

workforce resources

Aims

• Remotely monitor clients

• Intel® Health Guide

• Utilise National Broadband Network

The BEIP Process

• State Govt (Dept. of Business & Innovation)

• RDNS (Lead Organisation)

• Healthe Tech (Intel® Health Guide)

• Telstra (High speed broadband connectivity)

• La Trobe University (Evaluation)

Collaborators

RDNS sites:

Heidelberg

Diamond Valley

Customer Service Centre:

Hartwell

Cohort: 50 clients living at home

Participants

MMSE assessment - recall and orientation.

Client has ability to:

• recall how to turn on and use the videoconferencing

unit

• recall the location of their pharmacy-filled Dose

Administration Aid (DAA)

• be oriented with respect to dates, time of day and

the recurrence of daily contact

Client Inclusion Criteria

• HACC eligible

• Client receiving assistance with medicine prompting

• Requiring a minimum of one (1) nursing visit per day

• Ability to understand and read English

• Demonstrated ability to utilise pharmacy-filled DAA

Client Inclusion Criteria

Data will be used to evaluate:• Individual Client & Carer Benefits

• Social Benefits

• Economic Benefit

Quantitative Data:• Camillus

• Call Agent

• Back Office systems: Finance, Fleet management

and Incident Reporting Systems

Evaluation (LaTrobe University)

Qualitative:

• Client/Carer Surveys: Pre

During (weekly)

Post

• Staff Surveys: Pre

Post

Evaluation (LaTrobe University)

Human Research Ethics Committee approval

March 2012

Information Sessions

• Heidelberg & Diamond Valley Site staff

• Customer Service Centre staff

Progress to date

Processes & Procedures

• Client Side

• Customer Service Centre (CSC)

• Information Technology

Progress to date

2.Client answers call

Unable to take medicines Assess client’s general health

Explore reasons for not being able to take meds

CSC :Checks client appt time

Reviews client info – care plan, meds chart

CONTACTS CLIENT

1.Client answers call CSC observe

client: general appearance

responses taking meds from DAA

Client does not answer call

3.Client does not answer calls X 3.

Remind Client/Carer of next

scheduled callConclude call

Unable to take medicinesCheck care plan for specific

instructions

Call clients telephone

number

reschedule call in 30 mins

Maximum 2 recalls

4. contact NOK

Complete visit/notes in Camillus/Call Agent

Check schedule for planned next contact

NOK will attend

care

Client admitted

to hospital

Unable to

contact carer

Contact site

Client responds

Return to point 1.

Home visit

Client

discharged/on

hold

Issue resolved,

return to point 1.

Issue unresolved

move to point 4.

Client answers,

organise to contact

client via video

conference call

Return to Point 1

No

answer

16th April 2012

Project Launch – 16th April 2012

Any Questions?