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Telehealth innovation
Dr Ruth ChambersPhil O’Connell
RCGP June 2011
Regional Innovation Fund 2010
WINNER 2011
WINNER 2010
WINNER
Global Messaging Awards 2011
WINNER
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GP Perspective
• Challenge• Innovation• Cost Saving ?• Time Saving ?• Improving patient's quality of care ?• Integrated Pathway ?
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• Telehealth equipment in patients’ homes• Select for COPD, heart failure, other• Non-clinical triage• Alert parameters• Evaluation?
• Mobile phone texting interaction• Hypertension, Asthma, Contraception• Website –sharing of information• Focused problems eg poor blood pressure control
What did we try ?
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Is it working?
• Challenge: yes – clinicians engaged in 14 practices
• Innovation: yes – new use
• Cost Saving: probably
• Time Saving: possibly
• Improving patient's quality of care: probably
• Integrated Pathway: yes – helping interaction with community nursing
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NHS Telehealth Innovationcompliance
monitoringbehaviour change
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Inside the NHSindustrial scale quality and productivity improvement
quick and easy
very low cost
COPD, CHF, new hypertension, hypotension, diabetes type 1, dementia, vascular cognitive impairment, sexual health, retinopathy, medication compliance, diabetes type 2, medication titration, orthopaedic, pulmonary fibrosis, cervical smear, smoking cessation, speech therapy, carers wellbeing, mental health behaviour, long term hypertension, asthma, alcohol support, weight management, early hospital discharge, outpatient therapy, acute specialist follow up, long term monitoring, prothrombin time, oximetery review, asthma, depot injections, pregnancy, pain management, physiotherapy, palliative care, learning disability, oncology, neuropsychology, DNA management, CKD …..unlimited conditions
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Inclusive approachgenuine benefits for everyone involved
self management + GP decision support
Personal and empowering
Massive and fast scalabilityYear 1 ROI
universal acceptance + pragmatic quantifiable business casesPatient | DoH| SHA | PCT | Acute | Community | GP | Nurse | Commissioner
QOF assist
NHS ownednot for profit
increased productivity + qualityinclusive + available to everyone
low cost + high ROI
www.stoke.nhs.uk/simple WINNER 2010
WINNER
Global Messaging Awards 2011
WINNER
WINNER 2011
Regional Innovation Fund 2010