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• Telehealth is an umbrella term used to describe the delivery of health related services and information via telecommunications technologies
• As simple as two health professionals discussing a case over the telephone, or as sophisticated as using satellite technology to broadcast a consultation between providers at facilities in two countries.
• 3 main types of telehealth technology– Store and forward telehealth (digital images, video, audio and clinical
data are captured and stored)– Real time telehealth (telecommunications link between the involved
parties allows a real-time interaction)– Remote Monitoring Telehealth (sensors are used to capture and
transmit biometric data, real time or store and forward)
Telehealth for Sheffield Focus: Tunstall telehealth technology focuses on consistent, reliable, and accurate remote monitoring of a patient’s vital signs through the use of simple easy to use equipment that professionals can customise to each patient, enabling day to day individual care according to need.
The most popular (number of monitors in daily use) telehealth monitor in the UK and the World
• Up to 4 programmed sessions per day for patients• Any number of manual tests • real time monitoring function • Once prompted a patient has 30 minutes to engage the
monitor giving the patient time to settle before collecting vitals
• Remote programming ability – flexibility to the patients routine
• Multi user ability • Languages include: English, French, French Canadian,
Spanish, Italian, German, Polish, Russian, Armenian, Portuguese, Hindi and Welsh
• Shift in focus to Primary Care - a Transition from ‘hospital care’ to ‘out-of-hospital care’– Bringing care closer to home– Delivering more services in the community and specifically moving them out of hospital – Innovation and potentially promoting a new service for PBC– Increasing diversity of Primary Care provision– Potential to better manage a patients condition from home
• Here to day to discuss our pilot of telehealth and how it has become part of our innovative working practice in COPD
• Sheffield Focus - Industrial legacy - High prevalence of COPD 3% overall - key target areas 6 –7%- Annual rate of COPD unscheduled care admissions 2,000- Average unscheduled care admissions for COPD 166 per month
• Recent developments to build a network of respiratory knowledge in the community to create accessible and responsive services
• Delivery of care through segmented targeted approach • Evidence based care
• Initial trial – pilot of the technology – How it worked for us locally – Identified our target area of patients – Clear patient selection criteria – Identified champion clinicians – Developed strong clinical commitment – Started small to grow big
• Clear plan of where we wanted to go with telehealth – Integration into community COPD pathway– Demonstrate cost benefits– Strong relationships between primary and Secondary care
• Competence frameworks– Official training to support the use of the technology, some staff initially
• Fully integrated into the community• Monitoring as integral part of the COPD care pathway• Implemented across all long term conditions• Communication with GP practices and other systems
e.g. System one (TPP), out of hour services• Evaluation via Sheffield University and Sheffield PCT
commencing December 2007 key pilot evaluation to support a larger RCT research study