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Making Connected Health Work for Patients and Practice. Kay Kane Senior Professional Development Officer eHealth RCN & European Centre for Connected Health Karen McGurk Case Manager, Northern HSC Trust. Terminology.

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making connected health work for patients and practice

Making Connected Health Work for Patients and Practice

Kay Kane

Senior Professional Development Officer eHealth

RCN & European Centre for Connected Health

Karen McGurk

Case Manager, Northern HSC Trust

terminology
Terminology

eHealth characterizes not only a technical development, but also a state-of-mind, a way of thinking, an attitude, and a commitment for networked, global thinking, to improve health care locally, regionally, and worldwide by using information and communication technology.

Connected Health is a term used to describe a model for healthcare delivery that uses technology to provide healthcare remotely.

examples
Examples

Patient Information/Service Portals

  • Health information on the web
  • NHS Direct
  • Map of Medicine
  • Choose & Book

Patient Care Systems

  • Telemedicine consultations
  • Picture Archiving
  • ECR & Summary Care Record

Telehealth : Remote monitoring

  • blood pressure monitoring
  • blood glucose monitoring
  • cardiac arrhythmia monitoring
  • medication reminder systems.
context
Context
  • Strategic
    • National, Regional, Local
  • Advances in technology
    • Less expensive
    • Widespread use
  • Demographic
    • Ageing Population
    • Working population reducing
  • Public demand
    • Access to information
    • Feedback on health indicators
transformation from industrial age medicine to information age healthcare
Transformation from Industrial Age Medicine to Information Age Healthcare

Person

Person

Family &

Community

Family & Community

Use of Information & Communication Technologies

Primary Care

Professionals as Facilitators

Secondary Care

Professionals as Partners

Tertiary Care

Professionals as Authorities

Doing

Supporting

Adapted from Malaysian Telemedicine Blueprint

slide6

Before

Patient with Clinical Problem

Visit Clinical Team

Gains information

Now and in the future

Patient with Clinical Problem

Gains information via internet,

own health record, networks

Visits clinical team to gain

understanding and

discuss options

information age healthcare impact on nursing
Information Age Healthcare Impact on Nursing
  • No longer defined by dispensing knowledge and solving problems
  • Will become a broker in the patient’s decision process

- educative

- interpretive

- facilitation

- analysis

  • Using technology to give direct nursing care
ehealth local context
eHealth : Local Context
  • Joint working ECCH & RCN

- Appointment of eHealth Officer

  • Engaging the Nursing Workforce
ehealth the voice of nurses in ni
eHealth: the voice of nurses in NI

Aim

To communicate and market new developments in nursing practice emerging from a technology driven healthcare system to nurses in Northern Ireland

progress to date
Progress to Date
  • Workshops for Nurses and 85 Nurses attended
  • Survey using a questionnaire (n=80) to gather information on Nurses awareness of eHealth, their access to IT, and their attitudes towards eHealth
  • Focus groups
  • Consensus Seminar for Strategic Nurses Leaders
  • RCN – Nursing Informatics Forum
  • Report
slide11

Demographics

71% Community Nurses

86% Degree Level

81.4% more than 15 years experience

24.3% more than 30 years experience

attitudes and perceptions rate statements positive consistent
Attitudes and PerceptionsRate Statements – positive & consistent
  • Impact on relationship Somewhat bene/beneficial = 80.8%
  • Confidentiality No effect/beneficial = 80.8%
  • Improve Safety Yes/Partly = 88.1%
  • Improve Patient Care Strongly agree/agree = 65.7%
slide13

75% had heard of eHealth

45% had heard at work

current practice in ni
Current Practice in NI
  • Remote telemonitoring – over 800 patients

COPD

Diabetes

Heart Failure

Cardiac

  • Teledermatology –over 300 patients
  • Electronic Pen for TVS
  • eCat
  • Virtual Ward
  • eRostering
connected health rationale
Connected Health - Rationale
  • Healthcare is a safety critical industry
  • Good safety practice requires proactive work – systems as safe as design and forethought will allow
  • Understanding of benefit and risks of using technology is essential for safe care
preparing for the future
Preparing for the future
  • Guidance and resources to support nurses’ use of information and engagement in modernisation through connected health
  • Nurses are adequately trained and supported to use new systems and to ensure that connected health is integrated into nursing curricula at all levels.
  • Integrating connected health into career and competency frameworks and leadership programmes

Learning to Manage Health Information (2009)

taking nursing informatics seriously
Taking Nursing Informatics seriously !

Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice.

American Nurses Association\'s Scope and Standards for Nursing Informatics Practice (2008)

developing an ehealth culture
Developing an eHealth culture
  • Strategy/Structure – lead and support
  • Education - meet the need
  • Service – encourage innovation ‘free thinkers’
  • Professional bodies - forums/conferences
your role what you can do
Your role………what you can do?
  • Look out for ways you can use technology in your practice - be a ‘pioneer’
  • Develop Nursing Informatics as an ‘extra string to your bow’ a special interest
  • Use your knowledge of nursing and patient care to influence design and implementation
  • Join the on-line community, sign up for a mailing list
  • Volunteer to take a proactive role

- join forums

- working groups

- keep colleagues up to date

aim of project
Aim of Project
  • To support the management of people with long term conditions at home.
  • To prevent unnecessary admissions to hospital and residential care.
  • To facilitate early discharge when hospital admission is necessary.
long term conditions
Long Term Conditions
  • Diabetes
  • COPD
  • Heart Failure
assistive technology
Assistive Technology
  • Remote monitoring of vital signs including:-
  • Blood pressure
  • Pulse
  • Oxygen saturation
  • Weight
  • Blood Glucose
  • Peak Flow
levels of support
Levels of Support
  • Level 1 – Supported Self Care
  • Levels 2- Disease Specific Care
  • Level 3 – Case Managed
staff involved
Staff Involved
  • Continuing Care Nurses
  • Acute Care at Home Team
  • Specialist Nurses
benefits for patients
Benefits for Patients
  • Support people with long term conditions to live independently at home for as long as possible
  • Support for carers of people with long term conditions
  • Early identification of Exacerbations of L.T.C
  • Nursing staff can initiate early intervention
  • Maximise use of professional time and responses to patients needs
benefits for patients cont
Benefits for Patients (… cont)
  • Reduce home visits from nursing staff.
  • Delivery of flexible, person centred packages of care.
  • Help reduce fear and isolation and improve quality of life.
  • Contribute to developing alternatives to long-term care in residential/nursing homes.
  • Prevent unnecessary admissions to hospital or residential care.
patients views
Patients Views

Promotes:

  • self management
  • continuous monitoring
  • Independence
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