Making connected health work for patients and practice
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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


Making connected health work for patients and practice

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


Making connected health work for patients and practice

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%


Making connected health work for patients and practice

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


Your health your care at home

YOUR HEALTH, YOUR CARE AT HOME


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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