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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


Before Age Healthcare

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 Age Healthcare

  • 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 Age Healthcare

  • Joint working ECCH & RCN

    - Appointment of eHealth Officer

  • Engaging the Nursing Workforce


Ehealth the voice of nurses in ni
eHealth Age Healthcare: 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 Age Healthcare

  • 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


Demographics Age Healthcare

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 Perceptions Age HealthcareRate 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%


75% had heard of eHealth Age Healthcare

45% had heard at work


Current practice in ni
Current Practice in NI Age Healthcare

  • 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 Age Healthcare

  • 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 Age Healthcare

  • 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 Age Healthcareseriously !

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 Age Healthcare

  • 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? Age Healthcare

  • 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 Age Healthcare

  • 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 Age Healthcare

  • Diabetes

  • COPD

  • Heart Failure


Assistive technology
Assistive Technology Age Healthcare

  • Remote monitoring of vital signs including:-

  • Blood pressure

  • Pulse

  • Oxygen saturation

  • Weight

  • Blood Glucose

  • Peak Flow


Levels of support
Levels of Support Age Healthcare

  • Level 1 – Supported Self Care

  • Levels 2- Disease Specific Care

  • Level 3 – Case Managed


Staff involved
Staff Involved Age Healthcare

  • Continuing Care Nurses

  • Acute Care at Home Team

  • Specialist Nurses


Benefits for patients
Benefits for Patients Age Healthcare

  • 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) Age Healthcare

  • 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 Age Healthcare

Promotes:

  • self management

  • continuous monitoring

  • Independence


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