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Kent TeleHealth Evaluative Development Pilot

Kent TeleHealth Evaluative Development Pilot. Matt Rye Evaluation Supervisor. What is Telehealth?. It is a Chronic Disease Management Tool. Self – Managing Chronic Obstructive Pulmonary Disorder (COPD), Type 2 Diabetes, Heart Failure (HF) Vital signs measured

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Kent TeleHealth Evaluative Development Pilot

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  1. Kent TeleHealth Evaluative Development Pilot Matt Rye Evaluation Supervisor

  2. What is Telehealth?

  3. It is a Chronic Disease Management Tool Self – Managing Chronic Obstructive Pulmonary Disorder (COPD), Type 2 Diabetes, Heart Failure (HF) Vital signs measured Blood pressure, Blood oxygen, Blood sugar, Weight, Peak flow and temperature. Using: • User friendly interfaces. • Simple telephone connection to the provider via the web. • Customisable, personalised scheduler, reminder and alarm. • Reporting tools include tracking and alerts. • Disease management questions and answers. • Send advice messages to the client.

  4. GP Model 6 month period pre vs post intervention.

  5. Shepway A reduction in GP/patient consultations by 40% was observed post TeleHealth installation. This is specifically in face to face consultations. A reduction in GP/patient telephone activity of 45% was observed post TeleHealth installation. In monitoring these 28 service users, 22 changes to medication resulted from TeleHealth readings. 10 exacerbations were managed in the service users home. Readings led to 2 additional investigations being carried out. Bed days dropped from 220 in the preceding 3 months to 30 in the following 3 months. This is an 85% reduction.

  6. Extended Shepway results 870 emergency bed days were used in the 12 months prior to being accepted onto the caseload. . Subsequently that usage dropped to 85 bed days post matron involvement. To put this into context, our records indicate we have managed in excess of 50 exacerbations which arguably could have resulted in a hospital admission hospital. As a result using the cost of an average bed day of £200 taken from NHS reference costs; Prior to Matron involvement - £174,000 Post Matron involvement - £17,000 Saving of £157,000

  7. Case Study • Female aged 84 • 6 admissions in the previous year • PMH: I.H.D., A.F., T.R., Type 2 Diabetes, R Heart Failure, awaiting pacing. • TeleHealth used to identify that as little as 1.5kgs of fluid overload as a significant threshold for patient to throw off arrythmias. • Monitoring her weight, BP and renal function we have successfully titrated diuretics several times to avoid potential admissions. • TeleHealth data used to identify sensitivity to betablockers after titration of Bisoprolol 2.5mgs to 3.75mgs. Pulse rate dropped to 41.

  8. Case Study • Male aged 49 • 5 admissions in the previous year • PMH: I.H.D., C.V.A., Hyperlipidaemia, M.I.x2, Angina, Uncontrolled Hypertension, Parkinsons, Depression. • Within 2 weeks of going onto the TeleHealth kit his systolic have fallen from 190mmhg to 140mmhg and diastolic from 120mmhg to 80-90 without any titration of his antihypertensives. • His Consultant Stroke Physician feels that this is attributed the TeleHealth monitoring leading to a reduction in his anxiety. • 1 admission as a result of a fall though TeleHealth readings used to gain prompt discharge.

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