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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.

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Making Connected Health Work for Patients and Practice

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  1. 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

  2. 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.

  3. 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.

  4. 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

  5. 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

  6. 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

  7. 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

  8. eHealth : Local Context • Joint working ECCH & RCN - Appointment of eHealth Officer • Engaging the Nursing Workforce

  9. 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

  10. 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

  11. Demographics 71% Community Nurses 86% Degree Level 81.4% more than 15 years experience 24.3% more than 30 years experience

  12. 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%

  13. 75% had heard of eHealth 45% had heard at work

  14. 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

  15. 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

  16. 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)

  17. 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)

  18. Developing an eHealth culture • Strategy/Structure – lead and support • Education - meet the need • Service – encourage innovation ‘free thinkers’ • Professional bodies - forums/conferences

  19. 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

  20. YOUR HEALTH, YOUR CARE AT HOME

  21. 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.

  22. Long Term Conditions • Diabetes • COPD • Heart Failure

  23. Assistive Technology • Remote monitoring of vital signs including:- • Blood pressure • Pulse • Oxygen saturation • Weight • Blood Glucose • Peak Flow

  24. Levels of Support • Level 1 – Supported Self Care • Levels 2- Disease Specific Care • Level 3 – Case Managed

  25. Staff Involved • Continuing Care Nurses • Acute Care at Home Team • Specialist Nurses

  26. 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

  27. 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.

  28. Patients Views Promotes: • self management • continuous monitoring • Independence

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