Transcript Document

Global Forum 11/06
Measuring Benefits of
Home Health/Elderly
Monitoring- Global Forum Paris
November 2006
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When “Home” Tele Care?
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For recovering adults/children
For chronically ill patients
For Elderly
For Elderly with health monitoring
For special illnesses (specialists monitoring)
For communication (Deaf/non-national languages)
For special small clinic/home groups
Selected longer term monitoring (eg early
Alzheimer’s)
For remote locations
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Why Home Telecare?
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Maintain Patient Independence with contact capability
Provide more specialised contact with patient/elderly
For better patient/doctor, elderly/carer 2 way service
To make visits more effective by pre-screening/priority
To reduce costs and improve quality time for all parties
Improve life style for both patients and providers
To visibly extend life expectancy
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Beneficiaries of
Home Telecare
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The Doctor (who spends 80% of time on Long Term
monitoring)
The Nurse (who has to prepare, prioritise and visit)
The Hospital (who needs 60% of beds for LT conditions)
The Public Sector (who often pays for the total service)
The Private Sector (whose quality and costs are critical)
The Family (who are involved, assisting or supporting)
The Patient or the Elderly being cared for
The ability to manage “The Way things are” in the
future
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The Way Things Are (Today)
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Companies-3.1% lost to illness (stress-76%;
back-63%; depression-57%; LT chronic-46%);
key HR issues- attracting and keeping staff;
absence leaves 68% teams overstretched and
48% lost leadership – UK statistics
Average life expectancy rising=more elderly
have illnesses=more chronic illnesses=
insufficient number of doctors/nurses per patient
(1990-10.7/doctor; 2005-19.5/doctor) = more
demand for hospital beds=higher waiting time to
see doctors
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The Way Things Are (Today)
Over 65s in 1990=12.5, in 2005=30%
means not enough doctors/ carers/
nurses/ specialists to assist aging patient
growth
 More elderly moving to country=
increased rural demand
 Total healthcare costs rising for Primary
Care Services, Local Health Authorities,
Regional (hospital) services
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Tele Healthcare Benefits
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Benefit costs levels vary dependent upon time,
location and provider, but the following all apply
Heart patients- 1 in 4 re-hospitalised in 12
weeks following an attack. Telecare at home (4
vital signs tested per day) with more frequent
monitoring increases life expectancy (lower
mortality) and decreases second attacks for
heart attack patients; total costs lowered,
decrease hospital bed use for re-hospitalization.
Larger range of medications possible. Patient
pleased to be involved with own care
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Tele Healthcare Benefits
Home healthcare monitoring decreases A&E
admissions, hospitalisation and clinic visits for
test group
 Home health monitoring and visit costs for 1
year equals 50 hospital bed days
 Comparison (UK): hospital bed=£300-500/day
Telehealth (high dependency)=£25000/yr
 Telehealth (low dependency) =£15000/yr
 GP visit=£60-80
 TH visit= £25
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Remote Testing Telehealth
Benefits
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Video/voice-Regime compliance
Visible condition of patient, home environment
Body language assessment
Status for action- Dressed, Made up, room tidy
Capabilities
Home monitoring (via telemonitor)Electrocardiogram
Pulse flow; Blood Pressure, Temperature,
Blood Oxygen, Blood glucose,
Weight, etc
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AN EXAMPLE- Sensire, Groningen (NL)Kuola Group – in conjunction with
Insurance Company- Menzies
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Largest homecare provider in Netherlands.
Grown from 70-700 home elderly (many with
health conditions, like diabetes/ heart/etc),
monitored regularly.
15000 employees; 24x7 service bidirectional;
facility for patient to connect to family
members
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AN EXAMPLE- Sensire, Groningen (NL)Kuola Group – in conjunction with
Insurance Company- Menzies
Key results:
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50% patients being treated for medical
conditions
40% had suffered from loneliness
High majority of patients liked more contacts
and concern of staff, mortality rates lowered,
video could replace some home visits, better
prioritisation of patient care, better
satisfaction for all involved
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Other Home Tele Care
Benefits
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Doctor/Nurse- saves average of
15 min/visit. Pre-screening allows
better prioritisation and visit
preparation, better quality visits,
reduced confusion over phone
calls, record keeping faster and
more automatic, more visits per
day
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Other Home Tele Care
Benefits
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Hospital- More effective staffing
to handle critical cases, fewer
readmissions, better satisfaction
levels, reduced mortality, audit
trails automatic
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Other Home Tele Care
Benefits
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Public Sector- More patients
handled, lower costs, higher
quality services, greater staff
flexibility, higher satisfaction all
levels
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Other Home Tele Care
Benefits
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Private Sector- same as public
sector plus improved
competitiveness and increased
profitability
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Other Home Tele Care
Benefits
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The Family- Family cohesiveness
remains, greater ability of family
at home to assist patient,
improved social value
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Other Home Tele Care
Benefits
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The Patient- Reduced stress from
travel and concerns; ability to
remain in familiar surroundings,
near friends; more immediate and
accurate help (vs. the Button); can
now see a specialist at home;
resolves language difficulties;
continuous awareness of own
status; secure patient information
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Summary of Home
Telecare Benefits
Home Telecare, when implemented
correctly, prolongs life, quality of
life, comfort, time, and money.
Everybody benefits.
 As we get older, the availability of
a home telecare service should be
high personal criteria in selecting a
retirement location
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For further information or assistance in
developing the implementation of
Telecare services, contact Allen Porter
at [email protected] or phone or write
to:
Pliny Allen Porter
MaceCorp Ltd
Westerhouse, Madeira Road
West Byfleet, Surrey, KT146DF
United Kingdom
Telephone (+44) 7768 506306 or (+44)
1932 346811
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