© charles lowe consulting 2010 from it to independent living – how to make telehealth &...
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© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
From IT to independent living – how to make telehealth & telecare catalyse improved care
Charles LoweCharles Lowe Consulting [email protected]
07860 619424
© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
DH definitions
Telecare – service user to responder: environmental monitoring
Telehealth – patient to clinician: vital signs monitoring
Telemedicine – clinician to clinician: seeking expert advice
eHealth – all the above
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The differences
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What works best
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Why
X
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What’s the problem?
2000 2010 2020 2030 20400
10
20
30
40
50
60
Age Structure - Western Europe
%
20-60
75+
• Fewer professionals
• More LTCs
• Raised expectations
© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
Or to look at it another way
2010 2020 2030 2040 2050 20600
10
20
30
40
50
60Dependency ratios
%
All EU
UK
Denmark
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Will remote monitoring work?
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The vision – Mrs Smith, a COPD sufferer in 2018
The home hub collects and aggregates information from the connected
applications such as the spirometer and home sensors
The home sensors detect Mrs Smith’s
movements around the home and send an
alarm to her family if there is not sufficient
movement
The home sensors detect when Mrs Smith is
sitting for too long a period of time. An alarm
is sounded if she sits for too long a period in
winter to encourage her to move around to
keep warm
Mrs Smith provides regular spirometer
readings to her nurse which are sent from her
home hub
If Mrs Smith has an infection, she can provide a sputum sample to be
analysed by her home diagnostics kit. This detects the presence of
bacteria and sends the results to her doctor from her home hub
Mrs Smith’s smart medication dispenser reminds her to
take her medication by sounding an alarm. If Mrs Smith
fails to take her medication, her family are notified
Mrs Smith wears an alarm in case she falls. If she
needs assistance, she can sound the alarm to contact
a member of her family
Mrs Smith accesses her medical records and
interactive health information through her home hub
4
Source: Fathom Partners, Health Technology Futures, Kings Fund event
© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
Remote monitoring works…BUT:
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…with the result that…
X inappropriate
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Depression
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Dementia prevalence
0
5
10
15
20
25
%
65-69 70-74 75-79 80-84 85+
Age
Source: Alzheimer’s Disease International www.alz.co.uk
“Individuals with high mental stimulation had a 46 percent decreased
risk of dementia” Michael Valenzuela, Univ. New South Wales
http://www.msnbc.msn.com/id/11025839/
© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
Before process change
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After
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Time with Clinician in 3 months
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Time when remote monitoring in 3 months
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But there are lots of players involved
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Is this your health service?
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Or this?
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How can technology help...
Release time to careCatch disasters early at home & awayReduce anxietyAnticipate medical exacerbations Improve disease managementPromote self-careEliminate unwanted human contactTurn rush into quality timeHelp people to help each otherInformate
Falls,
seizuresOxygen
sats, help at
hand, GAD7 CHD,
COPD Medication
compliance,
new linkages
Expert
patient, mental
stimulationEsp for
learning
disabilities
Part of
working
completely
differentlyOne way of
providing
human contact
Reduce admin,
POCT, self
service
Resulting in:
1) Improved outcomes
2) Secondary -> primary care
3) Lower costs
4) Discoveries
Discover
new
linkages
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Challenges
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Trials
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Not what you expect?
Mobile phonesCognacTanksARPAnetCarsStereo soundGunpowderRemote monitoring
Continuous vs episodic care
24x7x365
Autonomous
Decision support
Behaviour change
Self-management
Informating
More patients
Less travel
© Charles Lowe Consulting 2010© Charles Lowe Consulting 2010
Council SMG
PCT Board
GP Forum
PEC
CEC
LMC
Adult Services Board
Programme Board
Project Boards
Management
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Leadership
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Thank You
Charles Lowe
Charles Lowe Consulting Ltd.
07860 619424