BEIP – Happy Healthy and at Home Medication Management via Video
Med-e-Tel Luxembourg 11 April 2013 Stelvio Vido RDNS Australia
BEIP – Happy Healthy and at Home Today’s Presentation RDNS – Who are we? • Our context – external • Our context – internal • BEIP what is it • how does it work • findings to date • Next Steps
BEIP – Happy Healthy and at Home Who is RDNS? • NGO • 130 years old • Home nursing and home support • 45,000 clients • Australia and New Zealand operations • 2,000+ staff • Strong clinical focus
BEIP – Happy Healthy and at Home Our context – external An ageing population
0
100
200
300
400
500
600
2010 2020 2030 2040 2050
Australia's Ageing Population Trend 2010 - 2050
Index Base = 100
0–64
70+
85+
85+ population forecast to
increase from 365,000 to
1, 800,000 over next forty years
BEIP – Happy Healthy and at Home Our context – external A population that is living longer…..
74
76
78
80
82
84
86
88
90
1983 2001 2012
Life Expectancy at age 65
Men
Women
BEIP – Happy Healthy and at Home Our context – external …and needs increase as people age
0
20
40
60
80
100
120
140
160
180
Domesticassistance
Meals Transport Nursing
Service Need according to Age Number of people per '000 pop'n
65–74
75–84
85+
BEIP – Happy Healthy and at Home Our context – external Our client population is becoming more diverse
0
20
40
60
80
100
120
Italy
Greece
Viet Nam
China
Germany
Philippine
s
Netherla
ndsIndia
Lebanon
Poland
Peop
le a
ged
65 ye
ars a
nd o
ver (
'000)
1996 2011 2026
BEIP – Happy Healthy and at Home Our context – internal • Our workforce is also
ageing
• Many home visits include medication management
• Travel time is high and increasing
Average is 43 years and increasing
Over 430,000 visits per
year 21% of
paid time – 235,000 hours per
year
BEIP – Happy Healthy and at Home Our context – internal
Past Dimension Future Block/ episodic Funding Packaged Care
Provider Funds holder Consumer State based Funding Program National
Low Competition Increasing NGOs, Charities Competitors Broad mix
Low ICT investment Critical to survival
BEIP – Happy Healthy and at Home Telehealth – one response to our challenges The RDNS Telehealth Platform Customer Service Centre • 24/7 • Clinically led • Contact centre disciplines • Effective ICT
BEIP in a Nutshell
BEIP – Happy Healthy and at Home
BEIP – our objectives • Empowerment and enablement • Improved nursing workforce utilisation • Build interdisciplinary teams to deliver nursing
e-health • Service delivery cost reduction • Cost benefit analysis of home health
technologies.
BEIP – Happy Healthy and at Home
BEIP – Happy Healthy and at Home
5 -6 Video visits per week plus one face to face visit
per week
The BEIP Service Model
BEIP – Happy Healthy and at Home BEIP Age Profile
4% 4% 9%
26% 43%
13%
BEIP Clients - Age profile
40 to 49
50 to 59
60 to 69
70 to 79
80 to 89
90 to 99
BEIP – Happy Healthy and at Home BEIP – Impact on visit times Weekly visit duration
4.2 Hours
2 Hours
Weekly Client time – f2f and
travel time
Pre BEIP
With BEIP
BEIP – Happy Healthy and at Home The Project May 2012 June 2013
Target - 50 Clients
49 Clients to date
Calls to Date
Over 3,000
Calls per Client
20+ per month
Home visits per Client
5 per month
Client engagement
BEIP Visits
750 per month
BEIP – Happy Healthy and at Home Our Approach • Research ethics approval • Clinical leadership and governance • Reference Group • Client selection and enrolment • Client choice paramount • Independent evaluation
BEIP – Happy Healthy and at Home Attitudes • Clients • Staff
BEIP – Happy Healthy and at Home Findings to Date – Staff
0 20 40 60 80 100
Allow clients more flexibility in how they use their day
Help clients to live independently
Help clients to manage their medication in their home
Be a positive experience for clients
Help supplement home visits
Positively impact on client nurse relationships
Improve the way RDNS utilises its current workforce
Assist RDNS to manage workforce shortage issues
Assist RDNS to provide care to more clients
RDNS Nursing Survey Results - pre Project
Agree
Undecided
Disagree
BEIP – Happy Healthy and at Home Next Steps • Complete formal evaluation • Assess suitability for business as usual • Business case to support transition Key challenge • Funding and business models
BEIP – Happy Healthy and at Home Questions Contact Stelvio Vido [email protected] +61 3 9536 5267 www.rdns.com.au