The Role of Assistive Technology: An Industry Perspective
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Presented by Lisa Capamagian Marketing and Strategy Implementation Manager, Tunstall Healthcare Australasia.
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The Role of Assistive Technology: An Industry Perspective
- 1. The role of assistive technology: an industry perspective Stephen Murray Business Development Manager, Asia Pacific Lisa Capamagian Marketing and Strategy Implementation Manager Tunstall Australasia Pty Ltd
- 2. How it all began 56 years ago the first medical alarm was developed by Norman Tunstall to support his elderly mother.
- 3. Tunstall Healthcare • World’s leading telehealthcare solution provider • Global company operating in 46 countries • 600+ Emergency Response Centres (24/7) • 2,964 employees • Assistive Technology Solutions – Manufacturer to ISO, CE Mark European Standards – Monitoring platform and 24/7 Response – Software, including vital sign and patient management system – GPS tracking devices – Training, project management, SOP development and knowledge transfer, consultancy Supporting 4.6 million people worldwide
- 5. Current Telehealth Projects • • • • • • • • • • • Feros Care – Chronic disease and social engagement TMML – Diabetes RDNS – Chronic disease and medication compliance DVA – In-home Telemonitoring for Veterans Trial - COPD, CHF, CAD, Diabetes Western Health (HUG) – Home Dialysis Alfred Hospital – Cystic Fibrosis Integrated Living – Indigenous Healthcare and Social Support Centacare – Social engagement and medication compliance Calvary Silver Circle – Transition Care (hospital to the home) DHHS Tasmania – Remote patient support LHMA – Residential aged care support 80,000+ telehealth users worldwide
- 6. What we have learned The good, the bad and sometimes the ugly… Image courtesy of Warner Home videos
- 7. Technology is not infallible and it is not magic
- 9. You can “teach an old dog new tricks”
- 10. Patient selection and care planning
- 11. Is it cost-effective? • • • • • • • • • • • • If structured correctly “Yes” Program must be targeted Clear process for off-boarding clients Effective asset control & equipment recycling Don’t need all the whizz bang gear High definition video is nice but standard definition is just as effective – do you really need video? Supporting remote areas reducing staff travel One nurse can support up to 200 patients remotely Technology costs are reducing Targeting hospital avoidance Apps and BYOD are opening up flexibility and will reduce costs in the near future Co-payments and private pay are the way forward in community care
- 12. Patient outcomes we have seen • • • • • Stabilisation of BP & BGL Self management of condition Reduction in travel for remote patients Across the board weight loss Video conferencing – adds value to clinical triage – patients enjoy the social contact • Home dialysis – support dialysis machine use – monitor fluid intake – monitor for infections – Increased compliance and reduced hospitalisation
- 13. Benefits • Increased access to a range of care solutions • Increased quality of life and adherence to treatment regimes • Increased assistance for chronic conditions prevalent with age • Detection of declining health trends (e.g., COPD) • Viable alternative to outpatient or doctor visits • Quality of life and peace of mind • • • • • • Decreased risks associated with predictable factors Decreased ED visits / potentially preventable hospitalizations Decreased nursing home admissions (by up to 77%) Reduced use of patient transport services Decreased burden on care givers Decreasing healthcare costs 13
- 14. Key messages • Evidence supports telehealth. • Can be cost-effective. • Becoming a very important element of healthcare delivery. • Challenging traditional models of care. The case for New Zealand needs to be made as it plans to meet the many challenges that other countries around the world face in delivering healthcare to their aging population 14
- 15. Tunstall Healthcare Stephen Murray General Manager Tunstall New Zealand & Asia Pacific Business Development Manager Tunstall Australasia Pty Ltd 306 Cameron Road Tauranga New Zealand 3110 t: f: e: w: +64 7 571 2680 +64 7 571 2685 stephen.murray@tunstall.co.nz tunstallhealthcare.com.au TunstallAustralasia @tunstallhcare Tunstall-Australasia All slides in this presentation are copyright Tunstall and must only be reproduced with express permission
Editor's Notes
- In 40 countries and employ 2000 people
- Tunstall mytelemedic Built-in PSTN landline modem Data transmission via analogue phone lineTunstall mytelemedic+ or use your mobile GSM device!
- Change of community care funding to CDC is driving community care to now address assistive technology as part of their offerings. In 2014 we will see telehealthcare being delivered at part of community care.Tunstall provides a range of services from project startup, to full or part service implementation.
- How many people here recently upgraded their iphone? Had some fun with that?The reality is that sometimes the technology isn’t going to work, blue tooth devices decide to unpair themselves, device errors and user error. It is not always going to work.If the device/s is unplugged from power or batteries go flat things aren’t going to work.If the phone lines, GSM service or internet is down it is not going to work.Surprisingly patients are oftnen pretty ok about troubleshooting themselves or with you over the phone.It is important to have good service support.Video conferencing is an excellent tool to support troubleshooting- help clients change batteries themselves.So it is really, really important that you explain this to your customers upfront so they don’t have an unrealistic expectation of the technology.
- I know every project manager bangs on about stake holder engagement. But from first hand experience you will have a project failure if the person or people tasked with implementing the project do not believe in it, are technophobes or have been told they have to do it – the project is doomed, or it is very, very hard and time consuming to bring them around. If for whatever things do go wrong it is important to have good open and honest communications with your stakeholders and work through the issues together.Patients – good training and support, understand why they are on telehealth know their care plan and objectivesGPs are difficult to engage even when you are prepared to pay them – they are busy! But they do like the evidence and information if a patient presents for an intervention.
- If I had a dollar for every nurse, GP or community care worker who told me that their 80yo client wouldn’t be able to use technology I could retire earlyNever underestimate the capacity for older people to learn new things, just because they a e old doesn’t mean they are brain dead.Many like the challenge and the experience, and how many of you here have a parent/grandparent who is now a skype monster?General guide: if they can use and ATM or phone text they can use our gear.The older people are if they have had little exposure to computers it does take longer for them to learn and remember how to use the equipment. Allow a couple of weeks of support by phone, vc or even onsite after that they should be right.Technology doesn’t suit everyone and if it is too stressful take them off the program.
- Make sure you have clear objective and goals for putting someone on telehealth – what is the care plan. Do you want to track and trend, do you want to stabilise or improve, monitor for exacerbations, medication compliance/titration, or pall care support pain and Qol?Is the patient physically able to use the technology or do they have support from a carer? One armed person will have difficulty using the BP, peripheral vascular disease may not be suitable for SP02, Parkinson's, dementia etc.If patient is a hypochondriac do not put them on telehealth it just encourages the process
- Health and community care is elastic – it does take some seed funding to get the program going to reap the longer term benefits.
- BP – LesleySelf management – Tas client with COPD presenting 5 times a week to A&EReduction in travel – patient 3 hours from hosp, infection detected remotely, triaged, meds prescribed, hospitalisation avoided. A research project just completed, broad scope for their project generic chronic disease, found that most of the participants lost weight and improved their health condition – in fact many didn’t want to stop.VC – monty drooling and shakingHome Dialysis – have clients show cup size for fluid intake, talk them through using equipment and show them, dietician and psych support etc.
- There is a massive amount of evidence around the world that indicates assistive technology can make a difference to the lives of people who wish to live independently and for as long as possible in a place of their choice. Assistive technology is becoming a very important element of healthcare delivery, challenging traditional models of care.The case for New Zealand needs to be made as it plans to meet the many challenges that other countries around the world face in delivering healthcare to their aging population.