Online treatment enhancement: Australian Winter School 2013
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Online treatment enhancement: Working with clients in rural and remote areas. Presented by Ray Stephens at the Australian Winter School in Brisbane 19/7/2013.
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Online treatment enhancement: Australian Winter School 2013
- 1. Online Treatment Services – working with clients in rural and remote areas Australian Winter School 2013 Ray Stephens – Online Project Leader
- 2. “The community services system needs to be focused on digital technology opportunities and prepared for the changes and challenges it will bring”. (Shergold, 2013)
- 4. Current climate • Pressures on health funding • NBN, ehealth, telemedicine, smartphones, increasing use of internet for health and health information • = focus on technology to increase access, timeliness, reduce costs
- 5. “Long anticipated change is occurring in healthcare and organisations need to understand how information technology can help them respond successfully to this coming challenge.” Emediawire.com 2013-05-29
- 6. Current climate Initiatives that are currently being utilised in the alcohol and drug sector include: • Counselling online – text based counselling running for some years now (Turning Point and others) • Social Media – particularly in youth services such as reachout, YSAS, dancewize, dreams up in smoke • Self-help courses such as Say When and online screening • Groups or forums such as Sibling Support • Telehealth?
- 7. An estimated 1.8 million patients will be treated through telehealth worldwide by 2017. Telehealth
- 8. “80% of what doctors do today will be replaced by technology in 10 years.” Vinod Khosla - Sun Microsystems co founder, 2013
- 10. “Digital Health feels like the PC industry in the early ’80′s.” John Sculley – Former CEO of Apple and PepsiCo – Digital Health Summit, January 2012
- 12. "Accelerating the use of innovative technologies across the world can benefit all countries. eHealth and mHealth can help the previously helpless share in the benefits of an improved social environment.“ Archbishop Desmond Tutu – Chairman, Global eHealth Ambassadors Programme, April 2013
- 13. Remote barriers • < 18 y.o. male • Youth outreach worker fortnightly • Requires inpatient youth detox • Lives in Corryong
- 14. Accessing detox 1 • Wodonga via bus • 1 bus (1.5 hrs) each way / day • Assessment withdrawal nurse • Phone assessment Williams House • Back to Corryong • Full day out • 3 week waiting list • 2nd daily phone contact with Wodonga
- 15. Accessing detox 2 • Bed comes up • Bus to Wodonga (1.5 hours) • Meet withdrawal nurse • Melbourne via train (4 hours) • Cab to hotel • Overnight in hotel • Next day cab to Williams House Completed withdrawal program
- 16. Cost 3 bus trips Albury to Corryong $ 93 Train to Melbourne $ 32 Cab to hotel $ 20 Hotel $ 80 Cab to Williams House $ 10 Total $235 To get to resi-withdrawal
- 17. Cost Cab to city $ 20 Train Melbourne to Wodonga $ 32 Cab to hotel $ 10 Hotel $ 80 Bus Albury to Corryong $ 31 Total $173 Total travel cost = $408 To get to home
- 19. Gaps Cost of transport Time in travelling Separation from family Multiple workers involved = engagement?
- 20. Accessing detox • Wodonga via bus • 1 bus (1.5 hrs) each way / day • Assessment withdrawal nurse • Phone assessment Williams House • Back to Corryong • Full day out • 3 week waiting list • 2nd daily phone contact with Wodonga • Video assessment
- 21. Videoconferencing Project • 2 year trial • Using videoconferencing for remote assessments • Access to Williams House Youth Resi Withdrawal • Statewide catchment
- 22. Videoconferencing Project - Aims • Reduce travel time – staff, client, family • Reduce costs • Improved assessments, timely responses • Demystify • Engagement • Collaboration
- 23. Videoconferencing Project - Cost • ~ $15K setup • Free to partners • Can be done for free (or a webcam)
- 24. Videoconferencing Project - Progress • Conducting assessments with 2 rural agencies • Positive client experiences • Positive staff experiences • “It has confirmed that we have opened a new door for allowing access to remote clients to our service and reducing barriers.”
- 25. Videoconferencing Project - Learnings • Tech issues • Needs to be integrated • Change is slow – training and lots of support • Staff will find other uses
- 26. Activity Online treatment 5 years from now what might you be doing? • With clients • Within your organisation • With other organisations
- 27. Activity 2 • Barriers? • Can we break these down?
- 28. Activity 3 • Short – term • In pairs come up with one initiative you can implement at your service • Present this back
- 29. Activity 4 Change management • How do we move our organisations / sector towards online treatment
Notas do Editor
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- NACCHO presents the concept of TELEHEALTH kiosks, that could be a low cost affordable solution for our ACCH’s servicing remote communities. In the USA they only cost US$10,000patients will be able to visit the closest HealthSpot Station and talk with a board-certified doctor via video conferencing. Inside each 10-foot kiosk are a scale and television dashboard as well as a variety of common medical toolsThe remotely located doctor guides the patient as he or she uses the stethoscope and other tools for gathering data about various vital signs, which are then displayed graphically.HealthSpot unveiled its kiosks at the Consumer Electronics Show (CES) in Las Vegas in January. Currently, it’s pilot-testing its concept in Ohio urgent care clinics and a children’s hospital. Pricing on the stations will reportedly be between $10,000 and $15,000; patients will pay $60-80 per visit.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.
- Video conferencing first used in German Post Offices 1936Multi-users demonstrated in 1968Used on manned NASA space flightsGlobal school classes 1993This is not new.