Presented by William Hughes National Telecare and Home Health Manager, St Johns

1. HINZ Conference 2013 – Telemonitoring
Workshop
William Hughes – National Telecare and Home Health Manager

2. Contents
• The Kings Fund – Third Annual International Congress on
Telecare and Telehealth
• Some observations and key take outs from Europe
Telemonitoring experience
• St John
• Development of Telehealth/Telemonitoring Services
• Key Technology Partnership

3. 3rd Annual Congress on Telehealth and
Telecare

4. The Evidence
• Multiple Telehealth service models presented across various
chronic conditions and patient groups with variable outcomes
though all with common benefit themes;
– Lower admissions
– Reduction in bed days
– Lower mortality rates
– Greater patient confidence
– Economic benefits

5. Evidence alone is not enough – common
barriers to adoption
• Leadership -Perceived lack of leadership at policy level
• Organisational - Front line/clinical staff resistance to change.
• Behavioral - Challenging traditional roles in health care
• Financial - Concerns from decision makers and funders

6. Tips for Success
• “…a telehealth solution involves people,… its not a technology, its
actually about the technology ingrained within a service, it's the
service that is key, …. An integrated package that integrates
telehealth into the care pathway, that is perhaps the way that
change will take place…” – Professor Stanton Newman
• Organisation and workflow optimisation
• Patient Stratification
• Efficacy and efficiency
• Improving patient engagement
• True Collaboration

7. A success story
• NHS 24
• Strategy focus
• Many channel's leveraging
ubiquitous technologies
• Moved from strategy to
National delivery plan
• Key to success in service
redesign, ICT as enabler
• Self management to co
production
• Collaboration is Key

8. Key Take Outs
• Compelling evidence
base
• Service redesign
enabled by
technology
• Evidence alone is no
guarantee
• Common adoption
barriers to overcome
• Collaboration is key

9. St John
Telemonitoring
• Organisational
Transformation
• Innovative initiatives
• Improving patient care and
outcomes
• Integration with health
sector
• Invested in development of
Telehealth services

10. PERS Sensor Wristband
Continuously measures:
- Heart Rate
- Activity including Fall Detection
- Skin Temperature

11. Gateway
- Provides PERS monitoring in real-time
- Sends biometric data to the Vigil Biometric Network (VBN) in the ‘cloud’
- Full device management and diagnostics for both sensor wristbands and
Gateways

12. Gateway
- Supports most standard short range communication standards
- Interoperable with 3rd party devices

13. Portable Applications
- Scope to provide remote solutions via Internet, Smartphone & Tablet Apps
- Sensor Wristband also includes Bluetooth 4.0, supported by most mobile
devices
- Portable solutions will automatically sync to the VBN.

14. Vigil Biometric Network (VBN)
-
Cloud based telemedicine solution
Biometric analysis and alerts platform
Configurable telemedicine solutions and user interfaces
Supports 3rd party sensor device data
Automatic data and EHR syncronisation with data encryption

15. Vigil Biometric Network (VBN)
-
Supports PERS applications with real-time biometric alerts on the Gateway
St John PERS proof of performance trial Q1 2014
Numerous possibilities for telemedicine solutions
St John and Vigil currently scoping telemedicine opportunities

16. Thank you for your time