Presented by Erica Amon Area Manager for Bay of Plenty, Lakes, and Waikato at Healthcare of New Zealand Ltd

1. Te Whiringa Ora - Care Connections:
Using Telemonitoring Technology to
enhance Self Management for Patients
with Long Term Conditions

2. 2
Telemonitoring as a key
enabler
Telemonitoring technology
enables people to monitor their
own clinical signs, health diary
and questionnaires from home.
The data is synchronized daily to
a central repository which is web
based and can be accessed by
the patient‟s health
professionals.
Supports and encourages self-management

3. 3
Background
• Established in response to the Ministry of Health‟s call for
“Better, Sooner, More Convenient Care”
• Te Whiringa Ora was established to provide a consistent
regional approach for patients with long term conditions
and complex needs – “high users of hospital services”
• Home based, community focus
• Make better use of existing resources (provider
ecosystem)
• Greater use of supervised but unregulated staff
• Greater use of patients own personal resources

4. 4
Philosophy
The Te Whiringa Ora model is anchored to a philosophy of
improving self-management
• Puts the patient and their whanau in the driver‟s seat, by
• Facilitating interdisciplinary care, for those with
• Complex health needs and high users of hospital
services, to
• Provide a „web of care‟ to connect what exists already,
over a
• Time-limited support phase of 3 – 6 months.

5. 5
How?
• 3 monitored, 1 unmonitored
• Measure – BP, spiromerty,
BSL, pulse oximetry, weight,
ECG, temp, questionaires
• Baseline set with case
manager
• Ongoing coaching by
kaitautoko
• Monitored by case manager,
also other RHPs
• Monitored by the client

6. 6
Who has used the telemonitors?
•
•
•
•
•
23 clients to date
Average age is 65 years (range from 41 – 83)
Ethnicity: Māori 65% (EBoP % = 48%)
Gender: Male 57%.
Conditions: more than one condition usually
– COPD - 16
– CVD incl CHF - 7
– Diabetes - 9

7. 7
Length of time with monitor

8. 8
What value do they add to the
patient?
• Better informed and „in control‟
• Confidence in managing their condition and
conversing with HPs
• Ability to approach doctors/specialists armed
with information
• Ability to modify their behaviours
• Felt supported and not isolated
• „Peace of mind‟

9. 9
Final words
“The best I found now is
that I I‟m in control of my
life, my health and also
anything that pops up I
know exactly where to
go, what to do.”