Broadband Enabled Innovation Program - Happy, Healthy and at Home
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Medication Management via Video Conference and Intel Health Guide at RDNS Australia Med-e-Tel Luxembourg April 2013
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Broadband Enabled Innovation Program - Happy, Healthy and at Home
- 1. BEIP – Happy Healthy and at Home Medication Management via Video Med-e-Tel Luxembourg 11 April 2013 Stelvio Vido RDNS Australia
- 2. 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
- 3. 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
- 4. 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
- 5. 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
- 6. 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 Domestic assistance Meals Transport Nursing Service Need according to Age Number of people per '000 pop'n 65–74 75–84 85+
- 7. BEIP – Happy Healthy and at Home Our context – external Our client population is becoming more diverse 0 20 40 60 80 100 120 Italy G reece V ietN am C hina G erm anyP hilippinesN etherlands India Lebanon P oland Peopleaged65yearsandover('000) 1996 2011 2026
- 8. 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
- 9. 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
- 10. 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
- 11. BEIP in a Nutshell BEIP – Happy Healthy and at Home
- 12. 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
- 13. BEIP – Happy Healthy and at Home 5 -6 Video visits per week plus one face to face visit per week The BEIP Service Model
- 14. 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
- 15. 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
- 16. 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
- 17. 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
- 18. BEIP – Happy Healthy and at Home Attitudes • Clients • Staff
- 19. 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
- 20. 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
- 21. BEIP – Happy Healthy and at Home Questions Contact Stelvio Vido svido@rdns.com.au +61 3 9536 5267 www.rdns.com.au