NZ Telehealth Andrew Panckhurst

Transcription

1 NZ Telehealth Andrew Panckhurst

2 Mobile Health

3 Mobile Health Rural Focus Technology

4 Mobile Health Rural Focus Technology Private Company Contract to Ministry of Health

5 1. Surgery Started Rural Locations 5 week circuit of NZ Low Risk Elective Day Surgery Operating at Gore

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8 Surgery Started Rural Locations 5 week circuit of NZ Operating at Gore

9 4+ Local Nurses Scrub, Circulating Recovery, Admission

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11 2. Share Knowledge Since 2003 Live Video Links Surgery Remote clinical support 70 /year

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13 3. Professional Development Since 2006 Rural Health Professionals Live & Interactive Video Studios in Christchurch, Dunedin & Auckland 4000 hours /year Teaching to Levin

14 3. Professional Development Chronic Pain Wound Care Diabetes Mellitus Anaphylaxis Diabetic Emergencies Acute Cardiac Compromise Skin Fungi and Itchy Things Children at Risk Menopause Infection Prevention & Control Falls Prevention & Management Management of Diarrhoea and Constipation Dermatology & Skin Cancer

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18 4. Telehealth Resource Centre 2014 NZ Telehealth Resource Centre Support and advice Grassroots

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21 Good, Better, Best Best Efforts Reactive Basic Web Adhoc Promotion Helper Part Time Responsive Web Directory Regular Planned Full Time Proactive Web Forum Range of channels Leader

22 Overview Telehealth NZ

23 Joining Forces

24 Activity Stocktake

25 2014 Stocktake All DHB s responded to questions Compiled into report Now out of date Not Surveyed NGO s Other organisations

26 Online Telehealth directory Region Method Activity Specialty Phase

27 Dramatic Increase Last 2 years

28 Ultrafast Broadband 2008 NZ$1.35bn Fibre to home Towns >10, Mbps download 50Mbps upload 75% population % target with additional $200m

29 Rural Broadband Initiative 2010 NZ$300m 86% Rural Population >5Mbps download 3G & 4G

30 Stewart Island Population Mbps

31 Networks Vivid Solutions SPARK Connected Health Private

32 Networks Vivid Solutions SPARK Connected Health Internet Private

33 Background

34 NZ Health Strategy Released 2016 Strategy

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38 NZ Health Strategy National recognition of the value that Telehealth can provide

39 District Health Boards Ministry of Health 20 Regions DHB s Wide variation of emphasis placed in regional areas

40 Example #1

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43 West Coast DHB 33,000 population 8,000 Greymouth GREYMOUTH 4,000 Westport

44 Jacksons Bay 317km to Greymouth (4:02) 515km to Christchurch (6:48) GREYMOUTH CHRISTCHURCH JACKSONS BAY

45 Westport 4k

46 Greymouth 8k

47 Ashburton Ashburton 31k WESTPORT

48 Example #2

49 WellSouth 80 General Practices Public Internet Vidyo Own datacentre PC Based DUNEDIN

50 Stewart Island 402

51 WellSouth Consultations Admin Education Wanaka 5k

52 Example #3

53 Waikato DHB (400k) WAIKATO DHB 30% The goal is to move 30% of hospital outpatients visits out to people s homes or GP surgeries

54 Waikato DHB WAIKATO DHB Operate Cisco Infrastructure Hardware and Software

55 Hamilton 150k

56 Thames 26k

57 Thames 26k

58 Hundreds not Thousands

59 Emerging

60 Emerging Patient Portals Electronic Patient Record

61 SmartHealth Mobile app Free online healthcare service Approved health information on topics, conditions, treatment and research. Schedule an online appointment with hospital specialists Free out of hours doctor by video, voice or text chat.

62 Thames

63 Emerging

64 Prescribing Medical Council Before prescribing any medicine for the first time to a patient, Council expects you to have an in-person consultation with that patient.

65 Prescribing - Medical Council If this is not possible because of exceptional circumstances, consider a video consultation with the patient

66 Summary

67 Summary Technology improved Technology cheaper Still only very small numbers Enthusiasts Vs Systematic Bandwidth increased Last 2 years dramatic increase in telehealth in New Zealand CEO / Board level support Clinical support

68 Business Case?

69 Telehealth Strategy

70 NZ Telehealth Andrew Panckhurst