NZ Telehealth Andrew Panckhurst

Mobile Health

Mobile Health Rural Focus Technology

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

1. Surgery Started 2002 24 Rural Locations 5 week circuit of NZ Low Risk Elective Day Surgery Operating at Gore

Surgery 21539 Started 2002 23 Rural Locations 5 week circuit of NZ Operating at Gore

4+ Local Nurses Scrub, Circulating Recovery, Admission

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

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

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

4. Telehealth Resource Centre 2014 NZ Telehealth Resource Centre www.telehealth.org.nz Support and advice Grassroots

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

Overview Telehealth NZ

Joining Forces

Activity Stocktake

2014 Stocktake All DHB s responded to questions Compiled into report Now out of date Not Surveyed NGO s Other organisations

Online Telehealth directory Region Method Activity Specialty Phase

Dramatic Increase Last 2 years

Ultrafast Broadband 2008 NZ$1.35bn Fibre to home Towns >10,000 100Mbps download 50Mbps upload 75% population 2019 80% target with additional $200m

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

Stewart Island Population 400 50Mbps

Networks Vivid Solutions SPARK Connected Health Private

Networks Vivid Solutions SPARK Connected Health Internet Private

Background

NZ Health Strategy Released 2016 Strategy 2016-2026

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

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

Example #1

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

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

Westport 4k

Greymouth 8k

Ashburton Ashburton 31k WESTPORT

Example #2

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

Stewart Island 402

WellSouth Consultations Admin Education Wanaka 5k

Example #3

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

Waikato DHB WAIKATO DHB Operate Cisco Infrastructure Hardware and Software

Hamilton 150k

Thames 26k

Hundreds not Thousands

Emerging

Emerging Patient Portals Electronic Patient Record

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.

Thames

Emerging

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.

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

Summary

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

Business Case?

Telehealth Strategy

NZ Telehealth Andrew Panckhurst