Establishment of a Geri Connect Service From Business Case to Implementation From theory to reality!!
In the beginning …… Strategy Technology … kinda Clinical willingness ….sort of Clinical Governance/Direction
Task: Establish a regional Telehealth service What? Where? Why? When? How?
What/Where Loddon Mallee Bed Profile 1 st Priority 2 nd Priority 3 rd Priority Health Service Geriatrician Echuca Regional Cancer Services Pain Management Services Health Geriatrician Services Swan Hill District Fractures Clinic Health Service Geriatrician Services Cohuna District Pre-Surgical Consultations Skin Disorder Health Service Clinics Geriatrician Services Inglewood District Mental Health 25% Health Service Geriatrician Services Kyabram District Huntington’s Disease Orthopaedics Acute Health Service Geriatrician Services Heathcote Health Mental Health Social Worker Geriatrician Services Boort District Aged Care Mental Health Health Service Geriatrician Services Kerang District Urgent Care Urgent Mental 67% Health Health Geriatrician Kyneton District Trauma Support Urgent Mental Aged services Health Service Health Geriatrician Services Care Rochester and Fractures Clinic Elmore District Health Service Geriatrician Services Maryborough District Health Service Geriatrician Services Castlemaine Rehab support Urgent Care Health Geriatrician Support Robinvale District Trauma support GP services into Health Service Aged Care Facility
Why Breakdown of clinical time for visiting Geriatrician Meetings, 12% Travel time, Geriatric 35% Opinion, 27% Rehab review, ACAS, TCP , 13% 13% 1%
How? Technology People
High Value How When What Where Low Risk Establishment of a To regional 4-6 session per Combination of face Geriatric Service – Residential Aged week to face (20%) and GeriConnect Care Facilities and telehealth GP’s consultations (80%)
The Business Case Geriatric Telehealth Clinics Financial Modelling 70 $15,000.00 60 $10,000.00 50 $5,000.00 Consulting hours 40 $0.00 Clinical Consultations Profit/Loss 30 ($5,000.00) Break Even 20 ($10,000.00) 10 ($15,000.00) 0 ($20,000.00) 1 2 3 4 5 6 7 8 9 10 11 month
1 2 3 4 Theory to Processes Timing/Scheduling NUMBERS!!!!!!! Business Continuity reality • Patient end • Clinician end • Administration/billing
Processes
Business Continuity
It’s working! – we are meeting a need within the community Participation rates are increasing Lessons GP inclusion into the model of care Improved access – delivering services Learned where services haven’t been delivered for a number of years Positive Patient, Family and Carer’s feedback What we are doing Consultation with carer prior to well consultation Introduction of new models of care Increase in ACFI for regional aged care services Technology high quality easy to use reliable
Lessons Learned Setting expectations (numbers) Addressing DNA’s Referral processes What we are addressing Impact on the remote site Marketing - Medical/GP engagement
Lessons Communication style needs to be Learned different – don’t yell at the VC unit! Just things we learnt/ Adapting the consultation style – didn’t expect don’t expect telehealth to be the panacea Ownership Identifying variation
Questions Clinical Sponsor Associate Professor Marc Budge Medical Director Sub-Acute Services Bendigo Health mbudge@bendigohealth.org.au Project Director Jackie Plunkett Director Health Innovation and Telehealth Loddon Mallee Rural Health Alliance Jackie.Plunkett@lmrha.org.au
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