NURSING/RESIDENTIAL HOMES Deborah Hassell (Project Manager) & - PowerPoint PPT Presentation

DIGITAL HEALTH INTO NURSING/RESIDENTIAL HOMES Deborah Hassell (Project Manager) & Ria Evans (Avoidance Admission Matron)

Digital Health Pilot  Introduction / Background  Aims & Objectives  Case Study  Results & Conclusions

Introduction / Background  Coastal Locality  Admission Avoidance Matrons  Healthcare challenge  Lower Intensity Telehealth  Nursing/Residential Home selection

Aims & Objectives  Prevention of avoidable admission to acute inpatient care  Reduction in 999 ambulance calls  Reduction in attendances at A&E  Earlier detection of physical, psychological and functions status through better informed care staff  Identification of health and nursing issues through technology  Quicker delivery of appropriate healthcare through early detection of change or deterioration  Enhanced skills developed for care home staff  Improve standards and quality of care within care homes

PROCESS  Patient Registration with Docobo System  Questions & Parameters  Android Tablet process

Case Study  Preparation  Teaching  Scene setting  Past History  Present situation

Case Study  Assessment & Review  Consent

COPD Questions COPD  Measure and record your blood pressure  Take a reading of your blood oxygen  Have you been anxious today?  Have you experienced breathlessness in the last 24 hours?  Did you wake during the night due to coughing or breathlessness  Have you produced sputum today?  Is there anything else you feel the nurse should know regarding your health?

Case Study Alert • Received • Action completed _____________________________________________________________ Outcome • Patient & Family • Care Home & Staff ____________________________________________________________________

RESULTS & CONCLUSION

Results & Conclusion  Patients enrolled onto the service  Patients active at the end of the pilot

Total Alerts per Diagnosis Alerts per primary diagnosis 300 250 200 150 100 50 0 Heart Failure COPD UTI Diabetes Unrecorded

Reduction in Admissions Amount of times patients within the pilot admitted to hospital 2012/13 compared to 2013/14 2013/14 2012/13 0 10 20 30 40 50 60 70 80

Financial Benefits For the 8 month pilot Costs = £10,866 – Training, Pathway development, implementation, emails = £9,506 – Tablets x 8 @ £170 = £1,360 ____________________________________________________________________ Savings = £65,000 based on bed days saved for the 46 active patients – 69 admissions 2012/13 – 17 admissions 2013/14 – 52 admissions saved averaging 5 days each at £250 per day ____________________________________________________________________ Total projected saving of £54,134

Feedback Care Home Manager Comment “ I cannot stress enough how fantastic this has been for our residents and the number of potential admissions that we have avoided. This is so important to us given that we are a dementia home and our residents respond better in their own environment”

KSS AHSN Award for Innovation

Thank you