Queensland Queensland TelePaediatric Service: TelePaediatric Service: The Outcomes - The The Outcomes - The Costs - The Benefits Costs - The Benefits Mark Brommeyer Brommeyer Consulting Pty Ltd c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
TelePaediatrics TelePaediatrics ❶ What is it? ❷ Telehealth Cost Comparison ❸ Telehealth Human Benefits ❹ Best Practice Outcomes ❺ Mainstreaming Strategies ❻ ❻ ❻ ❻ Telehealth The Future c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
What is Telehealth? What is Telehealth? “The use of electronic information and communications technologies to provide and support health care when distance separates the participants” Institute of Medicine (1996) Committee on Evaluating Clinical Applications of Telemedicine c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
TelePaediatrics TelePaediatrics T elecommunications for E lective clinics, L iaison with peers E mergency support c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
TelePaediatrics TelePaediatrics P aediatric healthcare, including A ssessment at-a-distance for E ffective D elivery of Paediatric S ervices and support c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Townsville c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Evaluation Outline Evaluation Outline ◆ n = 88 clinical teleconsultations ◆ Evaluators: ➊ parents ➋ local practitioner ➌ sub-specialist ◆ 2 page questionnaire c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Cost Comparison Cost Comparison ◆ Outreach clinics in neurology, endocrinology and CF ◆ TelePaediatric Clinics established ◆ Direct costs = ➲ Face-to-face $3,594 ➲ TP = $1,520 c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Cost Comparison Cost Comparison ◆ Direct saving = $2,074 ◆ Assumptions: ➊ 8 hour clinic (comparative) ➋ cost to 1 0 hospital only ➌ ISDN = AUD$40/hour c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Family Benefits Benefits Family ◆ Less travel ~ 900 kms & 13 hours per consult ◆ Avoided 20 transfers = $15,928 loss of income (5.5 days average) ◆ 76% able to see specialist sooner ◆ 88% saw this as very important c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Family Outcomes Family Outcomes ◆ 88% = quality sound, audio and information sharing ◆ 78% parents felt care was as good as face-to-face ◆ 90% parents would be involved with TelePaediatrics again c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Practitioner Benefits Benefits Practitioner ◆ Better joint consultation ◆ Immediate opinion and decision making ◆ More frequent consultations ◆ Less travel ◆ New clinics established c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Practitioner Outcomes Practitioner Outcomes ◆ 90% had clinical questions answered ◆ 84% assistance with developing treatment options ◆ 92% would conduct another TelePaediatric consultation c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Community Benefits Community Benefits ◆ Less community dislocation - school, work and family ◆ 59% greater selection of specialist health services ◆ Up-skilling of local practitioners ◆ Earlier detection, Rx and release c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Best Practice Outcomes Best Practice Outcomes S trategic - think it! U nexpected - expect it! C ommunicate C oordinate c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
SUCCESS SUCCESS E valuate efficiently S uccesses - promote & learn S ustainability c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Mainstreaming Mainstreaming ◆ Assessment + buy-in ◆ Planning & promoting ◆ Training & policies ◆ Implementation - BPR culture ◆ Evaluating & reporting c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
The Future The Future ◆ Voice, data, video integration ◆ Bandwidth ◆ Wireless ◆ Browser interface ◆ Managed care ◆ Virtual reality c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Questions Questions Mark Brommeyer Brommeyer Consulting Pty Ltd e-mail: markb@bit.net.au c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
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