Using a coaching framework to co-design telehealth services at - PowerPoint PPT Presentation

Using a coaching framework to co-design telehealth services at Sydney Children’s Hospitals Network Australian Telehealth Conference April 2018 Alicia Cook

What I’ll cover today • Background to the project • Some of the challenges we needed to consider • Coaching principles which underpinned our approach • The model of an introductory conversation • The Heroic Journey • Results and 9 months on … .

Project Overview • Integrated Care – funding with a fixed expiry of 30 June 2017 • 5 pilot services • 13 weeks • Using HealthDirect Videocall

How might we make this happen? • Tight timeframe – need almost everything to go well! • Multiple stakeholders: clinicians, nursing, clerical staff, ICT, vendor • Our solution: use a coaching framework – indirectly facilitate clinically-led implementation design

A few coaching principles • Present and future focus • Solution-oriented approach • Unyielding belief that the client can achieve the goal • Unconditional positive regard • The client as the expert on themselves • The art of asking great questions • Taking a strengths-based approach • The concept of a transformational heroic journey As the implementation team, we’re there to ask the right questions, facilitate what needs to happen, and let the client shape the end solution based on what they want.

A sample model of the initial conversation How might Tell us more telehealth fit with about you / your your current role / your vision practice? What is possible? Jointly: How could we do A brief overview this? (Logistics, of the project What is funding, hardware, etc) the next step?

The Heroic Monomyth: for all of us Joseph Campbell The Hero With A Thousand Faces “One who has gone before”: Royal Far West and Royal Children’s Hospital, Melbourne, Western NSW LHD http://bit.ly/1ohBtSV

Results • Very innovative models developed • Very engaged clinical champions • Our first pilot launched on 30 June 2018: multidisciplinary spina bifida outreach clinic

9 months on … Hospital In The Home – Physiotherapy • Before • 4 face to face sessions per day, 2 patients total per physio • Following telehealth implementation: • 3 face to face sessions + 3 telehealth sessions per day, 3 patients total per physiotherapist • Can take higher acuity patients or patients whose distance from the hospital might have otherwise made them ineligible • 50 hours of clinical travel time saved between Dec 2017 and Feb 2018 • Collaborative care with adult-trained physios in regional areas

Acknowledgements CHW CHW Grace • SCHN pilot services, ICT, outpatients Nephrology Centre for department managers, care (Paediatric Newborn Urinary co-ordinators, – every person at Care Incontinence) SCHN who helped us along the way! SCH Spina • Agency for Clinical Innovation and SCH Bifida Rehab2Kids HealthDirect Australia Outreach • Royal Far West, Royal Children’s Hospital Melbourne, Western NSW LHD • Integrated Care team at SCHN SCH Cystic Video Call CHW Rehab Fibrosis Pilot Services MDT

Questions?