A Statewide Telerehabilitation Service for South Australia ATC Conference, Brisbane, 3-4 April 2019 Scott Leverington Abdel-rahman Bassal IT Administrator Telerehabilitation, Allied Senior Manager Health SA Digital Telehealth Network Country Health SA Local Health Network SA Health
Acknowledgement of Country SA Health acknowledges the Turrbal\Jagera people as the Traditional Custodians of the Brisbane region. We pay our respects to the Turrbal\Jagera Elders past and present.
Who and where are we? SA Health SA Health SA Health
SA Health & Rehabilitation • Supports 1.7 million residents living > 980,000 sq.km • Population density 1.7 people per sq km • system-wide implications for providing services • SA Digital Telehealth Network – Enterprise Whyalla wide solution. Rehabilitation services: Modbury • 4 metro sites & 3 country sites Berri TQEH RAH • consumers living with stroke, amputation, brain injury, orthopaedic, neurological FMC conditions • sub-acute care continuum (inpatient, home rehabilitation, outpatient rehabilitation Mount Gambier services) SA Health
What we did? When did we do it? Statewide Telerehabilitation Expansion SA Health SA Health
Pilot - Rehabilitation in the Home 2013 Flinders University / SA Health collaboration > 86% patients consented (n = 61) > High levels of consumer satisfaction > Doubled direct patient contact time > Halved travel time > Age & experience with technology not a barrier
Statewide Transforming Health Reforms Telerehabilitation • Formation of the Statewide Telerehabilitation Team • “At the elbow” support teams embedded into each adult Local Health Network Expension • Significant investment into hardware and software infrastructure and peripherals. 2013 2019 2017 Flinders University NBN Trial Business as Usual Pilot conducted by the Southern Adelaide Local Telehealth is now available to Health Network (LHN) and Flinders University. The patients across Rehab services pilot was based on providing rehabilitation to regardless of LHN consumers in their own homes, using off the shelf technology .
Why we did it? Drivers for change SA Health SA Health
Why Telerehabilitation? Consumers Clinicians
Ageing in Australia 2030 - Forecast to increase to 5.5m 2019 - Approximately 4m Australian’s aged 65 and over SA Health
How we did it? Human resources Technology & equipment SA Health SA Health
Human Resources Local Health Network Teams (4) Provide “at the elbow” support, problem solving Statewide Telerehabilitation Team and training . Teams include Program Manager Administrative Officer – admin support ICT Officer – technical support Clinical Lead: Clinical Lead: Nursing Allied Health Nursing Coordinator – • Enhance access to specialist rehabilitation support clinical support • Ensure consistency across the state, engage in service improvement • Assist with education, training and resource development
What do we have to show for it? Data, outcomes & stories SA Health SA Health
BUMPY SA Health
Key Points • This is business as usual • Ongoing permeant support positions • Using off the shelf technology • Integrated with SA Health Video Conferencing Infrastructure • ‘ At the elbow ’ embedded support within clinical teams. (Critical) • Infrastructure/human resources/Processes/Systems implemented in away that can be expanded (outwards) across other clinical teams within SA Health • Loaning of reliable easy-to-use technology (ipads) to patients allows full control of the user experience, between clinicians and patients. SA Health
More Information Feel free to contact: Statewide Telerehabilitation Team Health.SAHealthTelerehabilitation@sa.gov.au Statewide Digital Telehealth Network Team HealthSADigitalTelehealthNetwork@sa.gov.au Scott Leverington Country Health SA – Telerehabilitation ICT Administrator scott.leverington@sa.gov.au SA Health
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