SLIDE 1
Establishment of a Geri Connect Service
From Business Case to Implementation
In the beginning ……
Strategy Technology Clinical willingness Clinical Governance/Direction
…kinda ….sort of
Establishment of a Geri Connect Service From Business Case to - - PowerPoint PPT Presentation
Establishment of a Geri Connect Service From Business Case to - - PowerPoint PPT Presentation
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:
SLIDE 2
SLIDE 3
Task: Establish a regional Telehealth service
What? Where? Why? When? How?
SLIDE 4
What/Where
Health Service 1st Priority 2nd Priority 3rd Priority Echuca Regional Health
Pain Management
Geriatrician Services
Cancer Services Swan Hill District Health Service
Geriatrician Services
Fractures Clinic Cohuna District Health Service
Geriatrician Services
Pre-Surgical Consultations Skin Disorder Clinics Inglewood District Health Service
Geriatrician Services
Mental Health Kyabram District Health Service
Geriatrician Services
Huntington’s Disease Orthopaedics Heathcote Health
Geriatrician Services
Mental Health Social Worker Boort District Health Service
Geriatrician Services
Aged Care Mental Health Kerang District Health
Geriatrician Services
Urgent Care Urgent Mental Health Kyneton District Health Service Trauma Support
Geriatrician services
Urgent Mental Health Rochester and Elmore District Health Service
Geriatrician Services
Fractures Clinic Maryborough District Health Service
Geriatrician Services
Castlemaine Health
Geriatrician Services
Rehab support Urgent Care Robinvale District Health Service
Geriatrician Support
Trauma support GP services into Aged Care Facility
25% Acute 67% Aged Care
Loddon Mallee Bed Profile
SLIDE 5
Why
Meetings, 12% Geriatric Opinion, 27% TCP , 13% ACAS, 13% Rehab review, 1% Travel time, 35%
Breakdown of clinical time for visiting Geriatrician
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How?
Technology People
SLIDE 7
High Value Low Risk
Establishment of a Geriatric Service – GeriConnect
What
To regional Residential Aged Care Facilities and GP’s
Where
4-6 session per week
When
Combination of face to face (20%) and telehealth consultations (80%)
How
SLIDE 8
The Business Case
($20,000.00) ($15,000.00) ($10,000.00) ($5,000.00) $0.00 $5,000.00 $10,000.00 $15,000.00 10 20 30 40 50 60 70 1 2 3 4 5 6 7 8 9 10 11 Consulting hours month
Geriatric Telehealth Clinics Financial Modelling
Clinical Consultations Profit/Loss
Break Even
SLIDE 9
Theory to reality
Processes
- Patient end
- Clinician end
- Administration/billing
1
Timing/Scheduling
2
NUMBERS!!!!!!!
3
Business Continuity
4
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Processes
SLIDE 11
Business Continuity
SLIDE 12
Lessons Learned
It’s working! – we are meeting a need
within the community
Participation rates are increasing GP inclusion into the model of care Improved access – delivering services
where services haven’t been delivered for a number of years
Positive Patient, Family and Carer’s
feedback
Consultation with carer prior to
consultation
Introduction of new models of care Increase in ACFI for regional aged
care services
Technology high quality easy to use reliable
What we are doing well
SLIDE 13
Lessons Learned
Setting expectations (numbers) Addressing DNA’s Referral processes Impact on the remote site Marketing - Medical/GP
engagement
What we are addressing
SLIDE 14
Lessons Learned
Communication style needs to be
different – don’t yell at the VC unit!
Adapting the consultation style –
don’t expect telehealth to be the panacea
Ownership Identifying variation
Just things we learnt/ didn’t expect
SLIDE 15
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