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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Queensland Queensland TelePaediatric Service: TelePaediatric - - PowerPoint PPT Presentation
Queensland Queensland TelePaediatric Service: TelePaediatric - - PowerPoint PPT Presentation
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
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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
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
TelePaediatrics TelePaediatrics
Telecommunications for Elective clinics, Liaison with peers Emergency support
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
TelePaediatrics TelePaediatrics
Paediatric healthcare, including Assessment at-a-distance for Effective Delivery of Paediatric Services and support
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Townsville
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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
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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
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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 10 hospital only ➌ ISDN = AUD$40/hour
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Family Family Benefits Benefits
◆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
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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
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Practitioner Practitioner Benefits Benefits
◆Better joint consultation ◆Immediate opinion and decision
making
◆More frequent consultations ◆Less travel ◆New clinics established
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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
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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
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
Best Practice Outcomes Best Practice Outcomes
Strategic - think it! Unexpected - expect it! Communicate Coordinate
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia
SUCCESS SUCCESS
Evaluate efficiently Successes - promote & learn Sustainability
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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
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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
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c Brommeyer Consulting Pty Ltd, 2000 PO Box 2233, ASCOT QLD 4007, Australia