5th June 2013

&

• Solutions4Health – Introduction

• Heart Failure

• IT & NHS Technology alignment

• Partnership & MySelfCare

• Telehealth But More Than Usual

• Objectives & Outcomes

Agenda

• Innovative company focused on delivery of high quality and cost-effective healthcare & telehealth services making a real difference to peoples’ lives

• Passionate about fixing health inequalities & accessing all communities particularly the ‘hardly reached’ groups

• UK’s largest independent provider of stop smoking & health check outreach services in the UK

• Delivering chronic disease self management (CDSM) services across the West Midlands

• Technology division providing IT tools for healthcare services & telehealthcare solutions using ‘iTelehealth’ platform

Solutions4Health in Healthcare

We provide services nationally to -

Berkshire

Bromley

Buckinghamshire

Camden

Coventry

Croydon

Dudley

Gloucestershire

Heart of Birmingham

Lambeth

Medway

Portsmouth

Sandwell

Shropshire County

South Staffordshire

Stoke-on-Trent

Telford and Wrekin

Walsall

Wirral

Worcestershire

Wandsworth

National Coverage

Offices

• Head Office – Green Park, Reading, Berkshire, UK

• London Office – West Wing, St Pancras Hospital, London

• London Office – Lansdowne Road, Croydon, London

• Regional Office – Hawks Green, Cannock, Staffordshire

• USA Office - 77 Water Street, New York City, USA

• India Office – Santa Cruz, Mumbai

• Heart failure is more common than most cancers, including breast,

testicular, cervical and bowel cancers

• 900,000 people suffer from heart failure in the UK

• Heart failure accounts for 5% of all emergency admissions to

hospital (average cost £2,200)

• Heart failure accounts for 1 million inpatient bed days a year - 2%

of all NHS inpatient bed days

• 25% heart failure patients are re-admitted to hospital within 3

months

• Heart failure costs the NHS £2.2Bn per year

• 40% of heart failure patients die within 1 year of diagnosis.

Heart Failure – facts & figures

We know that in healthcare we lag at least

10 years behind virtually every other area in

the implementation of IT solutions. We

know from a wide range of other services

that information technology applications can

radically revolutionise and improve the way

we do things

Thomas Hendrik Ilves,

President of Estonia,

Chair of eHealth Task Force – 2012/13

NHS Alignment • High Impact Innovations

• Digital First - reduce unneccessary face to face appointments

• 3MillionLives – 45% reduction in mortality, 20% reduction in emergency admissions, 20% reduction in A&E visits

• NHS Outcomes Framework

• Overarching indicator – enhancing quality of life for people with long term conditions

• QIPP - LTC Year of Care

• Funding Model for 3 Million Lives

• Three drivers for care model – stratification, integrated care, self management

• Workstream engagement - IT systems for improved LTC Management

• Develop a leading, innovative and proven

telehealthcare solution for heart failure patients

• Publish service evaluation papers providing

evidence of successful service outcomes

• S4H and Barts Health agree IPR and Licensing

terms & conditions

• S4H to market heart failure telehealthcare

solution to UK NHS Trusts & other geographies

What is this partnership going to do?

• Patient monitoring of chronic conditions

• Early detection of deteriorating conditions

• Self management with clinical support

Introducing MySelfCare

• Remote monitoring of patients ‘vital-signs’

• Patient case manager for clinicians

• Patient portal for viewing their own vital signs

• Automated warnings & alerts

• Setting & managing appointments

• Secure online video & audio chat

• Text & instant messaging engine

• Sharing self-care documents, videos & links

• Supports multi-languages inc. sign language

• Social media interaction when authorised

• On PCs,Tablets,Smart & Basic mobile phones

Basic mobile

phone

Smart phone

What do you get with MySelfCare?

Service Description

• Patients register with MySelfCare service

• Post code and mobile phone number required

• Take vital sign readings morning & afternoon

• Text messages sent to remind patients to take readings

• Patient’s readings sent to HealthVault secure data storage

• HealtVault conforms to NHS Information Governance rules

• Patients can add other health readings to HealthVault

• Patients own their personal health record (PHR)

• Share PHR with clinicians, family, friends, etc

• Patient & Clinicians agree self management & service plan

• Links to NHS LTC care plans, education videos, etc

• Automated vital sign monitoring with warnings & alerting

• Automated symptom/wellbeing questions sent by text msg

Service Description

• Users receive control test questions on text/email

• Total score & assessment sent to service user

• Score is stored into HealthVault as part of health record

• Score also displayed on user portal

• User logs onto MySelfCare and studies their readings

• User can study the control test assessments in detail

• User can use portal to add in health readings manually

• User can print off results & questions for Clinicians

• Clinicians & service users agree alert/alarm limits

• Service users receive warnings, adjust medication

• Service users receive alerts, book clinician appointment

• Message received suggests appointment date & time

• Can choose visit to video chat

Service Description

• Patients book an appointment with clinicians

• Patients connect with clinicians over the internet from

the comfort of their own home

• Fresh readings can be taken & information shared

• Consultation notes stored in electronic health record

• Self-management & behaviour change social platform

• Program participation in a fun, engaging social environment

• Building awareness for self management within community

• Encourage young people through groups & role models

• Set goals & enter readings through social apps

Standard Telehealth

• Physiological monitoring

equipment (e.g. weighing scales,

blood pressure monitor, pulse

oximeter, etc)

• Regularly recording and storing

patient’s symptoms & vital signs

• Some real time processing of

patient data with automated

algorithms for alerts/alarms when

vital signs go beyond boundaries

• Clinically-lead case management

and triage process during work

hours

• No focus on self management

MySelfCare adds the following -

1.

2.

The first programme in the

UK to be accredited by the

TSA telehealth code

Video chat between patients &

consultants/nurses to answer

questions, reduce stress &

apprehension, & travel times

MySelfCare also adds the following -

3.

4.

The first programme to measure

outcomes for the specialist

nurses – e.g. satisfaction, case

load intensity, etc.

Self management programme

using NHS & Whipps Cross

guidelines, tracking patient &

carers wellbeing

MySelfCare and also adds the following -

5.

6.

The impact mobile technology &

web tools have on specialist

nurse case management

function

Use of mHealth tools to improve

patient and clinician outcomes

Captures medical grade biomedical data

from patients and transmits it through a

mobile network to client devices

(smartphone, tablet, PC, laptop) in the

cardiologist's hands

Service Objectives & Outcomes o Objective

Introduce a telehealth & self management service for heart

failure patients discharged from hospital

o Location -> Whipps Cross University Hospital

o Outcomes

• Improve health outcomes for patients across chosen cohort

• Reduce hospital admission & re-admission rates

• Consultants/nurses more in control of their case loads

• Technological innovation introduced into care pathway

• Evaluate service effectiveness & offer Heart Failure telehealth

solution to NHS trusts & other geographies

Choosing the Cohort

Heart Failure • 50 patients with diagnosed Heart Failure

• Being discharged from hospital

• Criteria 3 ??

• Criteria 4 ??

• Criteria 5 ??

• Involving people in decision making & problem solving

• Developing care plans as a partnership between service

users and professionals

• Educating people about their conditions & self-management

• Motivating people to self-manage using targeted approaches

& structured information & support

• Helping people to monitor their symptoms & take action

when needed

• Helping people to manage the social, emotional & the

physical impacts of their conditions

• Providing opportunities to share & learn from others.

Self Management

Questions

• Develop a leading, innovative and proven

telehealthcare solution for heart failure patients

• Publish service evaluation papers providing

evidence of successful service outcomes

• S4H and Barts Health agree IPR and Licensing

terms & conditions

• S4H to market heart failure telehealthcare

solution to UK NHS Trusts & other geographies

What is this partnership going to do?