implementing telehealth powerpoint.33
DESCRIPTION
This presentation is about implementing a tele-health home monitoring program for CHF patients on an out-patient basis.TRANSCRIPT
Implementing Telehealth
Home Monitoring Project
Nicole Norris
Chamberlain College of Nursing
NR 640 Informatics Nurse Specialist Practicum I
Summer 2014
Objectives
Define telemedicine and how it works Identify and describe current home monitoring practices Define what CHF is and associated complications. Identify the cost of readmission of CHF patients Describe equipment required to monitor patients from home Identify the role of the patient, Assess costs of implementing a telehealth program Identify inclusion/ exclusion criteria for selected patients Identify the project goals Identify a proposal to implement project
2
Project Goals
Improve quality of life for patients with congestive heart failure
Provide continuous care through telehealth home monitoring
Provide 24-hour technical support Document findings and make revisions to
plan as needed
Institution’s Mission
Dedicated to providing access to quality healthcare
Provided supportive environment Devoted to excellence and safety Committed to outstanding healthcare Optimizing quality of life
Vision Statement
National leader for excellence Deliver the highest healthcare Provide tailored healthcare experiences
What is Telehealth?
Tele- “at a distance”
“The use of electronic communications to exchange medical information to improve patient outcomes.”
, (American Telemedicine Association, 2014)
Telehealth Services
Remote patient monitoring Referral services Medical education Mobile health applications Biometric devices Online consults
What are the benefits?
Decrease hospital admissions Decrease healthcare costs Improve quality of life Improve patient outcomes Improve access to healthcare Decrease use of emergency department
What is CHF?
Congestive Heart Failure Most expensive chronic condition to treat Affects approximately 5.7 billion annually Leading cause of hospitalization in people
>65.
Costs of CHF
$37.2 billion annually $4,873 average daily cost for
hospitalization. Length of stay approximately 4.76 days $17.4 billion for readmissions within 30
days
Telehealth Solutions
The project is intended to utilize telehealth home monitoring for patients with chronic CHF on an out-patient basis.
Successful implementation of this project will encompass tremendous benefits.
Telehealth Solution
Home monitoring program
Cost effective Wireless monitoring Monitors weight, blood pressure, pulse ox
How much does it cost?
Budget InformationIT Technical Support Staff $15,000 ($60,000/year, $5k/month x 3 months)
Equipment Installation Fee $3,750 ($150 x 25)
Telemonitoring Landline unit with b/p
$5,775.00 ($79.00/month x 25 x 3 months)
Weight Scale $1,496.25 ($19.95/month x 25 x 3 months)
Blood Glucose $1,496.25 ($19.95/month x 25 x 3 months)
Training $700 ($28/hour x 25)
Total Estimated Budget $28,218
Inclusion/ Exclusion Criteria
Inclusion Diagnosis of CHF Ambulatory Able to provide self-care Willingness to participate EJF <40%
Exclusion Diagnosis of
comorbidities such as renal failure or liver disease
Non-ambulatory Refuse consent to
treatment Alcohol use Smoker
Participate Training
Train participates prior to discharge Arrange a date for home visit prior to
discharge Provide simulation set-up prior to
discharge Provide 24-hour phone support for 1st
month
Critical Success Factors (CSF)
Stakeholder support Referral mechanisms and protocols Effective communication between stakeholders Necessary resources Support government regulation and policies Demonstrate the effectiveness of telehealth for
selected patients.
How It Works
Daily monitoring sessions Questionnaire Prompted to call physician Advise given via phone to treatment plan Follow-up 6 months after trial
Staff Training
All staff of Cardiac Wellness center ED nurses Quick 10 minute in-service training while
at work
Proposal
Select trial group of 25 patients from St. Louis Medical Center in Second Life
Monitor patients via telehealth home monitoring x 3 months
Provide 24-hour technical support Document findings and make revisions to
plan as needed
End of Project
Healthier Patients Happier Staff Decreased Cost Decreased Emergency Visits Increased Revenue
Let’s Get Started!!
Let’s get ready to make SLMC the best by being the first hospital to implement a successful telehealth home monitoring program!!
Special Thanks
Dr. Hebda Paul Woodcock Dr. Sipes St. Louis Medical Center Staff Classmates Phillips Home Monitoring Company Sunita Wadell INS, PG Community Hospital
References
Desai, A. and Stevenson, L. (2012). Rehospitalization for Heart Failure: Predict or prevent? American Heart
Association publication, Circulation. Retrieved from http://circ.ahajournals.org/content/126/4/501.full
American Telemedicine Association (ATA), (2014). Retrieved from
http://www.americantelemed.org/abouttelemedicine/what-is-telemedicine#.U3g2XP1OWM8
Center for Disease Control and Prevention (CDC, 2014). Retrieved from
http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_heart_failure.htm
Seibert, P., Whitmore, T., Patterson, C., Parker, P., Otto, C., Basom, J., Whitener, N. and Zimmerman, C. (2008).
Telemedicine Facilitates CHF Home Health Care for those with Systolic Dysfunction. Retrieved from:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274890/