sarah greater trust in home based care anna-lena andersson, social welfare services, city of luleå...
TRANSCRIPT
www.cdh.ltu.seProjekt SARAH
Arbetsplanering/-uppföljning
Samtalsstyrning
Mobil uppdrags- och informationshantering
Distansmöten
Mobil diagnostik-utrusning
Gemensam vårdplanering
Datasäkerhet
Konsultation via telefon
Patientmedgivande
Mobil tillgång till patientjournaler
Läkare somger konsultationer
Vård- och omsorgspersonal för
ÄB & EB
SARAHGreater Trust in Home based care
Anna-Lena Andersson, Social welfare services, City of Luleå
Susanne Andersson, Norrbotten county council
Patients recieve care in their homes
General Practisioner and district
nurse (daytime)
GP and nurse at nursing home (daytime)
GP and nurse (evening/night/weekend)
District nurse and home help service (daytime)
Participating staff
General Practisioners (day/evening/night) 16 GP´s 5 Medical centers in Luleå + Råneå + Boden + Vittangi
District nurses (daytime) in county council 3 district nurses Medical centers in Råneå + Vittangi
Nurses (Nursing home day/evening/night) 37 nurses at 16 Nursing homes in Luleå and 2 in Boden
Home help service 11 staff from Home help service in Råneå
=> In total 67 participants
General practisioner – District nurse/ nurse (day/evening/night)
SARAH mobile – bag; portable equipment for diagnostics
Mobile access to patient record
Audio– and video
communication
Mobile equipment and mobile access to patientrecord (GP – District nurse/Nurse,daytime/
evening/night)
Mobile access
to patientrecord
SARAH mobile bag -
equipment for diagnostics
General practisioner - Nurse (Nursing home, daytime)
Trolley with WLAN connected lap top, web cam, microphone, elektronic stetoscope, equipment for diagnostics
Mobile access to patient info
Message from nurse
Audio - och video
District nurse and Home help service
Home help service
TES Blå Pocket
District nurse
SARAH – Social Welfare Services City of Luleå 76 000 citizens
The citizens which: To be able to stay at home as long as possible.
Ageing population
Organisation
Day - 14 Night- 1
Day - 12
Night - 1
Day - 12
Night- 1
Day - 7
Night - 1
Evaluation
Field test October 2006 until May 2007
Intensive evaluation March- May
Result presentation and report June-August 2007
Personnel in care and health careHow does the personnel experience the new technique? - usability, accessibility, security and safety?
Patient focusHow does the patient experience the new technique and the new way of working? - Accessibility, safety and security - The quality of the consultation?
What is new?New technique are used in care and health care for distance work. - New way of communicating and integrate. - A implementation process - Changes in the way we work, roles and tasks - Quality on care and health care - Economical effects and aspect
Personnel in care and health careHow does the personnel experience the new way of working? - attitudes against changes process? - use of each other competence - Quality of distance work compared with traditional way of working
SARAH from a research perspective
Possibilities and obstacle Obstacle
Heavy bag/ equipment
Consent
IT-communication
Motivation
Changes in the way wework requires otherplanning.
Possibilities
Better medical informationConvenient cooperation
Increased quality of healthcare
Increased security
Increased efficiency
Mobile access to journal
Mobile test equipment
Sarah results
Use of Sarah mobile bag - different time during the day and week
(total 113 times)
Evening11%
Weekend27%
Daytime57%
Night5%
Sarah result
1
5
50
8
47
59
0 10 20 30 40 50 60
12-lead ECG
Digital camera
Other instrument
Internal records
Meddix
Patientrecord VAS
Areas of Use
Sarah result
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
12-lead ECG
Digital camera
Other instrument
Internal record
Meddix
PatientrecordVAS
Functionalities
Good Acceptable Not at all
Sarah result
7
6
4
5
0
59
12
9
0 10 20 30 40 50 60
Write in patientrecord
Sendmessage from district
nurse
Send message and test result
Send photo /ecg
Book, controller visit with GP
Test result/ordination
Information from visit at GP
Other patient information
Use of patient record
Aspects for success
Support from the organisation management- approve - motivate
Give the project the right terms
Planning together - all participants in the project.
See beyond the Horizon
To “dare” to do something new and work in a different way and with new methods are developing…
Thank you for your attention
www.cdh.ltu.se