Technology Enabled Care
National Improvement Programme
Virtual Meeting
4th December 2014
In conjunction with RRHEAL Learning Network
Welcome to
Technology Enabled Care – Delivering
Our Ambitions Improvement
Programme
Susan Bishop
Dr Gordon Black
Amanda Leithead
Laic Khalique
Programme
14:00
Welcome and check in
14:10
Context and progress of TEC programme
14:20
Case example/storyboard : Laic Khalique, NHS Highland
Telehealthcare
14:30
What can we achieve through using 30 day cycles of
improvement and measurement?
14:40
Q&A’s/Discussion
15:10
Close
Session Outcomes
You will have the opportunity to:
• Describe opportunities for using technology to make services
easier for people to access and easier to deliver
• Progress towards mutual understanding of what we can
achieve through planning and undertaking 30 day cycles of
change and measurement for improvement
• Share experiences and learning with other teams implementing
technology enabled care across Scotland
Technology Enabled Care
Development Programme Background
• Designed to significantly extend the numbers of people directly
benefiting from technology enabled care and support;
• Benefits from £10 million in funding for 2015/16;
• Local areas challenged by the Cabinet Secretary to show how
technology enabled care contributes to avoiding unnecessary
hospital admissions, reduces length of stay and prevents delayed
discharges from hospitals in all locations across Scotland.
The overall aim of the TEC Programme is:
• To enable greater choice and control in health, care &
wellbeing services for an additional 300,000 people by March
2016, enabling more of our citizens to remain at home and in
their communities.
Technology Enabled Care
Development Programme Priority Areas
Five priority areas have been identified for expansion of TEC :
• Extending the use of home health monitoring;
• Expanding use of video conferencing across all health and social
care sectors, as well as growing its use for clinical/practitioner
consultations;
• Building on the emerging national digital platforms including Living
it Up and ALISS to enable direct access to advice and assistance
• Expanding the take up of Telecare with focus on prevention, points
of transitions in care and dementia;
• Exploring the scope and benefits of switching from analogue to
digital
Technology Enabled Care
Development Programme Timelines
Programme announced, Cab Sec
for Health & Wellbeing
May 2014
Improvement Programme launched
23 Sept 2014
Programme Board established
3 Oct 2014
Guidance issued to Partnerships with
Expressions of Interest invited
Oct 2014
Return of EoI – Nov 2014, 44 returns
received
5 Workstreams developing identifying Ongoing
key activities/deliverables for 14/15
Identification of Key Partners
End Jan 2015
A National Telehealth & Telecare Delivery Plan for Scotland 2015
We firmly believe that Telehealth & Telecare
can contribute enormously to:
• the Scottish Government’s 2020 Vision for
our health system – a vision where everyone
is able to live longer, healthier lives at home
or in a homely setting
• integrated health and adult social care as a
key policy and strategic priority
Technology Enabled Care
(TEC)
• TEC Delivery Programme
Funded £10 million – specific focussed work streams –
allocated to successful partnership bids
• TEC Improvement Programme
‘Delivering Our Ambitions’
Supportive programme for all Partnerships – supported by
QuEST team
Technology Enabled Care
National Improvement Programme
Aim
• To increase the number of people using technology to enable
delivery of health and social care at home.
Objectives
• Accelerate spread across Scotland of a minimum of three effective
innovations in technology enabled care: home monitoring, video
technology and apps /on line resource's
• Increase the capacity and capability to deliver technology enabled
care in all NHS Boards, integration authorities and their partners
• Improve sustainability of technology enabled care within redesigned
pathways
Technology Enabled Care
National Improvement Programme
Aim
• To increase the number of people using technology to enable
delivery of health and social care at home.
Objectives
• Accelerate spread across Scotland of a minimum of three effective
innovations in technology enabled care: home monitoring, video
technology and apps /on line resource's
• Increase the capacity and capability to deliver technology
enabled care in all NHS Boards, integration authorities and
their partners
• Improve sustainability of technology enabled care within
redesigned pathways
Technology Enabled Care
National Improvement Programme
Technology Enabled Care
National Improvement Programme
Laic Khalique
What can we achieve through using 30
day cycles of improvement and
measurement?
The 30/60/90 day cycles
• The programme is structured
around the concept of a 30,
60 and 90 day improvement
cycles
• Each cycle period supported
with electronic newsletters,
WebEx’s and learning
sessions
The First 30 days cycle
In the first 30 day cycle you would
• Identify key leads to support the work within the
partnership
• Engage key stakeholders
• Review the improvement programme aims / objectives
/ driver diagram
• Review stage of readiness and your ambitions
• Formalise key measurements for improvement
• Identify local barriers / challenges to success
• Create an action plan
Model for Improvement
Measurement For Improvement
The aim of improvement in healthcare is to make services better. E.g.
• safer (less errors, infections, falls)
• more effective (delivering care that is based on science)
• more efficient (less waste)
• more person-centred (caring, compassionate, fitting with
patient/family requests), more equitable
• or timely.
To understand whether we have reached our aims we need to
define what our chosen 'better' state would look like and measure
things to know if the changes we make result in the improvements
we seek.
Possible Measures
Increased use of video conferencing technology
Utilisation of national VC facility across all sites in 'office' hours
Number of clinical face to face consultations
Secondary care usage – e.g. Highlands – Paediatrics / tele neurology
Primary Care usage
Increased availability and use of patient portals
Number of GP practices within a Board offering on-line services to their patients and
the services provided
Number of times the GP Online service/s have been accessed (logged into) (include
breakdown of services accessed if known)
Number of patients that have made use of My Diabetes My Way.
Number of patients that have made use of Renal Patient View
Increased number of people receiving home monitoring
for health and social care
Number of people receiving home monitoring
Referral rates
Source / reason for referral
Increased access to online resources for information /
support
Living it up / ALISS / Smartcare
Analytic info / evaluation info
Qualitative feedback from users
Measure awareness in Health / Social care providers
How are we doing at the
moment?
Partnership Areas
32 partnership areas
Variation in:
Geographical coverage ranges from 26
square miles in Dundee to 12,437 square
miles in the Highlands
Population ranges from under 20,000
people in the Orkney Islands to over
600,000 in the Glasgow City
Variation Between Partnerships
What will success look like?
Key measures:
• Increase in the availability / use of video conferences / consultations
• Increase in the use of Telecare – e.g. use of Community Alarms
• Increase awareness / use of web based resources – e.g. Living It Up
• Integration of technology enabled care into ‘normal’ care
• Increased knowledge / training of staff to use technology where it is
appropriate
Technology Enabled Care
National Improvement Programme
December 2014
Progress So far
• Raised awareness of Programme
Launch Event – September 2014 – all Partnerships
Identification of key Partnership leads
• Initial 30 day improvement cycle
WebEx's x 3 – different Partnerships
Knowledge Hub – increasing community
• Planned Local Learning sessions – Nov / Dec
Develop understanding of baseline measures
What stage different Partnerships are in programme / Storyboards
Thank you
Resources:
https://knowledgehub.local.gov.uk/group/tecdoa
http://www.jitscotland.org.uk/ or http://www.sctt.scot.nhs.uk/