Telehealth in Tissue Viability
Excellence for every patient every
time
Professor David Gray
Department of Tissue Viability ,NHS Grampian
Tissue Viability Practice Development Unit,
Birmingham City University
I have seen that in any great undertaking it is not
enough for a man to depend simply upon himself Isna la-wica Teton Sioux
Early discharge/ preventing re admission
Early discharge/ preventing re admission
Joined Up Working
Non specialists delivering
specialist treatments remotely
Cross Referal
Acute Hospital
Patient admitted or develops pressure ulcer
post admission
Referral made via form sent via NHS Mail.
Images from Medical Illustration
Call to mobile to alert Specialist
Option 2
Ward called by Specialist
Option 1
Referral made to relevant specialist
Images referral discussed with ward
Verbal feedback provided
Written treatment plan and review date
emailed back to 3 members of ward team
Reviewed in person or via Telehealth on set
date
Update images via Medical Illustration
Acute Hospital Service
Lessons Learned
• Software a powerful tool for the users
• Self explanatory , easy to use
• Safe and Effective
But
• Barrier to wider usage/access
• Not integrated
Way Forward
Interim
• NHS Mail
• Proforma
• Standardized images
• Teleconference
Medium Term
• SCI Store
• Paperless tissue vaibility
Conclusion
• Technology is being used as an aide to delivery
of care
• It has the potential to be a barrier to
involvement
• Keeping it as simple as possible provides the
grates chance of success
Patient has or develops wound
Reviewed by DN/PN/GP/Care Home
Apply Wound Management Pathway
Devise Treatment Plan
Set Objectives
Obs not met
Refer to Tissue Viability
via E Clinic
Direct Referal to
Vascular
Timeline
Apply Wound Bundle
Appointment at
Regional Tissue
Viability Clinic
Follow up at
Regional Tissue
Viability Clinic
Treatment plan
and review via E
Clinic
Discuss with
Specialist direclty
e.g Dermatology
or Chronic
Oedema