A pioneering telehealth project that involves keeping a close eye on the health of care house residents and alleviating pressure off the NHS has been extended for a year– after a trial showed “impressive” outcomes.
Utilizing a Docobo telehealth solution, staff at the care homes perform easy medical examination with citizens each day and record these via a Docobo app.
The Docobo telehealth project was initially piloted for 6 months in two care homes in Maidstone, Kent. In the very first three months, it led to a 32 percent decrease in health center admissions, a 25 percent reduction in 999 calls, a 67 per cent decrease in 111 calls and a 44 percent reduction in all GP contact.
As an outcome of this success, it is now running in four care homes, with three of the homes in Maidstone and one in Tonbridge. The job was paused throughout the very first wave of COVID-19, however resumed and extended in September (2020 ).
Andy ran a quality improvement (QI) task to assist with the intro of Docobo. He aimed to reduce hospital admissions, calls to 999 and GP visits, each by 10 per cent, but far exceeded this initial target.
Andy stated: “The Complex Care Team at KCHFT closely keeps track of the data trends and will rapidly discover if a citizens health is degrading. We have established parameters for each client and if their observations fall beyond these, an alert is sent out to the on task complex care nurse who would then react to the alert.
” The care homes we worked with throughout the trial were extremely positive about this project and said it has actually led to their personnel ending up being more confident in taking care of residents and bring out basic observation checks, including high blood pressure and temperature level. It has helped enhance their understanding and abilities.”
The care homes associated with the task are The Oast, Chippendayle Lodge and Eastfields, in Maidstone and Chestnut Lodge, Tonbridge.
Adrian Flowerday, Managing Director and Co-founder of Docobo, commented: “Its fantastic to see the genuine benefits of remote tracking for care house citizens, and the great stats speak for themselves.
” Docobo has actually been operating in Kent for some years now and the quality enhancement route taken to establish the brand-new way of working in care houses is something we’ve enjoyed to support the exceptional team at Kent with.
The job has actually seen KCHFT and care home staff monitoring residents with long-lasting conditions, such as cardiac arrest, diabetes and persistent obstructive pulmonary disease (COPD). Care house personnel bring out basic healthcare contact homeowners each day and ask condition-specific concerns, such as have they felt lightheaded, brief of breath or more worn out than typical. They record this details using the Docobo app, which is set up on a tablet.
This system is carefully kept an eye on by the Complex Care Team at Kent Community Health NHS Foundation Trust (KCHFT), which can instantly see if a residents health is stable or deteriorating. The group can then instantly step in with the most suitable action, which may be as simple as performing increased observations to monitor a patient more carefully, or tweaking a patients medication.
” The terrific results are a combination of the individuals, procedure and innovation coming together, so I d like to personally thank the staff at KCHFT and the care houses for the amazing outcomes, and the truth that it assists a lot throughout the pandemic and lockdown, is fantastic. ”
” The arise from the trial revealed a clear decrease in unintended healthcare facility admissions and contact with emergency situation care services, which is crucial for these crucial NHS services, and we expect the level of reductions we are seeing will remain the very same, as the number of care homes we support, boosts.
Andy has actually worked on the project with associates Steph Rhodes, Head of Long Term Services, and Lauren Warburton, Operational Manager west Kent. It has been supervised by KCHFT Medical Director Sarah Phillips.
” Together with the excellent results we have actually accomplished, its likewise essential to understand how utilizing this is benefitting care home locals. Their health is being carefully monitored and any degeneration in their health is spotted much quicker than previously, leading to spending less time with GPs and in healthcare facility and more time feeling comfortable in their homes. A check out to A&E can be upsetting and stressful.”
” The task is minimizing pressures on urgent care services. It likewise indicates the Complex Care Team can focus on the clients who urgently need the specialist care that they offer.
KCHFT Project Manager Andy Platt said: “We extended the task because the clinical group at KCHFT and personnel at the first two care homes developed an exceptional relationship and a brand-new way of working, which resulted in improved outcomes for the care home citizens.
” Together with the exceptional results we have actually achieved, its also important to realise how using this is benefitting care house homeowners. Their health is being closely monitored and any deterioration in their health is found much quicker than previously, resulting in spending less time with GPs and in health center and more time feeling comfy in their houses. The task has actually seen KCHFT and care house personnel tracking homeowners with long-lasting conditions, such as heart failure, diabetes and chronic obstructive lung disease (COPD). Care home personnel carry out easy healthcare checks with homeowners each day and ask condition-specific questions, such as have they felt lightheaded, short of breath or more tired than typical. They record this details using the Docobo app, which is set up on a tablet.