Health Sciences and Practice & Medicine Dentistry and Veterinary Medicine Higher Education Academy Subject Centres eLearning in Health 2011 conference

collaboration, sharing and sustainability in the current environment

An Introduction to Telecare and Telehealth; driving improvement through partnership working

Kay Phillips, Education Advisor Yorks. and Humber HIEC Judith Clarkson, Director Virtual College

Workshop objective

• •

To explore how an innovative telehealth e-module was developed by a public/private sector partnership and to share;

– the content and structure of the module – feedback and evaluations from individual learners and organisations – strategies for adoption and sustainability of the module in HEIs and service – how learning from the project is supporting the development of other learning objects

There will be audience participation throughout!

Part 1 Partnership context & module development

NHS Health Innovation and Education Clusters (HIEC) Background & Objectives

June 2008 High Quality Care for All (Darzi Report) Academic Health Science Centres (x5). Health Innovation & Education Clusters proposed May 2009 Breakthrough to Real Change ‘ partnerships between NHS , higher education , industry and other private and public organisations’ ‘quickly bringing benefits of research and innovation directly to patients’ 'increasing quality through implementing best practice' ‘strengthening co-ordination of education and training’ December 2010 First Health Innovation and Education Clusters launched

Maternal & Infant health Patient Safety Telehealth for long term conditions

Why focus on Telehealth?

• Strategic alignment: Yorkshire and the Humber SHA were already investing in telehealth innovation • Political support for telehealth was growing • Strengthening economic case for telehealth – ageing population – increasing prevalence of LTCs – need for new models of care – self-management agenda – care closer to home – cost-effective alternative to hospital and GP surgery

March 2011 The Government's Plan for Growth, was issued alongside the Budget statement. It includes: Assistive living technologies (often referred to as ‘telecare’ and ‘telehealth’) enable health and social care services to be provided remotely, for example by monitoring vital health signs and using sensors to detect movement or falls. Barriers; lack of properly evaluated evidence, high cost per unit low levels of awareness of the benefits this technology can bring . Emerging WSD project findings to provide the evidence base The Government is committed to improving the take up of assisted living technology Aims - achieve scale and bring down cost per unit.

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work with the Technology Strategy Board to develop assisted living solutions through supporting R&D, collaboration, innovation and interoperability of service models through an £18 million investment programme across a range of UK sites;

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make purchasers, individuals, retailers and government, more confident of assistive technology. To achieve this, the Government will help establish a code of practice that can set a standard framework for services and technology, led by industry, to provide quality assurance to customers and increase uptake; and work with the industry to reduce costs and make GP commissioners and new Local Authority Health and Well Being Boards aware of the benefits of this new technology.

http://www.hm-treasury.gov.uk/ukecon_growth_index.htm

Telehealth: Barriers & Solutions Awareness Market Building Quality Standards Evidence & Business Case Levers & Incentives Organisational Readiness

HIEC Telehealth for LTC: Project Objectives April 2011

1. To develop an introductory Telehealth and Telecare education package for staff and service users/carers 2. To produce practical resources/toolkit for managers & commissioners developing telehealth services 3. To provide consultancy and expertise to support the rapid implementation of telehealth services

Collaborative partners for the module HIEC LTC Team (NHS) other contributors Virtual College Advanced Digital Institute HEIs HULL SHU

Virtual College - Private sector partner

• Formed in 1995 - rapid growth • Ilkley-based • Public and private sector experience/client base • Understanding of health and care contexts • Strong focus on quality and customer experience • Complete blended learning package • Responsive and collaborative approach

600000 500000 400000 300000 200000 100000 0 Virtual College e-Learning Journey Online learner numbers Over 560,401 registered users!

Work based, collaborative approach

Different players, different perspectives

• A range of organisational cultures • New subject area • No existing provision for comparison • New delivery method • Short timescale What do you imagine were the main priorities and concerns of the 3 core partners at the start this collaboration?

Agreed objectives for the module

• Launch in the Autumn of 2011 • An introductory module; awareness-raising • Health and Social Care friendly • For multi-professional workforce, including Drs.

• Suitable for service users and carers • 2 - 2.5 hrs. duration in bite-sized sessions • On-line assessment of learning • Embedded evaluation

What we had as a foundation

• VCs expertise • technical platform in place • design technologists • learner management systems • integrated evaluations • funding • academic /research knowledge • IPE experience • contacts with T-health experts • industry links • health & care networks • funding

Development Process April to November 2011

• face to face workshops and teleconferencing • initial scoping and agreement of content • storyboard for structure of learning package • academic review & contribution of evidence base/reading/additional information sources • case studies and vignettes sourced from established service providers • review sessions (language, emphasis etc) • pilot phase and further product/technical refinements

Part 2. The module An Introduction to Telecare and Telehealth

LIVE DEMO

http://www.telesolutionsea.co.uk/promotions

Feedback - corporate

Nottingham City Homes has developed ‘Nottingham On Call’ a call centre supporting over 12,000 homes in the effective use of their telecare equipment. These properties include the Sheltered Accommodation managed by Nottingham City Homes and the service also offers outsourcing to private homes and other Housing Associations. The module will be offered to all call centre staff and mobile support officers (the people who go into homes to assess people’s needs and then install the equipment).

‘This is the only course we were able to find that effectively met the needs of our staff. E-Learning is the most cost effective and resource efficient way of training the team working in this prolific service area.’

Feedback - learners

“When i found the course was aimed at such a wide range of people i origenally thought how is this going to work and be satisfactory for everyone. However the use of learning outcomes aided this, along with the layout of the modules ie. i was able to go into as much or as little detail as i liked through clicking on certain parts within the screen.” “The presentation of information was very knowledge enhancing.”

“Course info was well and logically arranged. Animation and resources beautifully presented. Very balanced amount (not too less, not too much) of learning material; it was easy to keep focused.” “Would be interesting to see more information and demonstrations about what products are actually out there in the real world, how they work, and the potential benefits to the clinicians and organisations who employ them.”

“A fantastic and comprehensive introduction to the subject presented in an extremely well structured way”

Feedback – understanding

I understand much more about Telecare and Telehealth after completing the module

Feedback - reasons for completing

Why did you complete this module?

Feedback – educational course?

Was this e learning module provided as part of an educational course?

Feedback – ease of access

How easy was it to access the system and navigate through the module content?

Feedback – further learning interest

Would you be interested in further e-learning courses on Telecare and/or Telehealth?

Feedback- course recommendation

Would you recommend this course to other people?

Response to feedback

• Feedback suggested that accreditation by the RCN would be helpful - Applied for and secured.

• Feedback from RCN required no changes;

“From an educational perspective this is a useful, valuable, valid learning resource for both nursing and social care

.” • An Advisory Panel regularly reviews feedback and changes are implemented where required •General feedback – module is more health than social care focussed. Response is to develop a care version •Requests for further resources – in process of creating a development plan.

Part 3. Spread and Sustainability

UK Learners individual and corporate other products Introductory Module International interest VC e-Solutions Academy

UK learners: Developing the workforce Group task

Drawing on your knowledge of the further and higher education systems and of the health and social care sectors What are likely to be the most significant workforce development needs if telehealth and telecare services are to be developed at scale and pace?

Update on international interest

• Northern Ireland considering suitability of module for countrywide roll-out to support their national telesolutions adoption • Canada considering suitability via the Whole Systems Demonstrator project

Want to get involved?

Free access to attendees today USE CODE eLIH2011 Available 28 th June – 27 th July 2011 For more information contact: [email protected]

Introducing Telehealth at Scale and Pace A Development Resource for Telehealth Pioneers (HIEC)

• • • • • Designed to support telehealth implementation Contains lots of video case studies and patient views Additional material being added Can be accessed online Introducing Telehealth at Scale and Pace: A Development Resource for Telehealth Pioneers http://www.yhhiec.org.uk/yhtoolk it

HIEC Workbooks (in development)

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Tele-monitoring for long term conditions; a workbook for implementing new service models

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Tele-consultation for health care services; a workbook for implementing new service models

Available later this year.

Part 4. Incorporating the module into undergraduate and postgraduate learning

• University of Hull • Sheffield Hallam University • other developments

Curriculum development: Hull University

• Two post-registration e-learning modules (Telehealth and Telecare – Levels 6 and 7) launched September 2010 • Short programmes (PgCert Telehealth and Telecare) due for launch 2011/12 • Virtual College module embedded into pre-registration nursing programme from May 2011 – 2 nd year students provided with directed study time and module registration details – Completion checked against class register – Early research findings suggest that the module raises awareness and understanding of telehealth and telecare

Sheffield Hallam University

• We are embedding the module into pre-registration inter-professional learning - Nursing, AHPs • Sits alongside another learning package

'Systems of e-care'

developed in-house • Both modules have been very favourably received by the Nursing and Midwifery Lead, Clinical Division of the DH Directorate of Informatics • Adding value to the curriculum and enhancing the employability of our graduates • Next step - installing telehealth simulation at SHU

Virtual College work on qualifications

• Currently reviewing SQA requirements for Scottish Centre for Telehealthcare to ensure alignment with developing qualifications • Already mapping to UK qualifications such as Apprenticeship in Housing

What could you do?

Group activity

• Is Telehealth currently embedded in your curriculum? If so, please share your experience.

• How might you introduce your students to Telehealth and telecare technologies and applications?

Part 5. Next steps and future collaborative opportunities

• Motivational interviewing and behaviour change module - in development • e-learning sponsorship by industrial partners • links with technology/communications companies • Telehealth research projects - TSB ALIP • Rapid deployment sites

Thank you!

• If you would like any further information or support there are weblinks and references in the module and the Telehealth Toolkit Please feel free to contact us; • Kay Phillips; [email protected]

• Judith Clarkson; [email protected]

• David Barrett; [email protected]