1. Telehealth service design David Barrett Nurse Lecturer in Telehealth WSDAN Roadshow 30 th June 2011

2. Objectives To discuss the fundamental elements of telemonitoring services To evaluate the strengths and weaknesses of different models for clinical and technical triage To explore some of the other key questions to be answered when developing a telemonitoring service

3. Basic model of telemonitoring InputProcess Output Not an emergency service

4. PatientSystem alert ‘Technical’ triage ALL clinical alerts referred on Community practitioner action Triage model 1: Centralised technical triage; localised clinical triage

5. Triage model 2: Centralised technical and clinical triage PatientSystem alert Technical and clinical triage Direct action or referral Community practitioner action

6. Other issues when designing services… Where will referrals come from? How will education and installation be organised? Which groups of users will be targeted? – Which conditions? – Which point on the disease pathway? How long should telemonitoring remain in situ for? What should we measure? Goodlin, S. J. J Am Coll Cardiol 2009;54:386-396

7. Summary – the key questions How will you recruit patients? How will you educate and consent patients? Who will install and maintain? How will you deal with technical problems? How will you triage and respond to clinical data? How long will you deploy for? How will you manage removals?

8. Thank you. David Barrett Nurse Lecturer in Telehealth d.i.barrett@hull.ac.uk