1. Telestroke in WA

2. WHAT is TELESTROKE  What is Telehealth? “the use of Information and Communication Technology applications to provide health and long-term care services over a distance ”(WHO, 2010) = a lot of options!!  Incorporation of telehealth into WA Stroke Care (planning, delivery, training, evaluation):  improve equity of access, quality, timeliness, coordination for country stroke patients.

3. Telehealth Locations in WA >700 end points 2014: 59 000 “virtual events” Growth industry

4. Telehealth Strategy: Statewide Reform

5. WA Stroke: Country Picture  1 000 TIA and Strokes in WA Country resident pop’n each year  30% TF to Metro for stroke unit care.  2 360 Neurology Outpatient Episodes 13/14  2 800 PATS TF to metro (Neurology) o WA Stroke Reform (WA Stroke Project) o Telehealth Reform o Clinical Need = Opportunity

6. Virtual Stroke Teams in WA 3,215 km PATHWAYS DATA EDUCATION QUALITY

7. WA Telestroke: The Big Picture PREVEN T STROKE ONSET ED ETS Acute Consult Stroke Specialist ACUTE STROKE CARE REHAB HOME SUPPORT Outpatient Groups MDT + Family

8. Implementation Journey… Telehealth champions. Pilot sites: Acute (FSH: By) MDT (SCGH: Country) Integration telehealth in stroke framework: Data Pathways & Process Education Planning Orientation / HR 3 Virtual Stroke Teams: country/metro. Routine Business Patient enabled Care Continuum Sustainable PEOPLE & PARTNERSHIPS PROCESSES TECHNOLOGY

9. PROGRESS: Clinical Service Pilots ED Consult: FSH: BUNBURY  Bunbury ED to FSH Consultant  Wireless Telecart WA 1 st  Technical end point ready SCGH: WACHS MDT  Virtual Meeting Room  Weekly MDT Meeting 4 regions

10. Stroke patient BIDYADANGA Aboriginal gentleman: Remote Community TF to Perth: >2000 km from home 1.Virtual SCGH MDT Acute Stroke Unit – Stroke Coordinator 2.Family + Patient Meeting: Rehab Unit / RSC 3 sites. Rehab Support & Plan 3.Rehab MDT + patient / family – DC Planning, Rehab Planned DC home Preliminary Feedback family & clinic +ve CASE EXAMPLE: Care Coordination / Family + Remote Community input

11. WHAT NEXT?  CONTINUE PILOTS ACUTE + MDT  MHC: WHEATBELT  IN THE HOME  OUTPATIENT  EDUCATION & NETWORKING  Pathways + GP’s