Earlsfort eHealthwatch

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eHealth Ireland publishes interesting 2016 review

eHealth Ireland has published an interesting review of its activities in 2016. Click Here to be re-directed to the review. The aim of the website eHealthIreland.ie is to put in place a common platform that will enable a unified understanding of the plans for implementing eHealth in Ireland. This site has been developed by the Office of the Chief Information Officer within the HSE.

 

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Launch of eHealth Ireland

The Health Service Executive in Ireland (HSE) has launched its eHealth Ireland website ( eHealthIreland.ie ). This site has been developed by the Office of the Chief Information Officer within the HSE.

The aim of the website is to put in place a common platform that will enable a unified understanding of the plans for implementing eHealth in Ireland.

The following is a link to the eHealth Ireland website :

ehealthireland.ie

 

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Irish Government to launch €5m centre for Connected Health technology

The new Applied Research for Connected Health Technology Centre, or ARCH, will be hosted at University College Dublin with input from University of Limerick and other third-level institutions. It will also have close ties with industry, with 15 companies signed up to work with and help steer the research agenda at the centre. READ MORE at the following link: http://www.rte.ie/news/2015/0518/701862-health-technology/

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HSE report confirms scale of challenge for older patients “trapped” in delayed discharge beds

icon-04Report confirms scale of challenge for older patients “trapped” in delayed discharge beds. Click Here for article.

 

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From Hospital to the Home

30TH September 2014

by Damian Keane, Director, Earlsfort eHealthwatch Limited

icon-04Earlsfort eHealthwatch (www.eHealthwatch.ie ) delivers innovative health care services to elderly clients enabling them to live in their own home. Over the past three years we have established complex care programmes that have facilitated the early and safe discharge of elderly patients from acute hospital and step-down facilities. As part of these programmes we have demonstrated that successful partnerships with acute hospitals, step-down facilities, community intervention teams and home care agencies can deliver significant bed day savings, while delivering excellent standards of care through a consultant supervised multidisciplinary team.

Home-based model of Interim Care

Interim care (IC) traditionally takes place in an acute hospital or an off-site Rehabilitation/Transitional care facility. During times of increasing clinical demand (e.g. the Winter surge) the availability of this traditional bed base (Nursing home and Transitional care beds) is often problematic, leading to exit block from the acute hospital.

For the Winter period 2013/2014,  The Mater Hospital in Dublin piloted a novel alternative model of Interim Care, delivered directly into the patient’s own home, supported by use of remote monitoring technologies and supervised by a specialist acute geriatric team.  The Mater Hospital partnered with Earlsfort eHealthwatch to deliver this community based service.  On discharge, a partner home care agency provided up to 3 visits per day to the patient. At each visit clinical parameters including pulse, blood pressure and oxygen saturation were measured, with weight checked weekly. The monitoring equipment transmitted the results directly to the cloud via 3G / 4G technology. The results were then assessed twice daily with significant variances triaged to one of 3 pathways: (1) Next day review at our Geriatric Rapid Access Service, (2) Domiciliary review by the Geriatrician, or (3) Referral to the emergency department.

The service was provided to the patient in their home for a period of up to 6 weeks with a decision then taken for the patient to (a) remain at home with or without an advanced home care package, (b) to be re-admitted to hospital, (c) to be admitted to a nursing home or (d) to exit the programme and to utilise a home care package.

This service is significantly less expensive than care in an acute hospital bed and the total package (home care, remote technologies and specialist geriatric care) can be delivered at a cost comparable to, or often less than, that of a nursing home equivalent. The service can be scaled up and down within the Hospital to match clinical requirements and is thus an efficient way of managing potential exit block.

Further information is available on request from Earlsfort eHealthwatch at +353 (0)1 839 6610 or info@ehealthwatch.ie and also on our company website at www.eHealthwatch.ie

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Medical Assisted Discharge programme in association with the Mater Hospital

1st August 2014, Dublin, Ireland.

Earlsfort eHealthwatch completes successful Medical Assisted Discharge programme in association with the Mater Hospital.

Earlsfort eHealthwatch and the Mater Misericordiae University Hospital designed, implemented and operated a successful Medical Assisted Discharge programme which ran from March 2014 to July 2014. Patients participating on the programme were discharged home from hospital with a customised Care Plan. Relevant medical vital signs to allow cardiovascular and respiratory monitoring were then measured by a Homecarer at the patient’s home (daily in some cases), and this data was transferred electronically to the eHealthwatch IT platform for monitoring by the firm’s medical personnel. Medical checks and interventions were initiated when vital signs diverged from the parameters within the patient’s Care Plan.

We thought that it might be of interest to ask for feedback from some of the patients and their families about their experience of the Medical Assisted Discharge programme.

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Case Study 1: 89 year old Patient X was admitted to hospital with lower limb pains and elevated blood pressure. After a few days in hospital, during which better control of her blood pressure was achieved, the Mater Medical Assisted Discharge programme afforded us an opportunity to monitor her cardiovascular status after hospital discharge and ultimately enhance her medical care in the comfort of her own home.

Below is feedback from her family’s experience of that service.

Miss XY (Niece of Patient X)

1. QUESTION: How did you find the service ?

ANSWER: Very good. It was helpful to my aunt when she came out of hospital.

2. QUESTION: What was the most useful part of the service in your opinion ?

ANSWER: I think having someone from the hospital check in with my Aunt so frequently gave all of us peace of mind. Because she was still not fully herself when she came home, it was really helpful to have check-ups weekly. I didn’t know that was even something we could get. Also, to get a call from a doctor to check how she was, was really good.

3. QUESTION: Would you change anything about the service ?

ANSWER: The ladies checking the blood pressure were great. In the beginning it was every day and slowly it was less frequent. I would have liked it to not decrease so fast but I was happy she had the carers for well over a month.

4. QUESTION: Would you recommend the service ?

ANSWER: Definitely, it was really helpful and I hope more people can access it and use it for a bit longer, because it really gave us peace of mind once my Aunt came out of hospital.

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Case Study 2 : 75 year old patient Mr JP was admitted to hospital with shortness of breath in the context of chronic lung disease. The Mater Medical Assisted Discharge programme afforded us an opportunity to monitor the patient’s respiratory status after hospital discharge and ultimately enhance his medical care in the comfort of his own home.

Below is feedback from his family’s experience of that service.

Mrs. JP (Wife of patient Mr. JP)

1. QUESTION: How did you find the service ?

ANSWER: It was an excellent service.

2. QUESTION: What was the most useful part of the service in your opinion ?

ANSWER: It was great back up for me when my husband came home. I was very nervous looking after him on my own when he was about to be discharged but this service came in place and it was fantastic to have the carers there 2-3 times a week. It gave me reassurance and the carers were very pleasant and nice.

3. QUESTION: Would you change anything about the service ?

ANSWER: Not at all. It was great.

4. QUESTION: Would you recommend the service ?

ANSWER: Absolutely. Thank you again.

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Case Study 3 : 84 year old Patient Y was admitted to hospital with lower limb and blood pressure control problems. Earlsfort eHealthwatch was able to monitor her progress on discharge via the Mater Medical Assisted Discharge programme in terms of medical review and monitoring her blood pressure after hospital discharge to improve quality of her care.

Below is feedback from the patient herself about the service.

1. QUESTION: How did you find the service ?

ANSWER: Very good.

2. QUESTION: What was the most useful part of the service in your opinion ?

ANSWER: It was nice and it helped my confidence when I came home from hospital. Getting a check-up regularly was very good.

3. QUESTION: Would you change anything about the service ?

ANSWER: No.

4. QUESTION: Would you recommend the service ?

ANSWER: Yes I would. Thanks.

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Case Study 4 : 85 year old Patient Q was admitted to hospital with falls and cardiovascular problems.  Earlsfort eHealthwatch was able to monitor her progress on discharge via the Mater Medical Assisted Discharge programme in terms of medical review and monitoring her cardiovascular status after hospital discharge.

Below is feedback from Patient Q’s daughter Ms MJ regarding the service.

1. QUESTION: How did you find the service ?

ANSWER: It was great. I was really thankful for the service.

2. QUESTION: What was the most useful part of the service in your opinion ?

ANSWER: I was really nervous about bringing my Mum home after hospital, so it was a great relief to have the Carers calling up for the additional support and reassurance particularly at the start.

3. QUESTION: Would you change anything about the service ?

ANSWER: Not really. The only problem was Mum really wanted to come to stay with my family and we felt it would be better for her to stay with us, which was outside Dublin. Commuting back to Mum’s home in Dublin to get the check up’s was very difficult because my home is quite a travel back to Dublin. So it was only a distance problem.

4. QUESTION: Would you recommend the service ?

ANSWER: I definitely will.

Contact details:

www.ehealthwatch.ie

info@ehealthwatch.ie

Telephone: +(353)(1) 839 6610

1st August 2014 – Dublin, Ireland.

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Irish Healthcare Awards 2013

Dr Eamonn Brazil, Damian Keane, Dr Dermot Power at the Irish Healthcare Awards 7th November 2013

Dr Eamonn Brazil, Damian Keane and Dr Dermot Power at the Irish Healthcare Awards 2013

Earlsfort eHealthwatch participated in the Mater Misericordiae University Hospital and Community Medical Assisted Discharge Project earlier this year. The eHealthwatch Home Transitional Care service was piloted during this project.

At the Irish Healthcare Awards 2013, held at the Shelbourne Hotel Dublin on the evening of 7th November 2013, the Mater Hospital received a Commendation in the award category of Best Hospital Project for the Community Medical Assisted Discharge Project.

The Commendation received was in recognition of the projects focus on improving patient care, innovation and collaboration.

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New Video Launch

Earlsfort eHealthwatch has released a new video in which Consultant Geriatrician Dr Dermot Power and Emergency Medicine Consultant Dr Eamonn Brazil, explain the context in which the eHealthwatch remote patient monitoring medical services – Home Health Plus, Home Care Plus and Home Transitional Care – are offered.

In the video, Dr Power makes the observation that in his experience of dealing with patients “the single most important thing from their point of view is not to attend hospital if they can possibly avoid it”. He describes the eHealthwatch services as “hospital level care at home” while Dr Brazil notes that the idea is to offer personalised medical care “to patients who are vulnerable, old, who have chronic disease, and see if we can manage those conditions better in their home”.

The video is now live on the company’s website www.eHealthwatch.ie and it is also available to view on YouTube at http://youtu.be/EJj-OMxLrKE.

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New Website Launch

Earlsfort eHealthwatch has launched a new website to outline it’s three new services – Home Care Plus, Home Health Plus and Home Transitional Care. The services have been developed to support people who are ageing and who want to stay at home but need specialised medical and nursing support.

The promoters of the business include Medical Consultants who have day-to-day experience of working with elderly patients who need consistent, high quality health monitoring at home. There is a clear gap in the market for this type of support. Dr Dermot Power says “Often what people need is a virtual hospital at home and new technologies – combined with proven processes and expert medical input – allows us to offer that service now.”

The new site www.ehealthwatch.ie outlines the core services and the health, quality-of-life and financial benefits for elderly people and their families and carers. It can also release resources for hospitals, A&E departments and other healthcare facilities. The new website was built by Inspiration Marketing – a web design and development company based in Dublin.

Damian Keane, another founder and CEO of the business, is grateful for the support offered by Enterprise Ireland in developing the new site “Enterprise Ireland has given us the opportunity to articulate the service, to share it with our target audience and to promote the business online – we’re delighted to have their backing.”

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Earlsfort eHealthwatch Limited (T/A eHealthwatch). Registered Number 500631. VAT Number: IE 9799612U Registered in Dublin, Ireland at 74 Eccles Street, Dublin 7, Ireland. Directors: D Power, E Brazil, D Keane