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SmartCareMarlene Harkis Service Development Manager Scottish Centre for Telehealth and Telecare
• Process of redesign
• The technology/digital tools
• How are we doing it
• Timeline
Background
SmartCare in Scotland aims
• To improve the health, care and wellbeing of 10,000 people aged 50+ within Ayrshire and the Clyde Valley.
• It will do this through better co-ordination and an improved approach to falls prevention and management.
• It will fully utilise ICT services and applications that are vital in supporting integrated care.
Geographical Focus
• NHS 24 has a national responsibility in Scotland as advisor, facilitator and promoter of technology enabled health, care & wellbeing for 5.2m population
• SmartCare’s overarching pop – 1.1m (20% of Scotland’s population)
• Project involves :– seven local authorities and three
territorial Health Boards– Range of voluntary, charitable &
independent sector organisations– Service users and carers
Intense support
Rehabilitation and enablement
Staying independent
Community wellbeing
6
Hospital or care home
Incre
asin
g Fra
ilty
250
750
2000
3000
User Stratification
Active Engagement
• A range of stakeholder events have been organised throughout 2013/14, involving:
– Strategic Stakeholders (SG, JIT, NHS Scotland, COSLA, Carers Scotland)
– Implementation Stakeholders (Falls leads, Health Boards, Local Gov, 3rd Sector)
– User and Unpaid Carers
– Industry
Community Pathway
• Single point of entry
• Basic screening • Data entered
onto common database
• Enrolment onto Falls Prevention programme
• Integrated Falls Prevention Plan Actioned
• Update database
• Falls plan monitored
• Regular review
Assessment Care PlanEntryReview
Deliver
Exit
• Triage• Care co-
ordinator identified
• Update database
• Signposting for self-help
Exit
• Agree interventions
• Create Integrated Falls Prevention Plan/ Goals/ Outcomes
• Co-ordinate delivery
Improvement Areas Aim ICT Enabler
Single Point of Contact for Entry
Easy and simple access to falls advice and services
Living it up Platform (LiU)
Assessment Promote self assessmentSupport Professionals to good practice, accurate assessment of need and support quicker access to right services.
Electronic Assessment Tool
Intervention Care Planning
Person centred care planningInterventions to help achieve personal outcomes
Exercise Apps & Games
Care Co-ordination Support person to organise their care Coordinate activity to support independent living.
Diary/Calendar - New
Shared Information Person centred approach to support person to link information regarding their needs.
Person Held File (PHF) Community Connections
Self Management Sustainability; support people to manage Long Term Conditions and prevent further Falls
Telecare & Home Monitoring Services - Existing
Database Collect evidence which can be used for service planning.
Database - Existing
What is SmartCare?
SmartCare – ICT enablers
Independence and Enablement
Self assessment, fast access to falls pathway other servicesProfessional Assessment Basic screening information Triage tool Multifactorial assessment
Care plan -Intervention Use ICT enablers to improve
compliance/motivation Personal targets Apps for exercise, personal targets, diet,
gamification Inform multidisciplinary assessment and hospital
admission
• Co-ordination– persons needs will be varied according to LTC and level of
independence
• Pull together key events & supports - diary - Link with agencies - Home care
- GP Hospital appointments
• Adapting existing systems– home care, equipment
Diary/Calendar
Person Held File• Shared information -Remove duplication/repetition -Improve accuracy
• Ownership- person - Share with key supports
• Who I am-how I want things organised-anticipatory care
• Health and Social care- input from self, carers, care
providers,- Health and social care
• Signposting – local services, events
• Social networking- Peer groups, experience guides, blogs
• Keeping in touch– Video conferencing family, friends, carers
• Preventing isolation– Keeping active
Community Connections
How?
LiU Platform
LiU prototypes – SmartCare points
Social links Local
assets Self assessment & Calendar
diary
Person held
record
Co Production
• Engage with key stakeholders
• Use the lessons learned from LiU
• Reference group
• test - adjust – try again
• Third sector engagement
Procurement
• Framework – skilled industry partners
• Work in collaboration
• Direct user involvement
Points to consider
• The contribution you can make to the design of the tools
• How technology will change the delivery of care
• What will your customer expect in the future
• How we can support digital inclusion
Improved outcomes
• Shared information = Accurate assessement of need = effective intervention
• Calendar = Agreed care plan = minimal changes = early notification of changes = support carers
• Self assessment = early identification = self management
• Community connections = keep active= health & wellbeing
• Sustainable
SmartCareIMPLEMENTATION TIMELINE 2013 – 2016
Oct 13 Jan-15 Feb-15 Mar-15 Apr-15 Feb 2016
User & Carer Events
Suppliers Events
Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 July-14 Aug-14 Sept-14 Oct-14 Nov-14 Dec-14
Evaluation Before Sample
Contract Awarded
User & Carer Event
Co Design Event
Suppliers
Prototype
Testing
SmartCare on LiU Platform
Procurement
LiU Go Live
Procurement issue tender
invite
Launch Event
General Assembly
Evaluation 2nd Sample
ReviewReview
Project Completion
For more information, contact
Marlene.harkis@nhs24.scot.nhs.uk
www.sctt.scot.nhs.uk
www.livingitup.org.uk
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