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Carenet Final Conference:
February 2014
Brussels
New Skills and
Knowledge Sets for
Health & Social Care Staff
in Context of TelehealthDr Malcolm Fisk [email protected]
The Context (1)
Changing Technologies• Changing Service Frameworks
• Changing Service Paradigms• Increasing focus on telehealth / eHealth
• Shortage of nursing staff (and other allied health staff?)• Attention needed on the
skills, knowledge andcompetencies of staff
• Question regardinghealth literacy and digital skills of
service users and carers
The Context (2)
• European eHealth / telehealth developments –including the eHealth Action Plan
eHealth Stakeholders Group EU‐US Collaboration
Action Plan for the EU Health Workforce• European Innovation Partnership for Active and Healthy Ageing –
including B3 Group: Integrated Care • TeleSCoPE project –
European Code of Practice for Telehealth Services
• UK Work by Skills for Care & Development for
social care staff
What is Telehealth?
Telehealth is …the means by whichtechnologies and related servicesconcerned with health andwellness are accessed by people orprovided for them, at a distance.
Telehealth DomainsSome Conditions & Circumstances Telehealth Service Domains
Sight or hearing loss
Mobility and dexterity problems
Mental health problems
Chronic kidney, heart or lung conditions
Neurological conditions
Diabetes
Frailty
Dementia
Pregnancy
Learning disabilities
Palliative care
Provision of health information
Health and motivational coaching
Activity, behavioural and lifestyle monitoring
Gait, seizure and falls monitoring
Point of care testing, and support for diagnoses/decision making
Vital signs monitoring
mHealth
Prompting for medication or therapy adherence
Rehabilitation and (re)ablement
Responding to ‘events’
Tele‐consultation
To Support Peoplein New Ways
Key Reasons for New Skills and Knowledge
Sets• Public and Preventative
Health Agendas• Self‐Management
• Better Lifestyles • Development of ‘Health Capital’
[Per EC eHealth Action Plan]• Personalisation
– whole person approaches• Support for health
– motivation, medication (?)
Potential New Skills and Knowledge Sets
1 Basic IT and Technical Skills
2 Personal Information 3 Knowledge of
Specific Technologies 4 Assessment / Supporting
Self‐Assessment5 Installing, Maintaining and
Disposal of Equipment6 Operation of
Telehealth Services
But also …New Understandings
It’s not so much what tasks are undertaken …much greater understanding is needed of why things are done
… to empower users and carers… to nurture autonomy
… to provide real (and informed) choice
1. Basic IT and Technical Skills
• Digital Literacyo Basic ICT tasks – switching, chargingo Using mobile telephones
• Awareness (and Promotion of) of the User Benefits of ICT
o The importance and social benefit of ICT for users and carers
o The ways in which ICT may help people access information
o How people access services and information relevant to jobs, education, training as well ashealth and well‐being
2. Personal Information
• Privacy and Confidentialityo Potential of technologies to breach people’s right to
privacyo How personal information should be safeguarded
• Using and Sharing Datao Protocols between agencies
• Informed Consento Importance of ensuring
that users and carers views are taken into account …and consent obtained with regard to
f l d
3. Knowledge of Specific Technologies
• Range Availableo Understanding of role of such technologies and related serviceso How they are procured o How people can access them – retail outlets, etc.o How people can learn more about them – signposting, etc.
• Recognising Limits to Knowledgeo The vastness of AT optionso Knowing limitations of knowledgeo Interoperability of technologieso Recognising key role of specialists
4. Assessment and Supporting Self‐Assessment
• Undertaking Assessments o Problem solving in family and community contexto Determining risks o Working with other agencieso Telehealth in context of other services
• Supporting Self Assessmento How to assist others in self‐assessingo Options around procurement of services
5. Installing, Maintaining and Disposal of Telehealth Equipment• Installation Plus
o Free‐standing and fitted deviceso Links to power sources, telephone and Broadband networkso Safety requirements (including handling)
• Maintenanceo Faults and fault findingo Cleaning / decontamination, infection control, etc.o Checks / maintenance per manufacturer guidance, etc.o Removal, storage and recycling process
6. Operation of Telehealth Services
• Purpose and Operation of Telehealth Serviceso Role and purposeo Operation with other services
• Interpreting Datao Importance of datao Importance of data accuracy
• Making and Handling Calls o Text, voice, videoo Relevance of information receivedo Special care in communication
Conclusion
• New skills and knowledge are required
• Relates to understandings as well as tasks …
• For all staff
o Social care
o Health
o Others?
• Relates to
service
integration