Something's gotta give……

Sector

Pressure

Viability and

Public

Perception

Demand and

Changing

expectations

Fiscal

Pressures

Political will for

Change

Demand for Aged Care

Services

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

2006 2011 2016 2021 2026 2031 2036 2041

000s

Aged Australian Population Projections

85 years and over

65 years and over

Profile of Users of Aged

Care Services

0%

10%

20%

30%

40%

50%

60%

70%

80%

Residential Low Care Residential High Care

Proportion of High and Low Care Places

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Living Longer Living

Better

• Accommodation charges

• Community care

• Consumer Directed Care

4

Living Longer Living

Better Gateway

Assessment

Specified Care and Services

Additional Amenity

Impact of Sector Reform -

Denmark

New Zealand – Changing

Sector Profile

Providers

Consumer Choice

8

Consumer centric

services

Consumer

Provider

Provider

Provider

Provider

Community Care

CDCs

Budget holding

Contracting other providers

Monthly reporting

10

Brokering

Carers

Volunteers

Technology

Home monitoring

11

Health care

services

Social care services GP

GP

Hospital

Outpatient

clinics

Optometrist

Physiotherapist

Help with

shopping

Home

care

DVA

transport

Home

modification

service

Meals on Wheels

PCEHR HACC

records

Telehealth

Allows people to take

their vital signs in their

home daily, monitored

by a clinical nurse or

health professional.

Feros Care’s Technology Enablers

Challenges Technology Response

Independence & Security Telecare Smart Home technologies

Chronic Disease Management Telehealth Vital Signs Monitoring

Social Isolation

Senior “e-connecting”

Complexity of Accessing

Services

Feros Community Gateway “central contact and

referral centre”

Efficient & Effective Service

Models

Community Gateway

Electronic Health record

Virtual Offices

Cloud Computing

Telehealthcare - Assistive Technologies

• Established LifeLink in

December 2009

• 9 month Trial to Oct 2010

• NNSWLHD Trial to Nov

2011

• 500 Smart Homes to Dec

2011

• Key suppliers: Intel, Telemedcare, Chubb, Tunstalls Product

Comparison

• Nottingham & Torbay and York, Dublin, UK.

• Trials: Mildura, Ipswich Australia

Technology in Operation

Telehealth Deviceshlth

Pulse

Oximeter

Thermometer

Telehealth Hub

Glucose Monitor

Blood Pressure Monitor Scales

Age: 55 to 89

Conditions

Unstable Blood Pressure

Diabetes

COPD

Chronic Heart Failure

Our Clientsts

Outcomes

Our Clients

General Practitioners

• Decreased worry about not being aware of daily severity of condition

69%

• Technology allows me to be more independent

94%

• I can manage better with the technology

100%

“With Telehealth the RN

is monitoring mums

vitals everyday.

No hospital admission

this winter – the first

time in 3 years”

Daughter

• Involving patients in monitoring has a positive compliance impact

69%

• Daily monitoring helps reduce A&E visits and re-hospitalisation

86%

• I would recommend monitoring services to other physicians

86%

Daily monitoring of BSL

and BP has assisted in

stabilizing her medical

conditions GP

SMART HOME TECHNOLOGY

Feros Care has 180 smart homes installed

Telecare Outcomes

Our Clients

Their Carers and Family

• Reduced fear of undetected falls 88%

• Increased confidence for household activities

87%

• The technology improves my security 94%

“the emergency devices

give me more confidence

and make me feel safer

at home by myself”

Client

• Improved client independence 56%

• Reduction in carer anxiety 44%

• Reduced need for residential care 28%

I can’t provide much

assistance myself, but with

the Feros visits and

telehealthcare services, I

think mum can remain at

home for years.

Son

Mobile Technology in Community

Care

About Silver Chain Group

Statistics 2010:2011

Hours of care: 1,619,124

Clients assisted: 62,337

Clients visited per day: 4,943

Occasions of service: 2,271,426

Klms travelled : 20,797,206

Staff (Volunteers): 3,380 (411)

Revenue $193 million

• Large and mobile workforce – need to be able

to provide and capture up to date information 24/7

• Enables our nurses to be able to access

information about clients such as their details,

referrals, diagnosis, alerts, contacts and services.

• Enables nurses to record in real time the clients

assessment details and information about wound

care.

The Application

Clients Assessments Admission wizard

Contacts Clinical details Messages

Access comments Wound management Alerts

Service details Schedule/roster Maps and GPS tracking

Task details Timesheet OSH checklist

Client equipment Manuals (nursing & quality) Continuous Improvements

The Devices

The Supporting Platform

The (WA) Users (total group mobile users 2,000+)

The Benefits

Clients

Better care

Increased privacy

Reduced errors

Less hospital visits

Improved quality of life

Staff

Greater safety

Better information

Feel connected

Reduce travel time

Reduce paperwork

Organisation

Reduce overheads

Improve unit costs

Efficient processes Increased productivity

Reduce travel time

Better information

The Business Cycle

DATA

INFORMATION

KNOWLEDGE

UNDERSTANDING

COMMUNICATION

ACTION

Mobile Timesheets

DATA

INFORMATION

KNOWLEDGE

UNDERSTANDING

COMMUNICATION

ACTION

“Oh no something else I have to

learn and worried that it was going

to that will take up time…….

“But now yeah it great, its been

very easy to learn”

• Auto download of care

workers workload / timesheet

• Updated daily for today and 4

days ahead

• Data recorded in real time

and submitted daily

• 600 mobile timesheet users

Saving

s

Project Total savings

(est.)*

Timesheets (TS) - messaging $60,000

TS - Carrier voice contract $180,000

TS - Calls to Customer Operations $620,000

TS - Remove paper system $500,000

TS – Total estimated savings per

year $1,360,000

Mobile Timesheets

DATA

INFORMATION

KNOWLEDGE

UNDERSTANDING

COMMUNICATION

ACTION

• 16,784 wounds total

• 2,456 active wounds

• 20,316 assessments

• 21,551 treatment

plans

• 14,469 treatments

• 353,071 dressings

• 5,943 Notes

Wound Care

“With the phone we can bring wound care in real time with real data.”……… “We can now prove the worth of the work our nurses have been doing for

years.”

Wounds

A Connected Workforce

Summary

Improve client care and increase

capacity

Drive down Logistics costs and

reduce inefficiencies