David creating independence life

Creating Independence Life : TelehealthCare
…assistive technology and its place in the home

David Chang
Business Development Manager
Tunstall Healthcare , Taiwan

“Founding member of the
Continua Health Alliance" © 2007 Tunstall Group Ltd
1

Tunstall
at a glance
• World’s leading telecare & telehealth provider
• Global company headquartered in the UK
• Operating since 1957, celebrating 50 years
anniversary
• Full suite of telecare solutions and systems
including integration of hardware, software,
service, support and 24/7 personal response
• Operates in 30 countries worldwide, leading
provider in 15 countries
• 2.5m people being cared for around the world
(50% market share)
• 1150 employees worldwide
• 5% of revenue invested in R&D

© 2007 Tunstall Group Ltd 2

Unrivalled geographic footprint for
Telecare
Tunstall’s markets represent 75% of global healthcare expenditure
North America Europe Asia-Pacific

Canada – 1992 Australia- 2001

Nordic region – 2005

UK – 1957
Netherlands – 1993

New Zealand – 2002
Ireland – 2001
Belgium – 1998

US – 2002

France – 2004 Germany – 1991
Taiwan – 2007

Spain – 2004

Portugal – 2007


What is Telecare?

• Telecare is the use of technology
such as alarms and sensors in
conjunction with
telecommunications channels to
provide proactive and/or reactive
care to people in their home
environment.

• Communications may be direct to a
carer or via a monitoring centre.


Telecare
who needs it?
The service is available to anyone of any age who would like to feel
safer, more protected and independent in their own homes. The
system can be specifically programmed to provide benefits for:

• The older persons
• The physically-challenged who are living
alone
• People who live in isolated areas
• Respite support for carers
• Patients who have been discharged from the
hospital
• People with chronic illnesses
• Children who are left alone at home


What is a Smart House?
proactive telecare infrastructure
• A smart house uses a combination of a base alarm unit
and a range of telecare sensors to provide a care
solution to meet a client‟s needs.


How does telecare work?
telecare base alarm example

Tunstall 400 alarm
and Amie pendant

Able to respond to 12 radio triggers and
support a variety of Telecare sensors


features which make a difference
• You can add sensors as you need them
• Range of 50m and up to 100m line of
sight
• You can answer your phone from your
armchair!
• Completely waterproof – wear your
pendant in the shower!
• 5 year battery life – and we know when
you need a replacement in advance!
• We know when your power is out!
• We help you test each month!


Proactive infrastructure
specialty care sensors
<<Pull cord

Fall Detector >>

<<Enuresis sensor

Pressure mat>>

<<Bed occupancy sensor

Chair occupancy sensor>>

<<Epilepsy Sensor

Wandering client>>


Proactive infrastructure
environmental sensors

• <<Flood detector

• <<Temperature extreme sensor

Identify potentially
• <<Smoke Detector life threatening
changes in the
home environment
• <<PIR

• ROM>>


emergency response monitoring
Step 1 Step 2
• To raise an alarm • The user talks to the
call press the radio Telecare consultant „hands free‟
trigger or the alarm using the powerful speaker and
button on the T400 microphone of the
T400. The operator can see
the users room via the video
feed, and the events are
recorded.

Step 4 Step 3
• The Telecare • The Telecare
consultant waits consultant summons
online until help the appropriate help
arrives. from a carer, or the
emergency services.

PNC4 Database - customer contact record


PNC4 Database - customer medical record

9999


Smart House Solution
dementia care - reducing wandering risk
Door contacts
and motion
detectors

T400

alert to Carer
and/or response centre

Smart House Solution
falls risk management
Night time fall - bed occupancy

Carer

Bed Sensor

Day time fall - inactivity detection or
- body-worn fall detector

Alarm Unit PNC
Monitoring Centre


Telehealth definition

• Telehealth is the remote
monitoring of patient vital
signs by a clinician, nurse or
doctor…
• Enables the collection and
transmission of a patient’s vital
signs to a clinical information
system
• For clinicians to make informed
decisions
• Serves as communicator between
the care provider and the patient
• Assists the patient in their own
healthcare management


Telehealth – how it works


The Benefits of Telehealth (the “4Ps”)
• Reduces Costs
Predictive • Improves quality of care
• Proactive healthcare
Personalised
• Increases case management capabilities
Preventative of health care providers
• Reduces unplanned hospital admissions
Participatory • Reduces length of stay in hospital
• Promotes independence, confidence and
self management
• Avoidable surgeries

Assessment Data Exchange


Tunstall RTX 3371 Monitor features
Built-in GSM/GPRS wireless
The Tunstall RTX modem data transmission Speaker for
Monitor is designed via GSM network vocalizing text in
forease of use by
display which
elderly people
supports reading of
text and use by
Large graphic color
visually impaired or
display with easy
blind patients
readable text

Adjustable
”Yes/No” Buttons to sound levels
easily collect
subjective and Lightweight, small in
symptomatic size and easy to
information from transport
patients

© 2007 Tunstall Group Ltd 19 19

Chronic Disease Management Devices
Proven technology
User friendly
Patient centric
Bluetooth enabled
Approved standards

RS232 port

Bluetooth

InfraRed port


Tunstall RTX 3371

1. CE-marked according to the Medical
Device Directive
2.FDA registered K071953/K090886
3.HiPAA complaint
4.Radio approval( FCC and European radio
approvals)
5.Bluetooth qualified
6.IEC/UL 60601-1 certified
7.Part 68 approved
8.TBR 21 test passed


Targeting disease groups
• Flexible and can be used as a platform for health programs targeting
different disease groups
• Standard questionnaires for disease groups


Vital signs that can be monitored

Vital sign range Monitor additions
• Blood Pressure • Disease specific Intelligent health
• Pulse questions
• Weight • Patient reminders
• Oxygen Saturation • Self care advice
• INR
• Medication prompts
• Temperature
• Spirometry
• Peak flow
• ECG (up to 12 lead)
• Blood Glucose


Example COPD questions


How does Telecare work?
by helping the whole community
Vulnerable or at risk,
at home or work People who fall & are
injured or disoriented
Helping free up
hospital beds

Environmental
Criminal threat
conditions that could
result in personal or Life threatening
household damage medical conditions

Why Assistive Technology ?

• Recognition that current models
of healthcare delivery are not
sustainable
• Telecare assists the delivery of
alternative models of social and
health care, by managing risks
• Early evidence indicates that
“institutional” care can be
prevented or delayed


Why Assistive Technology?
global trends
• Reflected in funding changes internationally

– 2000 Japan introduces Long-term Care Insurance
law
– 2003 NZ provides medical alarm funding for the
elderly and disabled through their Disability
Allowance Scheme
– 2006 UK Health funding for Telecare Preventative
Technology Grant £80 million over 2 years
– 2006 Taiwan created the Great Warmth Project to
fund home care services for elderly and disabled
persons
– 2007 Europe €12 million Sopranos project
– 2007 Australia has launched a $21.5 million fund
over 5 years for assistive technology
– 2007 UK announces £12M telehealth investment
– 2008 Korea will introduce Long-term Care Act


The Facts:
why current health care models are unsustainable
Ageing Population of 65+

Countries Population 65+
Japan 127.4 M 21.0%
Australia 20.4 M 13.2%
Hong Kong 7.0 M 12.9%
New Zealand 4.1 M 11.9%
Taiwan 23.0 M 10.0%
Korea 49.0 M 9.6%
China 1.3 B 7.9%
Singapore 4.5 M 8.5%
India 1.1 B 5.1%
Malaysia 24.8 M 4.8%
Source: www.cia.gov 2007
Source: Audit Commission

The Facts:
Taiwan‟s changing demography
• Rising proportion of +65‟s will
place a greater strain on health
and community resources


Tunstall Response Best Practice
establishing quality standards
• Fully compliant with Australian Industry
Standard
• AS4607 for Personal Response Centre
Systems
• Proven superiority of Tunstall alarm
units
• Advanced technical support
• Highly trained and caring operators
• Fully documented policies & procedures
• Strict adherence to the Principles of the
Privacy Act
• Comprehensive Risk Management
Policy


our commitment
• Every call will be answered by a qualified
and compassionate Response Operator at
any time 24/7
• Our Operators will…
– always ask how they can help, listen and treat
clients with respect, empathy and courtesy
– do everything they can to help solve client’s
problem
– stay on line until help arrives
– get help even if they cannot hear the client
– encourage regular contact to ensure the client
can & will use the alarm in an emergency
– respect clients’ privacy and ensure their personal
details remain confidential


philosophical approach
• Compassionate & caring approach
to clients
• Client focused policies &
procedures
• Personalised service offering
common sense solutions
• Network of strategic alliances with
leading community care
organisations who share our
objectives
• Commitment to staff training and
development


CASE STUDY – Dementia Care
Northamptonshire County Council (UK, Woolham 2005).

• 21 month comparative study of
2 dementia groups (233
persons in total),
• Group 1 at home with
assistive technology
• Group 2 at home without
assistive technology.
• A holistic individual needs
assessment was undertaken
for group 1 and the appropriate
technologies installed in their
homes


CASE STUDY – Dementia Care
Northamptonshire County Council (UK, Woolham 2005).

The Results:
• Group 1
– 87% of the carers felt less concern for
the safety of the person they cared for
– the technology was found to be very
reliable
– able to stay at home longer, safer and
for much less cost to the community.
– the cost savings to care for Group 1
was £1.5M.
• Group 2 were 4 times more likely to be
moved to a higher care facility,
• Northamptonshire now has a
community-wide Safe at Home
Program


The Future of Telecare…
Continua Health Alliance
• Tunstall is a founding partner
• The Continua Health Alliance
envisions personal telehealth
systems that combine diverse
products and technologies to
enable better personal health
care for people worldwide.
• The Continua design
guidelines will not create new
networking standards, but will
be based on proven
connectivity standard such as
Bluetooth® , USB, Wi-Fi™, Z-
Wave™ and ZigBee™.


The Smart House
…a proactive care solution
Assistive technology solutions
are designed to improve
quality of life, giving the user
the confidence and ability to
remain in their own home safe
in the knowledge that help will
always be available when and
if it is needed.

Although technology alone is not the complete answer; used as part
of a holistic package of service, it can reduce the burden on
healthcare resources.


Thank You!

For more information visit our websites
www.tunstall.com.tw or www.tunstallap.com

LEGAL NOTICE: The information contained in this document is PROPRIETARY and CONFIDENTIAL to Tunstall Australasia Pty Ltd and has been developed by Tunstall
solely for the purposes set forth herein. By accepting this document, the recipient agrees to keep confidential the information contained herein. This document is being
generated solely as a basis to obtain information and facilitate further discussions, and is not binding on Tunstall in any way. No representations are made as to the
accuracy and completeness of this Information. The requirements and specifications are subject to change in Tunstall’s sole discretion.
Nothing contained herein shall be construed as granting any license or right to use any of the information contained herein for any purpose other than for the purposes set
forth herein. Distribution or reproduction of this document or the information that it contains in its entirety or any portion hereof, by any means, electronic, mechanical, or
otherwise, for any use or purpose not expressly permitted by Tunstall is strictly prohibited.

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