Richard Mendelsohn- Beyond 2010: SMART Living Panel

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Richard Mendelsohn- Beyond 2010:SMART Living Panel Panellist

Business Santé & Médecine

Beyond 2010 – Digitally Enabled Citizen Birmingham OwnHealth Thursday 21 st October ,[object Object]

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Outcomes ,[object Object],[object Object],[object Object],[object Object]

Eight care management priorities Learn about the condition and set treatment goals 2 Make lifestyle changes and reduce risks 6 Take medicines correctly 3 Build on strengths and overcome obstacles 7 Know how and when to get help 1 Act to keep the condition in good control 5 Get recommended tests and services 4 Follow up with specialists and appointments 8

Monitoring Centre can support administration duties, provide basic triage when appropriate, quantify results, coordinate installation and removal and act as a valuable communication hub Clinicians perform daily triage of patient caseload Based in patient homes Telehealth

Current Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Health behaviour change Recommendations ,[object Object],[object Object],[object Object],Psycho- social factors Reduction in Avoidable Utilisation Clinical Improvements Improvements

Total No.: 478 Hospitalisation- Self Declared

AT Admission data Sept 08 –June 09 35 patients 1 2 0 1 62 8 B A B A B A Waiting list Planned Emergency

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evaluating Birmingham OwnHealth

Birmingham University study ,[object Object],[object Object],[object Object],An evaluation of Birmingham OwnHealth telephone care management intervention among patients with diabetes or heart disease. A retrospective comparison with the General Practice Research Database. Rachel Jordan, Robert Lancashire, Peymané Adab Unit of Public Health, Epidemiology and Biostatistics, University of Birmingham.

BOH patients with diabetes Mean change compared to controls HbA1c -0.2% [-0.4, -0.1] Systolic BP -3.4mmHg [-5.5, -1.4] Diastolic BP -1.8mmHg [-3.0, -0.6] Total cholesterol -0.1mmol/l [-0.3, -0.1] BMI -0.7kg/m 2 [-1.1, -0.4]

Comparison of satisfaction with care management at year 1 and 2

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Richard Mendelsohn- Beyond 2010: SMART Living Panel

6. Eight care management priorities Learn about the condition and set treatment goals 2 Make lifestyle changes and reduce risks 6 Take medicines correctly 3 Build on strengths and overcome obstacles 7 Know how and when to get help 1 Act to keep the condition in good control 5 Get recommended tests and services 4 Follow up with specialists and appointments 8

7. Monitoring Centre can support administration duties, provide basic triage when appropriate, quantify results, coordinate installation and removal and act as a valuable communication hub Clinicians perform daily triage of patient caseload Based in patient homes Telehealth

10. Total No.: 478 Hospitalisation- Self Declared

11. AT Admission data Sept 08 –June 09 35 patients 1 2 0 1 62 8 B A B A B A Waiting list Planned Emergency

12.

13.

14. BOH patients with diabetes Mean change compared to controls HbA1c -0.2% [-0.4, -0.1] Systolic BP -3.4mmHg [-5.5, -1.4] Diastolic BP -1.8mmHg [-3.0, -0.6] Total cholesterol -0.1mmol/l [-0.3, -0.1] BMI -0.7kg/m 2 [-1.1, -0.4]

15. Comparison of satisfaction with care management at year 1 and 2