The document discusses a telehealth monitoring program for heart failure patients in Hull, UK that integrated telephone healthcare with community services. The program used telemonitoring devices to monitor patients daily and refer high-risk patients to nurses. This multi-partner program reduced hospitalizations and mortality rates compared to historical data, showing the success of integrating telehealth monitoring into community care. Future plans include expanding monitoring to additional conditions and developing education programs.

1. Integrating Telephone
Healthcare with Community
Services A Success Story
Paul Atkin
Telehealth Nurse – University of Hull

2. Background

3. Effect of Home Telemonitoring
On hospitalisation
On mortality
Clark RA et al. BMJ 2007

4. A Multi Partner approach
• ERDF – priority 3 funding
• Hull City Council, HPCT, University.
• Volunteers
• BHF, LTC’s (Nurses)
• Clinic (Nurse/Medics)
• Hospital – Discharge Liason Nurse.
• Philips / Tunstall
• Installers

5. Monitoring For Heart Failure
• Two Systems – Patient Choice
• Weight, BP, HR, Symptoms, Education
• Referred by DLN, HFSN, Community Nurse
• Monitored daily by Specialist Nurse
• Supported by Volunteers
• Seen at home by Specialist Nurse

6. Problems
• New Technology
• Job Security
• Getting referrals (Publicity)
• Broadband
• Time to Installation
• False Alerts
• Compliance
• Data protection

7. Outcome of Patients Enrolled in
TeleHealth
Expected takes a BEST CASE scenario based on historical data,
the TEN-HMS study (to which Hull & East Yorkshire was the largest
contributor)
and the EuroHeart Failure Survey (for which Hull & East Yorkshire was also
one of the biggest contributors)

8. Future Developments
• Heartcycle
• Other conditions
• Blood monitoring – Renal, INR
• Self titration/Management
• Quality of life study
• Education (University Courses)
• Devices