“We are keenly following the implementation of the Aged Care Gateway, which will have a central client record that we will have access to and the ability to contribute to.” Fiona Hearn
charge the device in their vehicle, the rapid charging capability of the device has been a great advantage, RDNS Victorian general manager, Fiona Hearn, says.
control, because it is only available electronically. And essential for clinicians, we have the full fleet of drug information like MIMS.”
Nurses also have the ability to use the system locally and turn on the signal only when they need to in order to save battery life. They are provided with access to Camillus, and there is also a separate software product for rostering staff called RosterOn that interfaces into the client record.
Ms Hearn says nurses staffing the Customer Service Centre are also able to receive calls from nurses on site, see the live record and make changes, all in near real time. With the Gemino application, if there is a momentary loss of connectivity, all of the data is kept locally and is sent when a connection is re-established. “In addition, the staff have the full compliment of Microsoft-based products, including Outlook, the internet and the intranet,” Ms Hearn says. “RDNS has a very well-developed intranet with clinical pages, information about what we doing on wounds for instance. “All of our policies and procedures are electronic which means that as we update our policy, I don’t have to send paper out everywhere and worry about version
The next step is to investigate providing telehealth capability through the devices, which is now underway. In the last few years, RDNS has done a lot of project work looking at the opportunities presented by telehealth, including the ongoing Broadband Enabled Innovation Project (BEIP), which is providing teleconferencing into people’s homes to help with medication compliance. BEIP initially used an Intel Home Care device to facilitate the teleconferencing. The trial involves a daily video conference through the Intel device with clients in their home, in which they are prompted to take their medications. A nurse at the RDNS call centre in Melbourne observes the client as they take their meds, and checks the medications pack to ensure it is correct. Intel has since removed that device from the Australian market, so RDNS is now using Samsung devices and iPads in clients’ homes as the organisation wants to develop a system that can be used on any device, Ms Hearn says.
Integration with community RDNS is also investigating how to share information with GP information systems, including Precedence Health Care’s cdmNET, which has been designed to facilitate GP management plans and team care arrangements for patients with chronic illnesses. “We are also looking at the PCEHR, although we are not playing in that field yet,” Ms Hearn says. “Not that many people are, but we are certainly interested in it. We also work very closely with palliative care organisations in Victoria and some of those have enabled access for us so that our staff can actually view that in our Customer Service Centre. They are able to see into that record as well as our record. “And we are keenly following the implementation of the Aged Care Gateway, which will have a central client record that will assist service providers.” RDNS is also using simple, free technology like Google Hangouts to improve communication within the organisation and also to make better use of its expert clinicians as part of what Mr Smith calls an enterprise social network. “It’s sort of like internal crowdsourcing, where somebody who needs assistance from a colleague can very quickly locate that colleague just through a search within the directory or a keyword in a person’s profile, such as diabetes or wound specialist,” he says. “You’d immediately see a list of the colleagues that would be appropriate to provide assistance in that scenario, and then bring them to that point of care very quickly over a Hangout. “That social media context of creating groups around wounds or diabetes is an opportunity to bring together a lot of the client’s clinicians and that’s the path we are moving along at the moment.”
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