john guyatt - solutions4health.co.uk · security around itelehealth • itelehealth utilises...

John Guyatt

Solutions4Health • Delivering innovative, high quality, cost-effective

healthcare and telehealth services that make a real

difference to people’s lives

• Reducing health inequalities by accessing deprived

communities, BME & hard to reach groups

• Payment by Results / Tarrif-based Contracts

• Healthcare & IT expertise drives innovation in NHS

service provision

• Smoking Cessation

• Chronic Disease Self Management (EPP)

• COPD / CVD Screening

• Health Checks

• Weight Management

• Etc.....

Services

Government & Telehealth • Government recently set direction on UK telehealth

• NHS to roll out telehealth on an industrial scale

• Spending £750m to save £1.2bn per year

• Telehealth cuts deaths by 45 per cent & hospital

admissions by 21 per cent

• Improve 3 million lives over next 5 years

• Telehealth services example – Monitoring COPD, Asthma,

Heart Failure, Hypertension, Weight, Pulse, etc

• Online advisors/triage nurses checking vital health signs

• Healthcare service delivery platform

• Web applications using IT & Internet

• Capability, features & functionality tailored for specific services

• Cost leadership through use of standard technology & open architecture

• Partners - Microsoft & Ideal Life & Vidyo

Technology

• World’s first telehealth smoking cessation application

• Video / audio chat, instant messaging over multiple

platforms

• Behavioural support & motivational counselling

• Shareable electronic health record

• Meets the stringent NHS Data Governance and Security

requirements

• Encouraging the monitoring of chronic condition(s)

• Early detection of deteriorating condition(s)

• Proactive care in cooperation with clinicians

Introducing MySelfCare

• Fully automated ‘vital signs’ monitoring devices

• ‘Vital signs’ readings go straight into EHR

• Solutions4Health case management infrastructure

• Practice nurses manage case loads

• Respiratory Nurses/GP interventions when needed

• MySelfCare service user web portal

• Service users control their EHR

• Video chat appointments for advise/guidance & ‘vital signs’ re-takes

Community Telehealth Monitoring

Patients Managing Their Conditions

• Improving patient autonomy (self-management)

• Improving patient satisfaction & confidence

• Reducing the need for clinical interventions -

e.g. GP or unscheduled hospital visits

• Improving access to clinical advice (and other

treatments) if necessary

Patients Outcomes (e.g. Asthma)

• Reduced frequency of symptoms – waking at night with cough or breathlessness, or episodes (attacks)

of symptoms at any time

• Increase in exercise tolerance – particularly in the cold, or for vigorous exercise

• Patients more confident managing their condition – knowing when to increase doses of steroids or when to seek

advice from appropriate clinicians (i.e. patient satisfaction)

• Reduction in unscheduled/emergency clinician

contact – a change to more routine clinician visits / ultimately self-monitoring

iTelehealth Data Flows

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Building Blocks of iTelehealth Security

Meets the stringent NHS Data Governance and Security requirements

Governance Scope

• Information Governance management Structures

• Confidentiality and Data Protection assurance

• Policies and Procedures for Information Security

Assurance

• Information assets

• Information Security Risk assessment

• IT systems, networks and external links

• Change management

• Incident management

• Business continuity planning

Security around iTelehealth

• iTeleHealth utilises Microsoft’s HealthVault

• HealthVault –

o A personal health platform to gather, store & share your health

record online with friends, family & healthcare professionals

o Allows you to control your health records and access online

health applications and management tools

o Servers are located in controlled facilities, in physically separate

locked cabinets.

o Traffic in datacenters run on virtually separate networks.

o All information transmitted and stored using HealthVault is

encrypted even backed up data

Please contact

John Guyatt

john.guyatt@solutions4health.co.uk

Tel: 01189 253326

Mob: 07789 207408

Questions