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