At Immedicare we’ve reviewed the data relating to the use of teleconsultation facilities across a group of 17 care homes. The results are clear-cut.
45% fewer hospital admissions. 60% fewer total bed days Analysis shows that care home residents have 45% fewer hospital admissions in the year after the teleconsultation service goes live at each location.
The length of stay for those hospital admissions that do take place, drops by 30% – while total bed days used are a remarkable 60% less than in the year prior to the introduction of teleconsultation services.
Residents’ attendances at the hospital’s emergency department are 60% less than they were in the pre-teleconsultation year.
For a small cohort of individuals with COPD who receive teleconsultation support in their own homes, a similarly encouraging picture is seen.
We analysed service utilisation in the year following the introduction of teleconsultation, and compared this with the previous 12 month period. The table below illustrates that:
These results, if scaled across the whole population in a health economy, offer dramatic shifts in patient flow and more timely and personalised clinical service provision. The data also illustrates the opportunity for commissioners to reduce expenditure on hospital based care.
A study in Denmark has shown the longer-term benefits of video-based post-operative care. It compared those receiving post-operative care via telemedicine services, with those receiving it in traditional healthcare settings.
The study, which included a control group, looked at readmission rates after 30, 90 and 180 days. It found that for those receiving post-operative care via telemedicine services:
Additionally, the Danish study concluded that patients receiving care in this way:
All of these factors are considered to contribute to better patient outcomes
|Residential care Homes(n=13)||Yorkshire||Reduction in ED attendances||-47% change over 1 year(versus -27% for control group = 74% improvement)|
|Reduction in hospital admissions via ED||-45% change over 1 tear(versus -33% for control group = 24% improvement)|
|COPD care at home(n=25)||Yorkshire||Number of admissions||-29.5% change over 1 year|
|Bed days used||-36.5% change over 1 year|
|Post-operative care(n=29)||Denmark||Re-admissions after 60 days||-60% change|
|Re-admissions after 90 days||-70% change|
|Home care||Yorkshire||Calls resulting in avoided ED admissions||46%|
|Calls resulting in avoided GP home-visit||11%|
|Prison care||UK-wide||Visits to ED||-50%|