Establishing a centralised telehealth service increases telehealth activity at a tertiary hospital

Martin-Khan, Melinda, Fatehi, Farhad, Kezilas, Marina, Lucas, Karen, Gray, Leonard C. and Smith, Anthony C. (2015) Establishing a centralised telehealth service increases telehealth activity at a tertiary hospital. BMC Health Services Research, 15 534.1-534.13. doi:10.1186/s12913-015-1180-x


Author Martin-Khan, Melinda
Fatehi, Farhad
Kezilas, Marina
Lucas, Karen
Gray, Leonard C.
Smith, Anthony C.
Title Establishing a centralised telehealth service increases telehealth activity at a tertiary hospital
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2015-12-03
Sub-type Article (original research)
DOI 10.1186/s12913-015-1180-x
Open Access Status DOI
Volume 15
Start page 534.1
End page 534.13
Total pages 13
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2016
Language eng
Formatted abstract
Background: The Princess Alexandra Hospital Telehealth Centre (PAH-TC) is a project jointly funded by the Australian national government and Queensland Health. It seeks to provide a whole-of-hospital telehealth service using videoconferencing and store-and-forward capabilities for a range of specialities. The aim of this study was to investigate whether the introduction of a new telehealth coordination service provided by a tertiary hospital centre increased telehealth activities of a tertiary hospital. Evaluation included service delivery records and stakeholder satisfaction.

Methods: Telehealth service delivery model before and after the establishment of the centre is described as well as the project implementation. The study retrieved data related to the number and scope of previous, and current, telehealth service episodes, to ascertain any change in activity levels following the introduction of the new telehealth coordination service. In addition, using a cross-sectional research design, the satisfaction of patients, clinicians and administrators was surveyed. The survey focused on technical utility and perceived clinical validity.

Results: Introduction of a new centralised telehealth coordination service was associated with an increase in the scope of telehealth from five medical disciplines, in the year before the establishment, to 34 disciplines two years after the establishment. The telehealth consultations also increases from 412 (the year before), to 735 (one year after) and 1642 (two years after) the establishment of the centre. Respondents to the surveys included patients (27), clinicians who provided the consultations (10) and clinical or administrative staff who hosted the telehealth consultations in the remote site (8). There were high levels of agreement in relation to the telehealth option saving time and money, and an important health service delivery model. There was evidence from the remote site that modifying roles to incorporate this new service was challenging.

Conclusion: The introduction of a centralised coordination for telehealth service of a tertiary hospital was associated with the increase in the scope and level of telehealth activity of the hospital. The project and model of health care delivery described in this paper can be adopted by tertiary hospitals to grow their telehealth activities, and potentially reduce costs associated with the delivery of services at a distance.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Thu, 10 Dec 2015, 12:30:27 EST by Burke, Eliza on behalf of Centre for On-Line Health