Digital Care Solutions: Supporting Care Homes to face the challenges doc@HOME ArtemusICS Supporting Care Homes to face the challenges Adrian Flowerday Managing Director adrian.flowerday@docobo.co.uk

Docobo Company UK company formed 2001 – Digital Health Company Integrated Care Record Targeted population analysis and cohort identification Technology Enabled Care Services Telehealth System is a Class I Medical Device, CarePortal is Class IIa NHS Approvals N3 (NHS Intranet) Information Governance ITK – 98% NHS Procurement GCloud6 Framework UK Design and Manufacture – UK jobs, UK economy Current Status 30+ NHS organisations using doc@HOME, recent tender wins in Barnsley, Bassetlaw, Nottingham, Doncaster , Essex, Hull, Gloucestershire Managed service 350,000 population in Sussex for Integrated Care 19/11/2018

doc@HOME – Telehealth Infrastructure Solution meets: Patient Need Ability Cost Health and Well being APP’s Clinical Database doc@HOME® NHS N3 Intranet TV CarePortal™ PCs & Macs Smartphones Tablet Laptop Well/ Worried well Health & Wellbeing Episodic Care Targeted Conditions Chronic Complex Cases Multi-Morbid End of Life The Continuum of Care IT Literate Mild Long Term Conditons Elderly Poorly Symptomatic Confidential

Clinicians View 19/11/2018

doc@HOME supporting Care Homes in Sussex Developed with Sussex Community Health – 8 month pilot – Replicated in Kent Involves Community Matrons who are assigned to a set of Care Homes Multi-Patient Unit set up in each Care Home Questions for UTI, Respiratory, Cardiac, Diabetes Different questions for each patient Care Home staff take tablet to each patient on Mon, Weds, Fri CM’s monitor remotely via doc@HOME and pick up negative trends 19/11/2018

Care Home Question Sets Generic Question set (frail/elderly) Video Conferencing LTC’s Palliative care Medicine management and prescribing

doc@HOME supporting Care Homes in Sussex Published results – 75% reduction in admissions compared with previous year 49% patients had no admissions compared with previous year One Care Home that had one of the highest rates of admissions (22 in 2013) – now within the normal range Patients and their relatives are extremely satisfied Patients like the solution Patient’s families like the solution and asking for their parents to be put on the service and those that are using it don’t want it to stop Help identify the need for end of life care so the patients died in the place of their choice 19/11/2018

doc@HOME supporting Care Homes in Sussex Published results (cont) – Care Home is over the moon! CQC visited a home using the solution and loved it. Ticks all the boxes from CQCs for patient involvement. Enhanced the standard of service for patients Care Home staff are motivated, engaged and more confident CM able to educate Care Home staff One Care Home comments: “I cannot stress enough how fantastic this has been for our residents and the number of potential admissions that we have avoided. This is so important to us given that we are a dementia home and our residents respond better in their own environment” Nurses love the solution as it enables them to work closely with the home staff and patients Nurse time spent with her Care Homes reduced by 40% 19/11/2018

Example Questions 19/11/2018

SBRI Incontinence project – CHitFIT Multi-Actor and Multi-Disciplinary Care and Support Stakeholders (e.g. Health and social care professionals, Pharmacists, 3rd Sector charities, Providers Clinician Web Portal NHS N3 Intranet Clinical Database doc@HOME® Patient in HOME Docobo’s eHOME Care Home Management system CAREPORTAL Capabilities: Built-in ECG/BioZ based Falls risk detection: Transient loss of consciousness Palpitations Chest pain Atrial Fibrillation Other related symptoms Symptom and vital sign collection View educational / physio video’s Video Conferencing Clinician to patient Peer to Peer Provides self management information Take pictures of wounds Alert to Care Staff CHitFIT Analyser

The Quality Care Home Vision CARE - Long Term Care CARE DELIVERY HEALTH & WELLBEING MONITORING ACUTE/HOME DISCHARGE GATEWAY ASSESSMENT CQC DATA (KLOEs) CURE – Intermediate Step Down BUSINESS INTEL 19/11/2018