The BEIP project aims to trial an alternate service delivery model for medication management of older adults living independently using video conferencing enabled by the National Broadband Network. The project involves 50 clients receiving assistance with medication prompting via daily video calls instead of home visits. Progress so far includes obtaining ethics approval, conducting information sessions, and developing processes and procedures for the client-side system and customer service center. The project involves several collaborators and aims to evaluate benefits for clients, caregivers, and economic benefits through quantitative and qualitative data collection and analysis.

1. Healthy, Happy and at Home:
National Broadband Network-enabled
medicine management for older adults living
independently
Broadband Enabled Innovation Project (BEIP)
Carol Towers
Mat Tyler

2. Background
Aims
The BEIP Process
Collaborators
Participants
Client Criteria
Evaluation
Progress to Date
What is BEIP?

4. WHO estimates:
• Non compliance in prescribed medicines
• approx 50% patients in developed countries (Sabate et al, June 2001)
Australian Government (March 2010) estimates:
• Ageing Population
• Population Growth
• Chronic Disease
• Increasing healthcare costs
• Workforce shortages
Background

5. RDNS (2011) estimates: (Sample size 15,200)
Background

6. • Trial an alternate service delivery model
• Happy, Health and at Home
• Compare costs/savings of video conference vs. home
visits to clients for medication management to maximise
workforce resources
Aims

7. • Remotely monitor clients
• Intel® Health Guide
• Utilise National Broadband Network
The BEIP Process

8. • State Govt (Dept. of Business & Innovation)
• RDNS (Lead Organisation)
• Healthe Tech (Intel® Health Guide)
• Telstra (High speed broadband connectivity)
• La Trobe University (Evaluation)
Collaborators

9. RDNS sites:
Heidelberg
Diamond Valley
Customer Service Centre:
Hartwell
Cohort: 50 clients living at home
Participants

10. MMSE assessment - recall and orientation.
Client has ability to:
• recall how to turn on and use the videoconferencing
unit
• recall the location of their pharmacy-filled Dose
Administration Aid (DAA)
• be oriented with respect to dates, time of day and
the recurrence of daily contact
Client Inclusion Criteria

11. • HACC eligible
• Client receiving assistance with medicine prompting
• Requiring a minimum of one (1) nursing visit per day
• Ability to understand and read English
• Demonstrated ability to utilise pharmacy-filled DAA
Client Inclusion Criteria

12. Data will be used to evaluate:
• Individual Client & Carer Benefits
• Social Benefits
• Economic Benefit
Quantitative Data:
• Camillus
• Call Agent
• Back Office systems: Finance, Fleet management
and Incident Reporting Systems
Evaluation (LaTrobe University)

13. Qualitative:
• Client/Carer Surveys: Pre
During (weekly)
Post
• Staff Surveys: Pre
Post
Evaluation (LaTrobe University)

14. Human Research Ethics Committee approval
March 2012
Information Sessions
• Heidelberg & Diamond Valley Site staff
• Customer Service Centre staff
Progress to date

15. Processes & Procedures
• Client Side
• Customer Service Centre (CSC)
• Information Technology
Progress to date

16. 2.
Client answers call
Unable to take medicines
Assess client’s general health
Explore reasons for not being able
to take meds
CSC :
Checks client appt time
Reviews client info –
care plan, meds chart
CONTACTS CLIENT
1.
Client answers call CSC observe
client:
general appearance
responses
taking meds from DAA
Client does not
answer call
3.
Client does not answer
calls X 3.
Remind Client/
Carer of next
scheduled call
Conclude call
Unable to take medicines
Check care plan for specific
instructions
Call clients
telephone
number
reschedule call in
30 mins
Maximum 2 recalls
4.
contact NOK
Complete visit/notes
in Camillus/Call Agent
Check schedule for
planned next contact
NOK will attend
care
Client admitted
to hospital
Unable to
contact carer
Contact site
Client responds
Return to point 1.
Home visit
Client
discharged/on
hold
Issue resolved,
return to point 1.
Issue unresolved
move to point 4.
Client answers,
organise to contact
client via video
conference call
Return to Point 1
No
answer

17. 16th April 2012
Project Launch – 16th April 2012

18. Any Questions?