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Beyond 2010 – Digitally Enabled Citizen  Birmingham OwnHealth Thursday 21 st  October  ,[object Object]
Drivers  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Outcomes ,[object Object],[object Object],[object Object],[object Object]
 
Eight care management priorities Learn about the condition and  set treatment goals 2 Make lifestyle changes and reduce risks 6 Take medicines correctly 3 Build on strengths and overcome obstacles 7 Know how and when to get help 1 Act to keep the condition in  good control 5 Get recommended tests and services 4 Follow up with specialists and appointments 8
Monitoring Centre can support administration duties, provide basic triage when appropriate, quantify results, coordinate installation and removal and act as a valuable communication hub Clinicians perform daily triage of patient caseload  Based in patient homes Telehealth
Current Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Health behaviour change Recommendations ,[object Object],[object Object],[object Object],Psycho- social  factors Reduction in Avoidable Utilisation Clinical Improvements Improvements
Total No.: 478 Hospitalisation- Self Declared
AT Admission data     Sept 08 –June 09 35 patients 1  2 0  1 62  8 B  A B  A B  A  Waiting list  Planned  Emergency
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evaluating Birmingham OwnHealth
Birmingham University study ,[object Object],[object Object],[object Object],An evaluation of Birmingham OwnHealth telephone care management intervention among patients with diabetes or heart disease.  A retrospective comparison with the General Practice Research Database. Rachel Jordan, Robert Lancashire, Peymané Adab Unit of Public Health, Epidemiology and Biostatistics, University of Birmingham.
BOH patients with diabetes Mean change compared to controls HbA1c -0.2%  [-0.4, -0.1] Systolic BP -3.4mmHg [-5.5, -1.4] Diastolic BP -1.8mmHg [-3.0, -0.6] Total cholesterol -0.1mmol/l [-0.3, -0.1] BMI -0.7kg/m 2   [-1.1, -0.4]
Comparison of satisfaction with care management at year 1 and 2

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Richard Mendelsohn- Beyond 2010: SMART Living Panel

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.  
  • 6. Eight care management priorities Learn about the condition and set treatment goals 2 Make lifestyle changes and reduce risks 6 Take medicines correctly 3 Build on strengths and overcome obstacles 7 Know how and when to get help 1 Act to keep the condition in good control 5 Get recommended tests and services 4 Follow up with specialists and appointments 8
  • 7. Monitoring Centre can support administration duties, provide basic triage when appropriate, quantify results, coordinate installation and removal and act as a valuable communication hub Clinicians perform daily triage of patient caseload Based in patient homes Telehealth
  • 8.
  • 9.
  • 10. Total No.: 478 Hospitalisation- Self Declared
  • 11. AT Admission data Sept 08 –June 09 35 patients 1 2 0 1 62 8 B A B A B A Waiting list Planned Emergency
  • 12.
  • 13.
  • 14. BOH patients with diabetes Mean change compared to controls HbA1c -0.2% [-0.4, -0.1] Systolic BP -3.4mmHg [-5.5, -1.4] Diastolic BP -1.8mmHg [-3.0, -0.6] Total cholesterol -0.1mmol/l [-0.3, -0.1] BMI -0.7kg/m 2 [-1.1, -0.4]
  • 15. Comparison of satisfaction with care management at year 1 and 2