Objective/outcome | Data variable | Data source |
---|---|---|
Define the study cohort/confirmation of selection critera and exclusions | Admitted to hospital for their condition at least twice in the previous year, or ≥ 4 times in previous five years | Hospital health roundtable records - obtained from local hospital for previous five years. |
 |  | • Date admitted |
 | Exclusions are mental health and cancer patients | • Date discharged |
• Reason for admission (ICD 9/10 Codes) | ||
• Procedures carried out | ||
Establish if telehealth | Number of unscheduled admissions to hospital for their condition | MBS Flag (In hospital) Health roundtable record |
Improves patient outcomes/reduced hospitalisation |  | • Date admitted |
• Date discharged | ||
• Reason for admission (ICD 9/10 Classification) | ||
• Medication administered | ||
• Procedures carried out | ||
Establish If telehealth improves patient outcomes/reduced use of clinical services (Impact on clinical workforce availability and deployment) | Number of visits to/by GP | MBS records |
Number of visits to/by specialists | MBS records | |
Number of visits by community nurse | MBS records | |
Number of visits to/by allied health (ie occupational therapist) | MBS records (If reimbursable from Medicare) | |
Changes in prescription history | PBS | |
Communication with CCC | CCC Logs from CSIRO Portal | |
Organisational change management and impact on workplace culture | Administrative/operational changes implemented/required in order to implement the Telehealth service. | Questionnaires and structured interviews. |
• Within first three months | ||
• Every six months thereafter | ||
Useability of monitoring equipment | Compliance with monitoring schedule, recorded daily. | TMC Logs |
Extra measurements taken by patient (When? Which?) | TMC Logs | |
Compliance with questionnaire administration (When? Which?) | TMC Logs | |
Use of video conferencing | TMC Logs | |
Overall data usage | iiNET provided logs | |
Useability/acceptability | Ease of use | Questionnaires delivered via TMC |
For patients of monitoring Equipment | Quality of training received | • One month after first deployment |
Patient embarrassment if visitors know they are being monitored | • Midpoint of trial | |
Acceptability as an item of furniture | • At end of trial | |
Easy or hard to take measurement | ||
Important/not important in patients' self management | ||
Responsiveness of clinical care coordinator in responding to changes | ||
Quality of training received | ||
Patient embarrassment if visitors know they are being monitored? | ||
Easy or hard to take measurement | ||
Carers experience with telehealth (Community nurse/carer) | Ease of use of (i) equipment and (ii) Clinician website | Questionnaires and structured interviews of community nurses |
Changes to previous clinical models of care | • One month after first deployment | |
Effectiveness in improving ability to deliver care | • Midpoint of trial | |
Impact on workload | • At end of trial | |
Carer's experience with telehealth (Relative or other carer) | Effect on carer stress | Questionnaires and structured interviews |
Effect on carer workload | • At first deployment | |
Effectiveness in improving ability to deliver care | • Midpoint of trial | |
Access to clinician web site | • At end of trial | |
Gp experience with telehealth | Ease of use | Questionnaires and structured interviews of Patients' GP |
Changes to clinical models of care | • Within 3 months of first deployment | |
Effectiveness in improving ability to deliver care | • Midpoint of trial | |
Impact on workload | • At end of trial | |
Useability, acceptability of clinician web interface | Ease of use? | Questionnaires and structured interviews |
Quality of training received | • One month after first deployment | |
How many hours required | • Midpoint of trial | |
Value and ease of use of Video conferencing | • At end of trial | |
Health economic outcomes | Daily cost of hospitalisation | Health roundtable data |
Cost of procedures carried out whilst in hospital | Health roundtable data | |
Cost of visits to/by GP | MBS Data | |
Cost of visits to/by Allied Health (ie Chiropodist or OT) | MBS Data | |
Cost of visits by community Nurse/carer | MBS Data | |
Cost of travel to GP | MBS Data | |
Loss of earnings if patient is still employed, from days taken off for illness or visits to health professionals | Use Google Maps to determine distance travelled from home address to address of service location, then apply standard costing model. Ie flag fall + km charge. | |
Estimate from patient salary and time spent on each visit | ||
Cost of delivering telehealth services | Cost of clinical care coordinator(s) | Health service provider and logs recorded |
Cost of clinical nurses/carers | Health service provider and logs recorded | |
 | Cost of providing network services | iiNET billing at commercial rates |
 | Cost of providing Telehealth monitoring services | TMC commercial daily subscription costs |
 | Depreciated costs of capital equipment | Our own project records |
 | Estimate of cost of space for monitoring centre at each site | Estimates from Health service Provider |