Skip to main content

Table 5 Data Model for evaluating outcomes and objectives

From: Design of a multi-site multi-state clinical trial of home monitoring of chronic disease in the community in Australia

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