A systematic scoping review of change management practices used for telemedicine service implementations.

A systematic scoping review of change management practices used for telemedicine service implementations.
BMC Health Serv Res 20, 815 (2020). https://doi.org/10.1186/s12913-020-05657-w

• A review of the evidence identified 16 change management practices relating to either strategic or operational aspects of telemedicine implementations. The authors suggest that the slow rate of adoption of telemedicine may be due to a piecemeal approach to the change process, and a lack of understanding of how to plan, manage and reinforce change when implementing telemedicine services.

Telemedicine for care homes - scoping and implementation

Telemedicine for care homes - scoping and implementation 

Guides developed alongside a staged implementation of a Telemedicine Service Hub in the Hampshire and Isle of Wight STP footprint, which was fast tracked as a result of  Covid-19.

Telemedicine for care homes: a strategic scoping guide
Wessex AHSN August 2020

• This scoping guide goes through a process, and outlines the things to think about when developing a telemedicine service for care homes, allowing you to develop a service that works for you. It includes
• Guidance for scoping and planning
• Links to a range of resources to support and inform thinking
• Case studies from Hampshire Hospitals Foundation NHS Trust and West Hampshire CCG to show how this works in practice.

Telemedicine for care homes: a strategic implementation guide
Wessex AHSN August 2020

• This guide is aimed at a strategic level, to help develop and implement telemedicine services by collating in one place all the resources and lessons learned from service development in the Hampshire and the Isle of Wight STP.

Coronavirus (COVID-19): remote care through telehealth

Coronavirus (COVID-19): remote care through telehealth
Cochrane Special Collections 6 May 2020 updated 22 July 2020

• Telehealth refers to the provision of personalized health care over a distance. It embraces synchronous and asynchronous interactions including consulting by phone, instant messaging, video, text message, or web-based services. 
• This Special Collection includes Cochrane Reviews that address using telehealth to support clinical management of various conditions, including asthma, diabetes, cardiovascular disease, dementia, reproductive health, and skin cancer. It includes reviews of using telehealth to provide carer and parent support as well as empowering patient self-management of their long-term condition.

Ready Set Go A Step-by-Step Toolkit for Getting Telepsychiatry Ready, Set & Go.

A Step-by-Step Toolkit for Getting Telepsychiatry Ready, Set & Go
CWTCH: Connecting with Telehealth to Communities and Hospitals in Healthcare

• The CWTCH (Connecting with Telehealth to Communities and Hospitals in Healthcare) project was funded by the Health Foundation to implement telepsychiatry in the CAMHS in Gwent, South Wales. The initial pilot in Aneurin Bevan UHB offered young people who self-harm, or who live with an eating disorder, the option of remote assessment through a virtual online clinic, in the company of family members. 
• The Toolkit is intended to provide a systematic way of approaching telepsychiatry, regardless of the video consultation platform used, in order to overcome potential barriers and enable successful implementation in the mental health setting in the United Kingdom. The purpose of this toolkit is to support mental health professionals to implement telepsychiatry in their own settings.

Telehealth for global emergencies

Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)
Journal of Telehealth and Telemedicine 20 March 2020, https://doi.org/10.1177/1357633X20916567

• This article discusses what is required for telehealth to be mainstreamed and therefore be effective as part of an emergency response as needed by the coronavirus pandemic.

Abstract

Evidence is building that telemedicine can be effective and cost-effective

Bringing health care to the patient: An overview of the use of telemedicine in OECD countries
Chapter 2.1.1 Evidence is building that telemedicine can be effective and cost-effective
OECD 21 January 2020 https://doi.org/10.1787/8e56ede7-en

• An overview of the published evidence into the benefits of telemedicine for different conditions.

A roadmap to navigate telehealth

A roadmap to navigate telehealth
PharmaTimes magazine June 2019

• An examination of the regulatory and legislative challenges that face telehealth implementation by Mikael Salmela, a partner at Hogan Lovells (Paris) LLP.

The impact of telehealth and telepharmacy technology on public health service pressure and patient outcomes.

The impact of telehealth and telepharmacy technology on public health service pressure and patient outcomes.
Now Healthcare 2019

• A report quantifying the impact of Now Healthcare Group (NHG) digital technology on patient outcomes, medicine adherence and the reduction of pressure on public health services and private employers. The figures within are based on live NHG data combined with publicly available NHS and academic sources.
• NHG is a UK based telehealth & telepharmacy provider. Its proprietary technology delivers digital GP consultations, app-based processing and delivery of private + NHS prescriptions plus inbuilt medicine adherence functionality.

Telemedicine and the Coming Physician Shortage

Telemedicine and the Coming Physician Shortage
July 2018
"With an aging population and a limited supply of physicians, the shortage is likely unavoidable. But by increasing the use of telemedicine and non-physician clinicians, and improving care coordination and chronic care management, we can reduce reliance on traditional doctor visits."
(Sponsored by: Altruis)

The NHS at 70: What will new technology mean for the NHS and its patients?

The NHS at 70: What will new technology mean for the NHS and its patients?
Health Foundation, the Institute for Fiscal Studies, The King’s Fund and the Nuffield Trust 28 June 2018

• A review of four current trends in technology in healthcare and what they might mean for health care over the next 5–10 years if they continue to progress.
• Genomics and precision medicine can target treatment interventions at specific sub-groups of patients, potentially making them more effective and opening up new therapeutic possibilities.
• Remote care can improve access to health care services, enabling patient needs to be addressed as early as possible and potentially making systems more efficient.
• Technology-supported self-management can help to empower patients to better manage and understand their condition, supporting improved behavioural and clinical outcomes.
• Data can provide new ways for the NHS to learn, improve and generate new research – alongside artificial intelligence (AI), which is providing new analytical capacity for diagnosing patients, effective triage and logistics.
• Part of The NHS at 70 - a series of reports requested by the BBC to inform the national conversation about the past, present and future of the NHS.

Delivering Home-based Support Group Videoconferencing using telehealth

Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review
J Med Internet Res 2018;20(2):e25 doi:10.2196/jmir.8090

• A systematic review of the research (publications to 2016) around delivery of group therapy and education and support sessions using health professional–led group videoconferencing to patients in their homes identified 15 articles. 
• Overall, the evidence indicated that group videoconferencing into the home was feasible and acceptable, but because of the heterogeneity of studies it was hard to draw firm conclusions on effectiveness. Good information technology support and training is required for facilitators and participants.

Remote monitoring and self-care

Remote monitoring and self-care
Digital Health March 2018

• A discussion on how the NHS can utilise and share digital technology to improve patient experience and empower them to manage their health better. 

Accenture 2018 Consumer Survey on Digital Health

Accenture 2018 Consumer Survey on Digital Health
Accenture Consulting March 2018

• According to Accenture research, healthcare consumers show growing use of digital technology for self-service care, and the numbers are rising each year. Compared to 2016, consumers surveyed in England in 2018 say that several technologies have become more important to managing their health, including mobile devices (up from 37 to 48 percent), social media (up from 20 to 28 percent) and wearables (up from 22 to 31 percent).
• Part of a seven-country survey of 7,905 (1043 in England) consumers aged 18+ to assess their attitudes toward healthcare technology, modernization and service innovation. 
• Full report here.

NASSS - A new framework to understand scale up, spread and sustainability of new technologies

Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies
J Med Internet Res. 2017 Nov; 19(11): e367. Doi: 10.2196/jmir.8775

• The nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) diagram and framework is an evidence-based, theory-informed, but also accessible and usable framework. The aim is to enable those seeking to design, develop, implement, scale up, spread, and sustain technology-supported health or social care programs to identify and help address the key challenges in different domains and the interactions between them.
• Tested and developed using 6 technology-supported programs for up to 3 years -video outpatient consultations, global positioning system tracking for cognitive impairment, pendant alarm services, remote biomarker monitoring for heart failure, care organizing software, and integrated case management via data sharing.

NASSS framework for considering influences on the adoption, nonadoption, abandonment, spread, scale-up, and sustainability of patient-facing health and care technologies. Figure 2