Post on 14-May-2022
Introduction
To meet the health needs of the growing community now
and into the future it was recognized that better partnership
with rural sites within the West Moreton Hospital and
Health Service was required. The use of telehealth
technology could improve the cardiac rehabilitation journey
for rural clients.
• Bringing Cardiac Rehabilitation care closer to home.
• Improving access and equity in cardiac
rehabilitation care.
▪ Supporting cardiac rehabilitation clinicians in rural
sites.
▪ Links to the West Morton Health Service strategic
plan 2017-2021.
• comm
Feedback
Our cardiac rehab clients at Gatton Health Service have the advantage of being able to access education and program
intake interviews via telehealth. The benefits of this service include easy access for the client as parking is free and
close to the hospital, and they only have to travel locally instead of a 45-minute trip into Ipswich with difficult/costly parking.
(P. Jamieson, Gatton Clinical Nurse).
It was good to talk to someone after my heart attack and it was easy to attend my telehealth appointment at the local
Laidley hospital. The telehealth appointment meant I didn’t have to travel into Ipswich and saved on cost of petrel and
parking. I found the information provided during my telehealth appointment helpful (D. Buckley, Laidley Cardiac
Rehabilitation Client).
Implementation
Round table meetings with clinicians from Ipswich,
Boonah, Esk, Gatton and Laidley to support evidence
based care in a changing technological environment.
• Work with partners and community to improve health
outcomes for the rural populations.
• Identified staff training needs.
• Shared information on new processes such as the
integrated electronic medical record and Queensland
Cardiac Outcomes Registry.
• Identifying and supporting local ownership of rural
cardiac rehabilitation programs.
Positive Outcomes
• Has brought cardiac rehabilitation closer to
home.
• Increased options for access to all aspects of
cardiac rehabilitation for the client.
• Ensuring evidence based care across the West
Morton Hospital and Health Service
• Decreased travel time for the client.
• Positive partnerships formed with rural sites.
Limitations
• Not all rural sites participate in group education
by telehealth.
• Identified improvement required in retrieving
discharge data from rural sites.
• Limited flexibility of scheduled telehealth
appointments.
• Audio/video quality and network difficulty's.
References
Ipswich Cardiac Rehabilitation, 2019, Shared Electronic Calendar and appointment Record, Viewed 19 June 2019, Queensland Health.
Queensland Health 2019, Hospital and health strategic plans, Queensland Government, viewed 5 July 2019, https://www.health.qld.gov.au/system-
governance/strategic-direction/plans/hhs-plan.
Queensland Health, 2019, West Moreton Hospital and Health Service Map, viewed 19 June 2019,
https://www.health.qld.gov.au/maps/mapto/wmoreton.
Queensland Health 2019, West Morton Health Services, viewed 2 July 2019, https://www.westmoreton.health.qld.gov.au/about-us
West Morton Health, Hospital and centres, Queensland Government 2019,viewed 6 July 2019, https://www.westmoreton.health.qld.gov.au/hospitals-
and-centres.
Conclusion
Telehealth has been successfully integrated into the
Cardiac Rehabilitation Service within the West
Morton Hospital and Health Service. Telehealth has
allowed clients in rural sites to have increased
access to cardiac rehabilitation within their local
community. Telehealth is being increasing used to
meet the needs of cardiac clients in the growing
community.
Connecting Rural Cardiac Rehabilitation Sites With Telehealth
West Morton Hospital and Health Service Map, 2019
0
5
10
15
20
25
30
35
Boonah Esk Gatton Laidley
Rural Telehealth Appointments
2004-2005 2018-2019
Rural Site Distance From
Ipswich
Travel Time From
Ipswich
Boonah 48km South 39 mins
Esk 64km North-West 52 mins
Gatton 55km West 43 mins
Laidley 45km West 39 mins
The Ipswich Cardiac Rehabilitation TeamAlisha Allan, AEP,
Steve Bartlett, AEP
Shaun Edwards, AEP
Patricia Jamieson, CN
Jeslymol Jacob, CN
Kate Kovacs, AO
Sarah Parker, CN
Madonna Prenzler, NUM
Robyn Williams, CN
Stephen Woodruffe, AEP
West Morton Health Strategic Plan 2017-21 (updated 2018)
Phone Calls Video Calls
West Moreton Health Services, 2019
Introduction
To meet the health needs of the growing community
now and into the future it was recognized that better
partnership with rural sites within the West Moreton
Hospital and Health Service was required. The use of
telehealth technology could improve the cardiac
rehabilitation journey for rural clients.
• Bringing Cardiac Rehabilitation care closer to
home.
• Improving access and equity in cardiac
rehabilitation care.
▪ Supporting cardiac rehabilitation clinicians in
rural sites.
▪ Link to the West Morton Health Service strategic
plan 2017-2021.
• comm
Feedback
Our cardiac rehab clients at Gatton Health Service have the advantage of being able to access education and program
intake interviews via telehealth. The benefits of this service include easy access for the client as parking is free and
close to the hospital, and they only have to travel locally instead of a 45-minute trip into Ipswich with difficult/costly parking.
(P Jamieson 2019, pers. Comm., 1 July).
It was good to talk to someone after my heart attack and it was easy to attend my telehealth appointment at the local
Laidley hospital. The telehealth appointment meant I didn’t have to travel into Ipswich and saved on cost of petrel and
parking. I found the information provided during my telehealth appointment helpful (Dennis Buckley, Laidley cardiac
rehabilitation client).
Implementation
Round table meetings with clinicians from Ipswich,
Boonah, Esk, Gatton and Laidley to support
evidence based care in a changing technological
environment.
• Work with partners and community to improve
health outcomes for the rural populations.
• Identified staff training needs.
• Shared information on new processes such as the
integrated electronic medical record and
Queensland Cardiac Outcomes Registry.
• Identifying and supporting local ownership of rural
cardiac rehabilitation programs.
Positive Outcomes
• Has brought cardiac rehabilitation closer to
home.
• Increased options for access to all aspects of
cardiac rehabilitation for the client.
• Ensuring evidence based care across the West
Morton Hospital and Health Service
• Decreased travel time for the client.
• Positive partnerships formed with rural sites.
Limitations
• Not all rural sites participate in group education
by telehealth.
• Identified improvement required in retrieving
discharge data from rural sites.
• Limited flexibility of scheduled telehealth
appointments.
• Audio/video quality and network difficulty's.
References
Ipswich Cardiac Rehabilitation, 2019, Shared Electronic Calendar and appointment Record, Viewed 19 June 2019, Queensland Health.
Queensland Health, 2019, West Moreton Hospital and Health Service Map, viewed 19 June 2019,
https://www.health.qld.gov.au/maps/mapto/wmoreton.
Queensland Health 2019, West Morton Health Services, viewed 2 July 2019, https://www.westmoreton.health.qld.gov.au/about-us
Queensland Health 2019, Hospital and health strategic plans, Queensland Government, viewed 5 July 2019,
https://www.health.qld.gov.au/system-governance/strategic-direction/plans/hhs-plan.
West Morton Health, Hospital and centres, Queensland Government 2019,viewed 6 July 2019,
https://www.westmoreton.health.qld.gov.au/hospitals-and-centres.
Conclusion
Telehealth has been successfully integrated into the
Cardiac Rehabilitation Service within the West
Morton Hospital and Health Service. Telehealth has
allowed clients in rural sites to have increased
access to cardiac rehabilitation within their local
community.
Telehealth; Partnering With Rural Cardiac Rehabilitation Sites
West Morton Hospital and Health Service Map, 2019
0
5
10
15
20
25
30
35
Boonah Esk Gatton Laidley
Rural Telehealth Appointments
2004-2005 2018-2019Phone Calls Video Calls
Rural Site Distance From
Ipswich
Travel Time From
Ipswich
Boonah 48km South 39 mins
Esk 64km North-West 52 mins
Gatton 55km West 43 mins
Laidley 45km West 39 mins
The Ipswich Cardiac Rehabilitation Team
Alisha Allan, AEP
Steven Bartlett, AEP
Shawn Edwards, AEP
Jess Jycobs, CN
Kate Knovak, AO
Sarah Parker, CN
Madonna Prenzler, NUM
Robyn Williams, CN
Steven Woodruffe, AEP
West Morton Health Strategic Plan 2017-21 (updated 2018)
Public hospitalPrivate hospital Other CR Service
CardiologistGeneral
PractitionerSelf (patient)
Triage completed centrally at Ipswich CRS
Assessment via
telehealth
On-site assessment
at Ipswich CR
Assessment via
home visit
Telephone/Telehealth
based follow-up
(education)
Ongoing home visits
CR exercise and
education program
(Ipswich & Rural sites)
Other e.g. Community based exercise groups/gyms
Continue Independently