East Metropolitan Health Service (EMHS)
Remote Monitoring Service
What is the EMHS Remote
Virtual care models including Remote Monitoring Services have a significant potential to transform traditional service delivery. Remote Monitoring Services use innovative technology to monitor patients in their hospital ward beds for subtle changes in their condition and early signs of clinical deterioration. This technology will allow medical professionals to more closely monitor patients, and respond to patient needs more efficiently, effectively, and consistently.
East Metropolitan Health Service (EMHS) is investing in a Remote Monitoring Service (RMS), a system which will provide clinicians located in a central Command Centre with a range of data provided by patient monitoring technology, data analytics tools, and clinical systems. These systems are designed to facilitate proactive, and not reactive care, by using technology to evaluate clinical information, identify patterns and predict deterioration earlier. Once patient deterioration is identified, RMS will facilitate communication between RMS clinicians and staff on the ward using two-way audio and video in order to support the development of an appropriate care plan.
The effectiveness of implementing remote monitoring systems has had mixed results, with much of the difference in these outcomes attributable to work design issues. In collaboration with EMHS and HEDA, the aim of this research project is to implement the institute’s SMART work design framework to the context of RMS, to understand how RMS influences work design factor for key staff members, and how work roles can be best designed to maximise the value of HIVE for patient outcomes, hospital outcomes, and staff outcomes.
Data collection is ongoing and includes observations, interviews, and surveys with hospital staff, centring on staff work experiences, perceptions of their work, perceptions of RMS, and observations of current work design.
Not only will the insights from this research inform the effectiveness of the planned RMS implementation, but also serve as a foundation for facilitating the expansion of RMS to other sites with leading-edge knowledge to harness such technologies across Australia.
Natalie Griffiths (UWA)
Natalya Desai (Curtin)
Hay, G. J., Klonek, F. E., Thomas, C. S., Bauskis, A., Baynam, G., & Parker, S. K. (2020). SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program. Frontiers in Pediatrics, 8.
Kahn, J. M., Rak, K. J., Kuza, C. C., Ashcraft, L. E., Barnato, A. E., Fleck, J. C., ... & Angus, D. C. (2019). Determinants of intensive care unit telemedicine effectiveness. An ethnographic study. American Journal of Respiratory and Critical Care Medicine, 199(8), 970-979.
Rincon, T. A., Bakshi, V., Beninati, W., Carpenter, D., Cucchi, E., Davis, T. M., ... & Olff, C. (2020). Describing advanced practice provider roles within critical care teams with Tele-ICUs: Exemplars from seven US health systems. Nursing Outlook, 68(1), 5-13.