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"Telehealth services"

About: Broome Health Campus / Emergency Department Telehealth Service - WACHS Kimberley

(as a parent/guardian),

My child recently broke their arm and after initial treatment in Broome ED they were referred for review and follow-up to another hospital's Orthopaedic team via Telehealth.

Whilst I appreciate the specialist review and input in my child's care I have to say that I felt the entire set up is not very patient-centred and potentially hazardous. Without a clinician actually in the room with us, the review relied entirely on the X-ray and the report given by myself and my child. For example, we had recognised that their initial plaster had become loose  (impossible to review via Telehealth and relies on self assessment by patient/carer) we consequently were directed to ED for adjustment of the plaster -  this meant we had to get triaged again and since it obviously wasn't an urgent matter ended up waiting before having to share the result of our review with the local staff who I believe had no communication from the other hospital's doctor.

Similar events happened on our next reviews. While my child received overall good care, I believe there should have been a fracture clinic nurse or similar with us. I felt this would provide both better clinical assessment as well as much more effective and patient-centred care (I believe avoiding repeat ED presentations with associated need for repeating of stories and long waiting times).

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Responses

Response from Bec Smith, Regional Director, WACHS - Kimberley 3 years ago
We are preparing to make a change
Bec Smith
Regional Director,
WACHS - Kimberley
Submitted on 15/08/2020 at 5:52 PM
Published on Care Opinion on 17/08/2020 at 8:41 AM


picture of Bec Smith

Dear Busy parent,

Thank you for taking the time out of an already busy time for you to write your story. I am sorry that we have not provided patient centred care to you and your child and that you have not had the best experience with our Telehealth service.

We have heard that there are some issues with support during telehealth appointments, particularly that it can be confusing and a bit hard to navigate, especially without someone physically in the room to assist.

We recently discussed this at our regional executive meeting. In Kununurra we have a dedicated Aboriginal Health Worker who provides both administrative and clinical support for Telehealth appointments, including sitting in on appointments if required and following up on any clinical paperwork. I have been advised that this is working really well so our plan is to replicate this at other sites with Broome being the priority.

WA Country Health Services are also working with metropolitan health services to identify ways we can improve the country patient experience of care, and are very keen to base this on cases such as yours.

We would really value your involvement in planning/designing changes in how we provide telehealth services. If you would be happy to discuss your case in more detail, please contact Laura Handscombe our Regional Telehealth Coordinator or (08) 9194 1659 or the Outpatient Reform Program Manager Rachael Madin on (08) 6383 1854.

Again, thank you for taking the time to provide feedback. It really does help us to improve the services we deliver. I do hope your child’s arm is healing well.

Kind regards,

Bec Smith

Regional Director

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