Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme

Kathleen L. Bagot, Dominique A. Cadilhac, Joosup Kim, Michelle Vu, Mark Savage, Les Bolitho, Glenn Howlett, Justin Rabl, Helen M. Dewey, Peter J. Hand, Sonia Denisenko, Geoffrey A. Donnan, Christopher F. Bladin

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-study was used and data were obtained from programme documents, e.g. minutes of governance committees, including the steering committee, the management committee and six working groups; operational and evaluation documentation, interviews and research field-notes taken by project staff. Thematic analysis was undertaken, with results presented in narrative form to provide a summary of the lived experience of developing and scaling the VST programme. The main success factors were attaining funding from various sources, identifying a clinical need and evidence-based solution, engaging stakeholders and facilitating co-design, including embedding the programme within policy, iterative evaluation including performing financial sustainability modelling, and conducting dissemination activities of the interim results, including promotion of early successes.

Original languageEnglish
Pages (from-to)850-855
Number of pages6
JournalJournal of Telemedicine and Telecare
Volume23
Issue number10
DOIs
Publication statusPublished - 1 Dec 2017

Keywords

  • remote consultation
  • scaling
  • Telemedicine

Cite this

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title = "Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme",
abstract = "Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-study was used and data were obtained from programme documents, e.g. minutes of governance committees, including the steering committee, the management committee and six working groups; operational and evaluation documentation, interviews and research field-notes taken by project staff. Thematic analysis was undertaken, with results presented in narrative form to provide a summary of the lived experience of developing and scaling the VST programme. The main success factors were attaining funding from various sources, identifying a clinical need and evidence-based solution, engaging stakeholders and facilitating co-design, including embedding the programme within policy, iterative evaluation including performing financial sustainability modelling, and conducting dissemination activities of the interim results, including promotion of early successes.",
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Transitioning from a single-site pilot project to a state-wide regional telehealth service : The experience from the Victorian Stroke Telemedicine programme. / Bagot, Kathleen L.; Cadilhac, Dominique A.; Kim, Joosup; Vu, Michelle; Savage, Mark; Bolitho, Les; Howlett, Glenn; Rabl, Justin; Dewey, Helen M.; Hand, Peter J.; Denisenko, Sonia; Donnan, Geoffrey A.; Bladin, Christopher F.

In: Journal of Telemedicine and Telecare, Vol. 23, No. 10, 01.12.2017, p. 850-855.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Transitioning from a single-site pilot project to a state-wide regional telehealth service

T2 - The experience from the Victorian Stroke Telemedicine programme

AU - Bagot, Kathleen L.

AU - Cadilhac, Dominique A.

AU - Kim, Joosup

AU - Vu, Michelle

AU - Savage, Mark

AU - Bolitho, Les

AU - Howlett, Glenn

AU - Rabl, Justin

AU - Dewey, Helen M.

AU - Hand, Peter J.

AU - Denisenko, Sonia

AU - Donnan, Geoffrey A.

AU - Bladin, Christopher F.

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Y1 - 2017/12/1

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