Telehealth comes into its own at Bay of Islands Hospital

The ICU team, paediatrician and clinical flight team linked into the Accident & Medical room at Bay of Islands Hospital and the patient with his parents, GP and Bay of Islands Hospital clinical team.

A new Telehealth link has been used for the first time at Bay of Islands Hospital to assist in the care of aseriously ill baby.

Five years ago the Northland DHB installed a mobile Telehealth device (NEMO) in the Intensive Care Unit at Whangarei Hospital to help provide the best clinical advice to colleagues in Kaitaia Hospital and determine the most appropriate way of transferring patients to Whangarei or Auckland.

To link all the DHB's referring centres, it recently installed a new Telehealth link at Bay of Islands Hospital.

First use of the technology was made after the baby was taken to a general practice in Kaikohe, 20 minutes from Bay of Islands Hospital by ambulance and more than an hour from Whangarei, with complications from bronchitis. The decision was made to stop at Bay of Islands Hospital so he could be assessed by the ICU team in Whangarei via a Telehealth link.

The Kawakawa clinical team, the GP who had travelled with the patient, the Whangarei Intensive Care specialist team, paediatrician and clinical flight team were all at the assessment.

"Under normal circumstances helicopter retrieval with the ICU team would have been instigated," said Michael Kalkoff, Northland DHB consultant anaesthetist/intensivist.
"Instead the Telehealth link was set up and the child was assessed and treated by the whole team."

Once the child's condition was stabilised it was agreed that he could be safely transferred by ambulance to Whangarei Hospital. That meant the rescue helicopter could be stood down, saving money and keeping it available for other calls.

"It was amazing to have the IT facility and back-up from the ICU team here in the Mid-North," Broadway Health GP Dr Justine Woodcock said.

"It felt very reassuring, and really added to the patient's care and a positive outcome."

The Zoom link to Bay of Islands Hospital is actually a predecessor to a Mobile Clinical Cart, which is currently being developed by the DHB Telehealth and Mobility team in collaboration with Zoom, the University of Queensland and HealthAlliance, which will be available in the new Accident & Medical Department and hospital wards, which are due to open next month.