Victorian Virtual Emergency Department shows how virtual healthcare can help stretched public hospitals

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Victorian Virtual Emergency Department shows how virtual healthcare can help stretched public hospitals
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In outer Melbourne, a virtual emergency department has offered 250,000 patients treatment and created a model to help keep ageing Baby Boomers out of hospital.

Already a subscriber?Ninety-year-old Betty clearly had pneumonia when her aged care centre called an ambulance. At her age, with obvious symptoms, she would have usually been taken to an emergency department and admitted to a busy hospital.

“That’s happening every day,” says Miller, who, with her colleague Dr Loren Sher, has been the driving force behind a remarkably successful online emergency care program. Deloitte has estimated this Boomer bubble means Australia needs to build a 375-bed acute care hospital every month until 2036 to meet the chronic care needs of the Baby Boomers, many of whom will live beyond 100.

The initiative was hugely successful, prompting the hospital to gear up the program, dubbed the virtual emergency department. Miller says partnerships have been key to scaling up the program, pointing to the tight daily working relationship the VVED staff have with ambulance workers and with the leadership of Ambulance Victoria.

Patient satisfaction has been tracked at better than 90 per cent, which is very high for a health service. The department now also offers remote services for regional areas that do not have local clinicians to meet the local needs.Virtual care covers a wide range of treatments, from basic telehealth presentations to remote monitoring of patients in a growing number of hospital-in-the-home services, using devices that closely track ailments such as diabetes.

There is also imaging equipment that can transmit high-quality images, including wound assessments, dermatology imaging, and throat and dental examinations. Rapid innovation, good partners and backing by health administrators have been key to success, says Dr Suzie Miller, deputy clinical director of the Victorian Virtual Emergency Department.

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