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

Journal of Telemedicine and Telecare
K L BagotVictorian Stroke Telemedicine Programme Consortium

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, includ...Continue Reading

References

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Feb 19, 2008·The Medical Journal of Australia·Simon C KittoCarol Grbich
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Apr 26, 2014·Stroke; a Journal of Cerebral Circulation·Christopher F Bladin, Dominique A Cadilhac
Nov 18, 2014·Journal of Telemedicine and Telecare·Dominique A CadilhacChristopher Bladin
May 27, 2015·Internal Medicine Journal·C F BladinUNKNOWN VST program investigators
Aug 13, 2015·Implementation Science : IS·Andrew J MilatSally Redman
Nov 12, 2015·Journal of Telemedicine and Telecare·Kathleen L BagotUNKNOWN VST collaborators
Aug 26, 2016·Lancet·Kathleen L BagotChristopher F Bladin

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Citations

Apr 8, 2020·The Medical Journal of Australia·Chris F BladinDominique A Cadilhac
Sep 3, 2020·BMC Health Services Research·Joanna KhoMelinda Martin-Khan
Sep 12, 2019·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Kathleen BagotDominique A Cadilhac
Jan 16, 2020·Journal of Telemedicine and Telecare·Dominique A CadilhacChristopher F Bladin
Aug 7, 2019·Internal Medicine Journal·David Blacker, Elizabeth Armstrong
Mar 16, 2021·Australian Health Review : a Publication of the Australian Hospital Association·Lucy KocandaTracy L Schumacher

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