Expression of Interest - Use of Emerging Technology to Help Older People Live at Home

Introduction

Central and Eastern Sydney PHN (CESPHN) is seeking expressions of interest (EOI) from organisations capable of being commissioned to provide innovative, person-centred technology-based solutions to assist frail elderly people retain their independence and remain living at home. CESPHN is specifically interested in services for frail, community-dwelling elderly people over the age of 70, with one or more chronic conditions and heightened risk of premature morbidity. Potential patients will be recruited from participating general practices in the CESPHN region, in consultation with the successful tenderer.

Background

The EOI is being undertaken to identify organisations capable of providing IT-based solutions that can support frail elderly people in remaining in their own home. The EOI will be followed by a formal Request for Tender (RFT) in early 2018. Depending on the response to the EOI there is an opportunity for a co-design period before the RFT is released.

There is evidence that a range of IT services can help frail, community dwelling elderly people with chronic conditions remain in their homes and communities longer than might otherwise be possible. The field is complex and a wide variety of interventions exist, such as telehealth, assistive technologies, home telemonitoring and remote patient monitoring.

The central element common to many of these approaches is some form of remote monitoring of a set of vital signs of the elderly person, which can vary depending on their chronic condition, complemented with clinical support if this monitoring reveals changes in the person’s health status. Some of the evidence suggests that this kind of monitoring can result in:

  • a reduction in potentially preventable hospitalisations, readmissions and Emergency Department presentations;
  • improved health status for specific conditions (such as improved glycemic control in diabetics, improved respiratory flow in COPD patients, or reduced bed days in hospital for cardiac patients etc.);
  • an increase in mean survival time and improved quality of life;
  • greater confidence and competence in self-care, reduced social isolation and support to carers; and
  • reduced overall costs to the health system.

The 2017 CESPHN Needs Assessment identified “increasing community-based services for aged care” as a key priority. This project also addresses increasing levels of frailty among the elderly and is linked with other CESPHN initiatives.

EOI specifications

Please visit Tenderlink to register and to download EOI documents.

Expressions of interest are due COB Friday 2 February 2018. Late applications will not be considered.