Name: There’s something about Nellie
Uploaded: 2022-07-29T07:18:27.231Z
Description: We asked Campbell about Nellie, an innovative persona-based, interactive text messaging program helping patients to help themselves. Don't miss our insights into this fascinating new persona-based Tech.

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campbell - there's something about nelly.vtt

There’s something about Nellie

{{00:00:12}}
Hi, Campbell.

{{00:00:13}}
Thank you so much for sitting down with
us after a long two days of conferencing.

{{00:00:17}}
No, it's been great.

{{00:00:17}}
, So you just spoke, , at the
chronic disease management summit.

{{00:00:20}}
Can you give us a brief summary
of what Nelly is please?

{{00:00:22}}
Sure.

{{00:00:23}}
So , Nelly is basically a text based
persona mm-hmm  that interacts with

{{00:00:27}}
patients,  to help them with chronic
disease management,  behavior change and

{{00:00:31}}
chronic disease management prevention.

{{00:00:33}}
, so essentially it's an
algorithm that talks to the.

{{00:00:36}}
That's modifiable both at a patient
level, but also at a larger level.

{{00:00:39}}
So you can modify certain parameters for
an individual person, but you could modify

{{00:00:43}}
the language and how it works to make
it more suit to a particular population.

{{00:00:47}}
Okay.

{{00:00:48}}
It sounds like a great program.

{{00:00:49}}
I have to say I was sitting there thinking
I'd love to put my grandmother on there.

{{00:00:52}}
So one of the questions that you got asked
at the conclusion of your talk is, is the

{{00:00:56}}
model model funded by the PHN or do GP
practices have to provide the funding?

{{00:01:02}}
Sure.

{{00:01:02}}
So we basically license it from
the UK., so we provided to our

{{00:01:06}}
general practices for free.

{{00:01:08}}
, they can sign on very easily and we
we've had a particular, you know,

{{00:01:11}}
Nelly officer that promoted, but as
well as promoted by generally by the

{{00:01:14}}
PHN, , we've also asked a lot of our
practices when they're commissioned to do

{{00:01:19}}
particular care coordination activities.

{{00:01:21}}
They must also use Nelly.

{{00:01:22}}
So we've kind of twisted a few
arms, but mainly Promoted it to

{{00:01:26}}
general practice to work with us.

{{00:01:27}}
We've partnered a couple of times
with parks Victoria, for instance.

{{00:01:30}}
Yep.

{{00:01:31}}
And we were just starting a program
with peninsula health around

{{00:01:33}}
post, , post-surgery opioid maximum.

{{00:01:36}}
Okay.

{{00:01:37}}
So here's another question was
thrown to you,  in the room.

{{00:01:40}}
I think you might have answered it.

{{00:01:42}}
, what were some of the surprises to
you when you rolled out Nelly and

{{00:01:45}}
you talked particularly in your
presentation about the clinical uptake.

{{00:01:49}}
So can you speak more
about those surprises?

{{00:01:52}}
Sure.

{{00:01:52}}
So,  I think apart from the fact that
yes, the biggest uptake, especially

{{00:01:56}}
early on was the lifestyle management.

{{00:01:58}}
, protocols one of a better
word, as well as the clinical.

{{00:02:01}}
I think probably the
biggest surprise to me.

{{00:02:04}}
And it shouldn't have been.

{{00:02:04}}
One is change is heart
and general practice.

{{00:02:07}}
And I'm, you know, I am
a true believer in Nelly.

{{00:02:09}}
I love the simplicity of it.

{{00:02:11}}
, and it's actually quite simple.

{{00:02:12}}
You would argue to integrate into
general practice care coordination work.

{{00:02:16}}
But the reality is they're still
nervous, you know, especially

{{00:02:20}}
GPS a bit nervous about it.

{{00:02:21}}
So if you have a practice where
there's,  good, all of practice

{{00:02:24}}
engagement, and you've got some
good leads, it can run quite well.

{{00:02:28}}
But like a lot of stuff that's
changed in general practice.

{{00:02:31}}
If there's just one person that's
interested in the rest, aren't on board,

{{00:02:34}}
it, it really stalls because,  if you
don't have the admin team understanding

{{00:02:39}}
what it's about and talking about it
with patients and answering simple

{{00:02:42}}
questions, you don't have the nurses.

{{00:02:44}}
On board, maybe the allied health.

{{00:02:46}}
You've got allied health in there as well.

{{00:02:48}}
It it's hard to get any good
quality improvement change.

{{00:02:51}}
And really this is a big quality
improvement project for a practice to

{{00:02:54}}
take on in that it's a change to how
they do their Crohn disease manage.

{{00:02:58}}
Okay.

{{00:02:59}}
Or in addition, I should say not a change.

{{00:03:01}}
Sure.

{{00:03:02}}
An evolution.

{{00:03:03}}
Yes.

{{00:03:03}}
Okay.

{{00:03:03}}
So for any others that are
considering rolling out Nelly,

{{00:03:07}}
then, , what tips would you offer?

{{00:03:09}}
What what's not to do?

{{00:03:11}}
What's not to do.

{{00:03:12}}
, I don't think
overcomplicated, I don't know.

{{00:03:15}}
That's weird because it's a simple
telehealth, but I think, , what's great

{{00:03:18}}
is to promote it with energy show.

{{00:03:24}}
Practices how simple it
can be for them to use.

{{00:03:26}}
And then to get them to just start on
something simple mm-hmm  so you might say,

{{00:03:30}}
look, you know, there's a lot to choose
from here, but let's choose a couple that

{{00:03:34}}
you think are quite relevant to your.

{{00:03:36}}
Patient population.

{{00:03:37}}
And in your interactions find those that
you are doing health coaching, motivated,

{{00:03:41}}
strong interviewing care coordination
stuff with introduce it to them and just

{{00:03:44}}
really focus on getting a couple out
there and getting used to using it and

{{00:03:47}}
talking about it and getting the pitch.

{{00:03:49}}
Right.

{{00:03:49}}
Okay.

{{00:03:50}}
And then it can grow from there
more organically within a practice.

{{00:03:54}}
Sure.

{{00:03:54}}
So kind of start with a sample.

{{00:03:56}}
Yeah, exactly.

{{00:03:57}}
Where it leads to exactly.

{{00:03:58}}
Or a pilot as we heard about yesterday.

{{00:03:59}}
That's right.

{{00:04:00}}
Yes.

{{00:04:01}}
Well, you know, and really
it's a PSA, isn't it?

{{00:04:03}}
Yeah.

{{00:04:03}}
So, you know, it, it's quite
simple in many ways to implement.

{{00:04:07}}
, so you, you, you encourage em to do
it as a PSA cycle and grow that way

{{00:04:10}}
rather than we're gonna do everyone.

{{00:04:12}}
Yeah, absolutely.

{{00:04:13}}
Okay.

{{00:04:14}}
So I think this is a way to wind up.

{{00:04:16}}
This is my last question to
you and that is have other pH.

{{00:04:20}}
Yeah, sure.

{{00:04:22}}
So no other pay Chans have, because we've
had the exclusive license until now.

{{00:04:25}}
Right.

{{00:04:25}}
, but what we're going to be
doing, , this year is essentially

{{00:04:29}}
as well as using it within.

{{00:04:31}}
Local Petin area, which
is Southeast Melbourne PN.

{{00:04:33}}
So essentially kind of St.

{{00:04:34}}
Ked at a bun up and down to
Rosebud if you know Victoria.

{{00:04:38}}
, but we will be going back and
engaging with other services.

{{00:04:41}}
Who've expressed an interest in the
past or expressed interest from now

{{00:04:44}}
on and working with them so they
can understand what it's all about.

{{00:04:48}}
And if they want to start using
Nelly well, then they would

{{00:04:51}}
create their own license with the
owner and we would provide some

{{00:04:54}}
support to help them roll out.

{{00:04:55}}
Okay.

{{00:04:57}}
Well, it's exciting and I
hope to see a lot more PHS.

{{00:04:59}}
Rolling it out.

{{00:05:00}}
It does sound like a fantastic project.

{{00:05:01}}
Thank you so much for telling us.

{{00:05:02}}
No, thank you for having us.

{{00:05:04}}
It really.

{{00:05:04}}
Thanks.

{{00:05:05}}
Chronic disease been great.

{{00:05:06}}
It's really great.

{{00:05:07}}
Thank

{{00:05:17}}
you so.

Thank you so much for sitting down with
us after a long two days of conferencing.

, So you just spoke, , at the
chronic disease management summit.

Can you give us a brief summary
of what Nelly is please?

So , Nelly is basically a text based
persona mm-hmm  that interacts with

patients,  to help them with chronic
disease management,  behavior change and

, so essentially it's an
algorithm that talks to the.

That's modifiable both at a patient
level, but also at a larger level.

So you can modify certain parameters for
an individual person, but you could modify

the language and how it works to make
it more suit to a particular population.

I have to say I was sitting there thinking
I'd love to put my grandmother on there.

So one of the questions that you got asked
at the conclusion of your talk is, is the

model model funded by the PHN or do GP
practices have to provide the funding?

So we basically license it from
the UK., so we provided to our

, they can sign on very easily and we
we've had a particular, you know,

Nelly officer that promoted, but as
well as promoted by generally by the

PHN, , we've also asked a lot of our
practices when they're commissioned to do

So we've kind of twisted a few
arms, but mainly Promoted it to

We've partnered a couple of times
with parks Victoria, for instance.

And we were just starting a program
with peninsula health around

So here's another question was
thrown to you,  in the room.

, what were some of the surprises to
you when you rolled out Nelly and

you talked particularly in your
presentation about the clinical uptake.

So can you speak more
about those surprises?

So,  I think apart from the fact that
yes, the biggest uptake, especially

, protocols one of a better
word, as well as the clinical.

I think probably the
biggest surprise to me.

One is change is heart
and general practice.

And I'm, you know, I am
a true believer in Nelly.

You would argue to integrate into
general practice care coordination work.

But the reality is they're still
nervous, you know, especially

So if you have a practice where
there's,  good, all of practice

engagement, and you've got some
good leads, it can run quite well.

But like a lot of stuff that's
changed in general practice.

If there's just one person that's
interested in the rest, aren't on board,

it, it really stalls because,  if you
don't have the admin team understanding

what it's about and talking about it
with patients and answering simple

You've got allied health in there as well.

It it's hard to get any good
quality improvement change.

And really this is a big quality
improvement project for a practice to

take on in that it's a change to how
they do their Crohn disease manage.

Or in addition, I should say not a change.

So for any others that are
considering rolling out Nelly,

, I don't think
overcomplicated, I don't know.

That's weird because it's a simple
telehealth, but I think, , what's great

Practices how simple it
can be for them to use.

And then to get them to just start on
something simple mm-hmm  so you might say,

look, you know, there's a lot to choose
from here, but let's choose a couple that

And in your interactions find those that
you are doing health coaching, motivated,

strong interviewing care coordination
stuff with introduce it to them and just

really focus on getting a couple out
there and getting used to using it and

And then it can grow from there
more organically within a practice.

Well, you know, and really
it's a PSA, isn't it?

So, you know, it, it's quite
simple in many ways to implement.

, so you, you, you encourage em to do
it as a PSA cycle and grow that way

Expert Insight

We asked Campbell about Nellie, an innovative persona-based, interactive text messaging program helping patients to help themselves. Don't miss our insights into this fascinating new persona-based Tech.