Reduce MILES spread SMILES

Initiative Type
Model of Care
Service Improvement
29 January 2018
Last updated
13 February 2021


The project provides renal services to the fast geographic region, in addition to the neighbouring South West HHS where there are no renal services. Clinical data shows that the predominantly elderly cohort with multiple comorbidities, were traveling long distances to access specialist care, often depending on family, friends or carers to bring them to Toowoomba with great difficulty and disadvantage.

The project won the Regional, Rural and Remote Award for Outstanding Achievement at the 2017 Queensland Health Awards for Excellence.

Key dates
Jan 2017
Dec 2017
Implementation sites
Downs Hospital and Health Service
Telehealth Service, Queensland health


Reduce MILES, spread SMILES provides specialist renal care in the Darling Downs Hospital and Health Service (DDHHS) via telehealth.


Saves renal patients hundreds of hours in travel time.


Telehealth enabled services started in September 2011 with a 3 monthly clinic at Kingaroy Hospital to provide specialist care locally. These clinics expanded to more than 10 locations throughout the region., with 25 per cent of all chronic kidney disease patients now seen via telehealth. Telehealth clinics from Cherbourg have played a vital role in providing quality care to the local aboriginal population who have very high rates of kidney disease and are at a higher risk of multiple co-morbid conditions and complications.

Solutions Implemented

All patients are seen at the Toowoomba Hospital for their initial appointment. They are then offered a choice for future appointments to occur via telehealth at their local Queensland Health facility.

Evaluation and Results

The clinics resulted in improved accessibility and affordability of care in regional, rural and remote Queensland.

Lessons Learnt

Specialist medical care can be successfully delivered via telemedicine.

Further Reading

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Key contact

Dr. Sree Krishna Venuthurupalli
Renal Services, Department of Medicine
Darling Downs Hospital and Health Service
(07) 4920 7247