“My Pathway” Digital Platform Barcelona 21 September 2016

The Impact of TechnologyInnovation to help patients

“My Pathway” Digital PlatformBarcelona 21st September 2016

ADI

Advanced Digital Institute2

“Bringing Innovation to Life”

2006Start-up

2008Airedale Video Conferencing

Project

2012Led national digital health

interoperability programme

2013Established

Digital Health and Care

Alliance (700+ members)

2013 - 2016NHS England

SBRI contracts for PainSense, Meds

Companion, CAMHS

2015ADI launches digital

services across Leeds in support of new care pathway

2016Accelerating

deployments across the UK – 16 CCGs,

plus national provider


“Inform, Empower, Improve”

- Products co-designed with users- Connecting people to services digitally

‘For people like me who have sufferedfor years, it gives you strategies to followso you can cope better with the pain...’


PTK

i-Focus Personal Health Record Platform

SQUIDMeds My Pathway PROM Clinical portals


My Pathway Patient View Clinical portal

i-Focus Personal Health Record Platform

Chronic Pain tools

The pathway model within i-focus consists of a simple series of stages. Each stage has attributes such as due date, PROMs to be filled out, and Patient Information resources such as PDFs and videos.For example, this shows the PROMs and information associated with the “Initial Assessment” stage within a simple “Orthopaedic Knee pathway”


The patient – Huw - receives an invite email and/or SMS to join the “My Pathways” service. They can choose to log in via a web interface, or download the “My Pathways” app.


Once logged in, Huw receives an interactive timeline graphic representing the stages of the pathway(s) he is on – in this case the Knee pathway.

He can see appointments, and the information (PROMS) he is being requested to give at different different stages, and what is due now.

He can also see that there are associated videos, leaflets, etc that it is suggested he looks at.


The patient can access either as a web application, or via a mobile app. The data is securely stored in their PHR and is tied to their NHS number.

On joining the persistent pain pathway, the patient is requested to fill out relevant PROM and HNA questionnaires. These can be saved and sent on to the clinician portal and if required on to the GP system.


A body chart is provided to allow the patient to indicate areas of pain.


A PROM measure similar to EQ5D called the “Dolo Test” enables the patient to report the effect that their condition is having on their life, including on sleep, work, social activity, etc. An engaging “rotating wheel” graphical representation is provided to facilitate entry.


Huw has received a video about his knee in advance of his next appointment


Results are sent through to the secure PHR system. The patient can view previous scores and progress over time, to help build understanding and ability to manage more successfully.


Appropriate self-management steps and resources are recommended by the system according to what information is entered by the patient



All relevant PROM results are available at a single click.

Once all the PROMS and appointments within a pathway stage are complete, Huw will be moved automatically to the next stage.

Updates on appointment status can be parsed from incoming HL7 v2 messages.

The administrator can also move Huw manually between stages if desired.


PROM trends – Patient Activation.


PROM analysis – by clinician / service/..


PROM analysis – by clinical pathway


Communities Leeds West Leeds South and East Leeds North Westminster Essex Sandwell and West

Birmingham Cumbria

Organisations Leeds Community Health Pain Management Solutions Leeds Teaching Hospital

Trust Healthshare Anglian Community Interest

Company Cumbria Community

provider


• Annualised saving in total cost of pathway of c£280,000 representing a 9% reduction in total pathway spend of £2.9million

• Switch from 58% of 1st OPs being seen in acute trusts, to 29%, representing substantial transfer of care to community sector. This trend is expected to continue

• Reduction in hospital in patient and day case procedures of 6% with an associated cost reduction of 15%, indicating fewer and lower complexity medical pain interventions


Painsense has been very well received by clinicians and patients and is being widely deployed by trusts in many areas including Leeds, Solihull, Cumbria, Essex, Trafford, and others.

The rich PROM information delivered helps patients track their progress, and clinicians, managers and commissioners understand and improve services in a way that has not previously been possible.

Thank you

[email protected] http://www.adi-uk.com/ADI, Salts Mill, Victoria Road, Saltaire, West Yorkshire BD18 3LA

mailto:[email protected]

http://www.adi-uk.com/

The first PROM he is requested to fill out is the baseline EQ5D.

As the due date for this PROM approaches, Huw will receive emails and SMS reminders automatically from My Pathways.

Once he has filled out the questionnaire, it will be marked “complete” on the timeline










In advance of his next appointment, Huw has been given some useful general information about the clinic location, what to expect, etcetera.


Once all the PROMS and appointments within a pathway stage are complete, Huw will be moved automatically to the next stage.

Updates on appointment status can be parsed from incoming HL7 v2 messages.

The administrator can also move Huw manually between stages if desired.


The clinician can have a look at Huw’s baseline EQ5D results.

These can also be represented graphically, and progress shown over time.


The clinician may wish to request Huw fills out additional PROMs .. For example an additional Oxford Knee Score PROM. This can be requested with a simple click

The clinician may also want to suggest Huw views some particular leaflet or video .. These can be pre-programmed into the pathway or selected manually just for Huw.

For example, this short video on the knee might be helpful to Huw in advance of an operation.


Huw has received a video about his knee in advance of his next appointment


The administrator can view Huw’s progress through the pathway, intervening if needed.


The administrator can view Huw’s progress through the pathway, intervening if needed.


As Huw’s treatment is completed, he is asked to fill out one final EQ5D.


If clinically indicated, Huw can be allocated to additional pathways, in this case Pain as well as Ortho Knee


The clinician can compare Huw’s baseline and final EQ5D results.

These can also be represented graphically, and change shown over time.


VAS

Managing PROM capture at population level – by exception.

Show all outstanding and overdue PROM requests.

Allow selection to troubleshoot directly or via PMS etc


Patient experience monitoring..


PROM Collection KPIs .


PROM trends – Patient Activation.


PROM analysis – by clinician / service/..


PROM analysis – by clinical pathway




ADI’s close association with eLearning company Virtual College facilitates rapid production of eLearning content tailored to our customers’ needs –

EG see RGCP-accredited course on persistent pain.

Documents

“My Pathway” Digital Platform Barcelona 21 September 2016