Remote monitoring solutions can improve patient triage in real time

Remote monitoring solutions can improve patient triage in real time

Spirit Digital’s Clini TouchVie Saves Time and Medical Resources at Rushey Mead Health Center

Dr. Amit Rama, GP Clinical Lead at Leicester’s Rashi Mead Health Center, has been at Spirit Digital’s CliniTouchVie (CTV) at Rashi Mead Manor Care Home and New Wycliffe Home, two care homes near the clinic since June 2020. I am using a remote monitoring solution.

Over the past five months, approximately 60 care facility residents have been monitored using CliniTouchVie through the concept of a “virtual ward.”

CliniTouch Vie’s digital remote monitoring technology, introduced to help the NHS manage COVID-19 responses, has enabled the next GP team: Rashi Mead Health Center It provides continuous care to patients in remote areas, helps ensure the safety of vulnerable patients, and minimizes avoidable hospitalizations. An additional benefit is better use of clinical time and resources. More confident and empowered care home staff. Ability to collect richer patient data such as dementia reviews, mobility, and early warning signs of deterioration.

Go remote

Traditionally, weekly ward rounds were completed face-to-face by assigned GPs after reviewing patient medical records from care home staff. Introduced on 16 March, the pandemic and complete blockade immediately reassess how these patients are reviewed and continue care while minimizing unnecessary face-to-face contact. Requested to provide.

With CliniTouch Vie, care home staff regularly read vital signs and answer questions about the patient’s personal health on a smartphone, tablet, or computer. These measurements were provided directly to Dr. Rama and his team, who remotely connected with caregivers and patients during scheduled ward rounds via video links to provide health and welfare advice. You can intervene where and when you need more urgent care.

In addition, CliniTouch Vie enables more effective patient triage when care home staff feel that the patient needs clinical intervention outside of the scheduled ward round. Lama with clinical calculations that automatically generate red / amber / green risk assessments presented through the clinician’s dashboard by providing clinical staff with real-time insights into patient observations, symptoms, and conditions. The doctor’s team can be vulnerable or prioritized-putting the patient at risk and intervening immediately if the patient shows signs of deterioration.

Dr. Rama explains: “CliniTouchVie asks the resident all questions in advance, which makes the consultation faster and more effective and gives us time to return to care where we need it most. I am assigned an average of 3 hours a week to review patients in both care facilities. It also uses CliniTouch Vie, which emphasizes which patients have serious problems, saving an estimated 30 minutes per care facility.With this saved time, you can instead focus on improving the quality of the ward round, such as reviewing 2-3 patients without acute concern, but 2-3 months review based on a “C” Patients who have notHome frail question set‘, This provides the team with additional information such as mood, mobility and nutrition. ”

This solution also minimizes calls from care facility staff to the emergency department. Dr. Rama said: “Previously, if care home staff felt that it would take too long for one of the GP teams to physically evaluate and triage the patient, they would instead bypass our team and become a paramedic. I sometimes called. This allows the paramedic team to join the care home, contact one of the family doctors about the patient and ask about the care plan at the time of admission, but all patients need to be hospitalized. This inevitably resulted in unnecessary calls, as there was no. Instead, a CliniTouch Vie could be installed to remotely access the patient’s condition in real time and triage more quickly and effectively. At the same time, you can save money, time, staff, equipment and other medical resources. I can confidently say that the number of emergency medical calls has dropped significantly since using CliniTouch Vie.

Personalized care

After implementing CliniTouchVie on both Rashi Mead Manor Care Home and New Wycliffe HomeDr. Rama created two sets of care plans for each individual resident, focusing on clinical observations and overall general health and well-being. Clinical observation plans are used for vulnerable residents or patients who are at risk of poor health and need to be reviewed daily or weekly. Vital signs such as body temperature, respiratory rate, pulse, blood pressure, and oxygen saturation are recorded.

“The team monitors important measurements such as temperature out of range and increased respiratory rate as triggers for deterioration,” Dr. Rama emphasizes. This allows Rushey Mead’s team to use this information to get a real-time picture of the patient’s health, faster if the resident gets sick with an early warning of deterioration. Triage is now possible.

In addition, general health and welfare plans ask about resident nutrition, fluid intake, mobility, mental health, memory, and overall cognition. Similarly, this plan was used to gain insights into the overall health of residents, both short-term and long-term, while ensuring that GP and care home staff were properly reviewing patients. I will. Ultimately, this helps both patients, caregivers, and clinicians manage their health, as all parties can be confident in their personal health. “We offer a new level of care that focuses on prevention at a personalized level,” emphasizes Dr. Rama.

Additional insights

Questionnaire templates also provide a wider range of healthcare assessments that were previously difficult to achieve. “I was able to ask questions that I don’t ask on a daily basis, such as questions about deterioration and mobility,” says Dr. Rama. “Therefore, the system is actually doing a lot of additional work for us by capturing this additional data, which also allows us to focus on preventive care collectively.”

Especially looking at the Quality and Outcomes Framework (QOF), the Rushey Mead Health Center was able to perform many dementia reviews and obtain blood pressure measurements. This was something we couldn’t get on a daily basis before the introduction of CliniTouchVie.

Extending this, Dr. Lama has also developed a new template for clinical systems that automate patient recalls. “In effect, we’ve created a protocol that adds patients to the recall list, which automatically generates calendar reminders for a specific time period, which can be two weeks or a month,” he says. .. “The one-click combination of clinical and health data, and recalls gives us insight into who needs to be reviewed and when, and we can do that in an easy and quick way,” said Dr. Rama. I am.

In the future, Dr. Rama will review all incoming calls from the two care homes, compare the results of each call compared to using CliniTouch Vie for the day, and complete an audit to apply further training. is. For care home staff as needed.He also Has the ambition to continue working with Spirit Digital to extend the use of solutions beyond care homes and improve the quality of patient care to care for patients who may be at home. I’m waiting.

He concludes: “CliniTouchVie has a much larger range of clinics and care facilities than the ones we are currently using, but of course it is still in its infancy. We have a QOF goal while improving the quality of patient care. We aim to continue using this tool as a more efficient way to achieve our goals. We are fully pro-digital remote monitoring to enhance our care delivery to those in need. We are very much looking forward to continuing to enjoy the progress and benefits of this solution. “

Remote monitoring solutions can improve patient triage in real time

Source link Remote monitoring solutions can improve patient triage in real time

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