Presentation for Yorkshire & Humber Digital Health & Wellbeing Ecosystem 8th Meeting

OVERVIEW

SmartER is a solution which engages the waiting patient.

The solution asks the patient to start the process of consultation by answering questions that will capture their reason for attending the Emergency Department (ED).

Majority of walk-in patients are suitable (including illness and injuries).

A simple 1, 2, 3 step solution.

STEP NUMBER 1

Registration at the front reception.

Exclusion criteria is used to determine if the patient is suitable for the SmartER process.

If suitable patient registration sheet is printed from the SmartERMonitor programme on the desktop.

STEP NUMBER 2

If the patient needs observations or investigations (which is indicated on their patient registration sheet) they are instructed to wait.

After observations/ investigations then the patient can then go to Step Number 3 of the SmartER process.

If the patient does not need observations or investigations in Step Number 2 then they are instructed to proceed directly to Step Number 3.

STEP NUMBER 3

Patient completes information about their attendance and aspects of their health using the kiosk.

This takes 15 minutes at the most.

Floor support will help co-ordinate the patients waiting for SmartER.

SMARTER DEMO VIDEO – PART 1

SMARTER DEMO VIDEO – PART 2

THE TRANSFER OF PATIENT DATA INTO THE HOSPITAL

SmartER was integrated into the existing electronic patient record – Symphony (EMIS Healthcare). Then is followed by file sharing into SmartER, alerting it to the presence of the patient.

Patients are not called until they have completed SmartER please see below;

The information is accessible via the SmartER Viewer tab.

This information is used to inform the clinician during the consultation, the dialogue checking and validating the contents with the patient.

SMARTER VIEWER IN THE EXISTING ELECTRONIC PATIENT RECORD

THE PATIENTS SUBMISSION PDF FILE

PROOF OF CONCEPT

To investigate the feasibility, acceptability and productivity of introducing patient history collection software (SmartER), into a Minor Injuries Unit (MIU) waiting room.

Study participants – 200 walk in minor injury patients aged 16-83

Feasibility – Interfaced SmartER into an existing Electronic Patient Record (Symphony from EMIS)

Acceptability – Tested using a 4 point Likert scale for patients and clinicians.

Productivity - Time spent by the clinician, typing history for patients.

ACCEPTABILITY - IMPROVED PATIENT SATISFACTION

Government Emergency Department Key Performance Indicator is patient satisfaction.

Before and after 4 point Likert scale was answered by patients and clinicians.

98% of patients felt that the clinician they saw, read and understood the information they had completed and were happy with the way SmartER facilitated their consultation.

99% of clinicians agreed or strongly agreed that the information on SmartER was easy to find, read, comprehensive and helpful in seeing and assessing patients.

THE

INCREASED EMERGENCY DEPARTMENT PRODUCTIVITY

Government Emergency Department Key Performance Indicator is the % of patients whose total time in ED is less than four hours.

Time spent by the clinician, typing history for patients who took part in SmartER was significantly less than for control patients (56% reduction)

Time taken to take the history in face to face consultation in patients who took part in SmartER was significantly less than control patients (42% reduction)

REDUCTION IN PAPER WORK AND THE ADMINISTRATIVE BURDEN

The number of patients seen by a clinician is often limited by how quickly documentation can be done.

Patient SmartER information electronically goes with them throughout the whole hospital – and even beyond.

Written more accurately and consistently – Gold standard with reduced human variations.

Support the defence of litigation - Unedited record.

PILOT AT DONCASTER BASSETLAW TEACHING HOSPITAL

The data generated from this software will be direct first-hand data from the patient.

The data generated has three points of validation.

Can tailor and adapt what data is collected. Questions asked / possible responses.

Child friendly version

Different languages

PATIENT CENTRIC CARE AND PROCESS

SMARTER FUTURE

Data collected about general healthcare needs as well as behaviours.

Can feed into public health structures, CCG monitoring, CQUIN achievement, primary prevention including feeding information into accident prevention services etc.

We already screen for alcohol use.

Local, regional and national data analysis to mould current and future services more accurately.

SMARTER FUTURE

Out reach care - electronic portal, through a cloud based health space to the patient.

Information can be passed to the patient using this same platform as read only material, videos, as well as interactive presentations.

Education material to be presented to this age group to enable learning about the human body, injury and illness and health.

82% of patients are willing to leave their email address allowing for a communication portal.

THANK YOU

ANY QUESTIONS?

“We are SmartER”