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@drdoctorapp
2005
Mobile has changed
the world
2013
10% of the worlds GDP is
spent on healthcare.
30% of that is waste.
@WeAreDrDoctor
drdoctor.co.uk
3
Right patient, right place, right time
1. DNA rates down by 25-30%
2. Clinic utilisation up by 5-10%
3. Booking administration time down by 20-30%
4. Postage expenditure down by 40-50%
5. Measure and deliver better outcomes
6. Put your patients first
7 million outpatient appointments a year at 11 Trusts
Financial benefits: £2.2m average a year per Trust
On the Information and Technology Payment (ITP) for 2018/19
Our 4 step process to success…
30
%
6%
7%
8%
9%
10%
11%
12%
13%
14%
-20 -18 -16 -14 -12 -10 -8 -6 -4 -2 0 2 4 6 8 10 12 14 16 18 20
DNA%
Weeks after switch on/switch over
Before After
1: Solve communication problems, and
onboard patients to digital services, using
SMS and email
• Transactional appointment information by
SMS and email, focused on the pertinent
information at that point in the pathway
• 30% fewer DNAs
• 20% fewer phone calls
• 96% patient satisfaction rating
• Prepare patients for the shift to digital
2: Offer online information, wayfinding, letters
• Paperless appointments worth £800k-
1.5m p.a.
• Clarity reduces on the day cancellations
• Collect all pre clinic admin ahead of time
(e.g. maternity booking form – consultation
length can be halved)
• Improves consultation quality
27%
Of patients opt to go
paperless
3: Add workflows and automation
• Patient led online booking and
rescheduling reduces churn and rework by
20%
• Improves clinical flexibility
• Automatically keeping clinics full adds
~6% to throughput
• Example to the right: 2440 extra patients
seen in 9 months
y = 62.563x - 36.746
y = 95.375x - 819.93
-2000
-1000
0
1000
2000
3000
4000
5000
6000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
Before DrDoctor Post DrDoctor Linear (Before DrDoctor) Linear (Post DrDoctor)
4: Finally move to value based encounters
• Collect outcome measures from patients,
who are now digitally comfortable
• Using these against validated pathways
(i.e. ICHOM) to massively reduce follow-
up load
• A 30% reduction in FU in chronic diseases
The best software
implementation I’ve been
involved with in 30 years
Cynthia Henderson,
Head of Health Records
@WeAreDrDoctor
Not one clinic has gone by
without half the people
saying how useful they found
this Consultant Endocrinologist
@WeAreDrDoctor
Finally the NHS using tech to
improve user experience
Becky, Patient
@WeAreDrDoctor

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DrDoctor - ECO 17: Transforming care through digital health

  • 2. 10% of the worlds GDP is spent on healthcare. 30% of that is waste. @WeAreDrDoctor
  • 3. drdoctor.co.uk 3 Right patient, right place, right time 1. DNA rates down by 25-30% 2. Clinic utilisation up by 5-10% 3. Booking administration time down by 20-30% 4. Postage expenditure down by 40-50% 5. Measure and deliver better outcomes 6. Put your patients first 7 million outpatient appointments a year at 11 Trusts Financial benefits: £2.2m average a year per Trust On the Information and Technology Payment (ITP) for 2018/19
  • 4. Our 4 step process to success…
  • 5. 30 % 6% 7% 8% 9% 10% 11% 12% 13% 14% -20 -18 -16 -14 -12 -10 -8 -6 -4 -2 0 2 4 6 8 10 12 14 16 18 20 DNA% Weeks after switch on/switch over Before After 1: Solve communication problems, and onboard patients to digital services, using SMS and email • Transactional appointment information by SMS and email, focused on the pertinent information at that point in the pathway • 30% fewer DNAs • 20% fewer phone calls • 96% patient satisfaction rating • Prepare patients for the shift to digital
  • 6. 2: Offer online information, wayfinding, letters • Paperless appointments worth £800k- 1.5m p.a. • Clarity reduces on the day cancellations • Collect all pre clinic admin ahead of time (e.g. maternity booking form – consultation length can be halved) • Improves consultation quality 27% Of patients opt to go paperless
  • 7. 3: Add workflows and automation • Patient led online booking and rescheduling reduces churn and rework by 20% • Improves clinical flexibility • Automatically keeping clinics full adds ~6% to throughput • Example to the right: 2440 extra patients seen in 9 months y = 62.563x - 36.746 y = 95.375x - 819.93 -2000 -1000 0 1000 2000 3000 4000 5000 6000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Before DrDoctor Post DrDoctor Linear (Before DrDoctor) Linear (Post DrDoctor)
  • 8. 4: Finally move to value based encounters • Collect outcome measures from patients, who are now digitally comfortable • Using these against validated pathways (i.e. ICHOM) to massively reduce follow- up load • A 30% reduction in FU in chronic diseases
  • 9. The best software implementation I’ve been involved with in 30 years Cynthia Henderson, Head of Health Records @WeAreDrDoctor
  • 10. Not one clinic has gone by without half the people saying how useful they found this Consultant Endocrinologist @WeAreDrDoctor
  • 11. Finally the NHS using tech to improve user experience Becky, Patient @WeAreDrDoctor

Editor's Notes

  1. Alternatives: We live in a ditial economy Mobile is making tech universal Technolog
  2. DrDoctor Results