Patient support improves care

Confidentialpersonifycare.com
Beyond the Hospital Stay
Targeting patient support via mobile technology
to reduce risk, save time and improve care.
Adrian Saunders ADON, St Andrew’s Hospital
James Kollias MBBS FRACS MD CCPU
Ken Saman CEO, Personify Care

Patients Support before and after surgery
Clinicians Save time to focus on patients
Organisation Reduce risk and manage costs
Personify Care
Improves
outcomesMinimises
paperwork
Targets at risk
patients
Reduces per-
patient costs

St Andrew’s Hospital
• South Australia’s largest stand alone, not for profit hospital
• 213 bed private surgical hospital
• 28000 separations
• 650 staff
• Pre-admission Clinic
• Screen surgical patients
• Breast Care Centre
• Specialist breast care nurses

Current State
Preadmission Clinic
- Paper forms received by post
- Manual review of risks
- Schedule phone / face to face
Breast Care Nurses
- On ward caring for patients
- Receive calls from patients post discharge
- 1 follow up call to patients

Objectives
Objectives:
• detect patient risks earlier
• extend monitoring of patient recovery
Without:
• Increasing nurse workload
• Getting in the way of the patient relationship
Solution has to be:
• Accessible to everyone incuding nursing staff & VMOs

Why evaluate Personify Care?
Pre-admission:
• Patients recall 25-30% of information1
• Unnecessary calls or patient is unprepared
• Paperwork received on the day
How do we avoid surprises on day of surgery?
Post-discharge:
• Patients are called post discharge.
• Patients needs to know if / when to escalate issues
• Some patients call too early and some too late.
How do we detect risks before they escalate?
(1 Godwin Y. Do they listen? A review of information retained by patients following consent for reduction mammoplasty. Br J Plast Surg 2000;53: 121-5)

The focus is moving to outcomes post discharge
• 550 discharges a week
• The key is:
• based on our existing clinical protocols
• which patients are at risk today?
• notify the right person within the clinical team
• before a complication escalates
ASFocus on outcomes

Clinician View Patient View
Monitoring of patient progress pre admission and post surgery
Solution KSSolution

Solution
Surgery
Booking
Day of
Surgery
30 days+
after surgery
KS
Before surgery
• Deliver information when it’s needed
• Patients feel better prepared
• Avoid surprises / cancelations
After surgery
• Early intervention
• Patients feel better supported
• Avoid complications / readmissions
Solution

Solution

October 2015 – February 2016
Breast Cancer Surgery
Pre admission and Post discharge
• Breast Cancer Patients
• Median age: 57 (31 – 81)
• Over 7 weeks
• Pre-admission: 2 weeks
• Post- discharge: 6 weeks
• Interactions per patient: 17

Implementation
• No workflow changes
• No upfront implementation / installation
• Delivered to patients within 2-4 weeks.
• Nursing staff using it after 15-minutes induction
• No special hardware needed for hospital or patient.

• 95.8% patient response rate
• Response to 483 / 504 interactions
• Over 7 weeks
• Included:
• Information
• Actions
• Health Assessments
KSPatients Responded

95%
Very satisfied or satisfied
86%
Felt supported after they left hospital
as a result of having access to Personify Care
KSPatient Satisfaction
Overall, how satisfied were you with the Personify Care service?

• No increase in time spent
• Reduced manual effort in follow up
• Increased feedback from patients
• Detect patient risks as they occur
• Time spent dealing with patient risks early
No extra time spent
Response rate for
7 weeks
Patient
Response
96%
Interactions from
2 to 17
Monitoring
Rate
8x
Results: Jan 2016
Targetted Support

Pre-surgery: number of patients at risks:
• Blood thinners
• Diabetes
• Gastric band
Post-discharge: number of patients at risk:
• Wound
• Nausea
• Need to speak to nurse
• Mobility issue
• Drain issue
• Pain Score > 4
Hospital: Enhance Risk ManagementDetected Risks
Wound Risk Breakdown
Wound discharge
Swollen to touch
Redness
Raised Temperature

Detected risks that lead to early intervention
(based on clinical team evaluation)
In 1 in 5 cases, the clinical team were able to detect and intervene to
patient risks early
Hospital: Enhance Risk ManagementEarly Intervention

Patient risks detectedNurse Evaluation
Annie Filsell
Pre-Admission Clinic Coordinator
Before using Personify Care, we would often
get calls from patients saying “I’ve filled out
my form. did you get it?”
I would love to use it for all our discharge
calls
Jill Borthwick
Clinical Nurse - Breast Services
Quite often we don’t get called until there is
something really serious like a hot wound …. On
this system, it seemed much quicker to get a
response back.
I think we are reducing the overall risk of patient
complications.

Maria & Cheryne
Practice Staff - Dr Kollias Rooms
We would definitely recommend it to other
surgical practices.
Calls for general information have declined by
around 50%
Dr James Kollias
MBBS FRACS MD CCPU
Breast & Endocrine Surgeon
Since introducing the Personify Care service, our
practice has seen the terrific impact it has had on
patients preparing for surgery and dealing with their
recovery process.
By offering patients timely information and support,
the platform has improved the quality of our
practice and significantly reduced the number of
unnecessary calls we receive.
VMO Benefit

Where to from here? KS
Summary
Patients Better experience before and after surgery
Clinicians Save time to focus on patients
Hospital Visibility. Early Intervention. Reduced Risk.

KS & AS
Questions
Beyond the Hospital Stay
Targeting patient support via mobile technology
to reduce risk, save time and improve care.
Adrian Saunders ADON, St Andrew’s Hospital
James Kollias MBBS FRACS MD CCPU
Ken Saman CEO, Personify Care

Patient support improves care

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