evolutio secure electronic referrl management with community referral refinement.

1. Enhancing
Eyecare
Through
Referral
Management

2. What is evolutio?
We offer a system that provides an
ophthalmic referral gateway, driving
efficiency by centralising and
standardising all referrals. This ensures
the most effective use of secondary
and community care, and you will see
the benefits from day one.

3. We understand your goals
In line with the QIPP agenda, we want
to work with you to:
Bring care closer to home
Intervene earlier
Increase standardisation of data
Empower patients
Reduce unit costs
It’s about improving patient care by streamlining
the service, and saving money.

4. The outcome?
We can:
Reduce referrals
Enhance community care
Shorten waiting times
Support patients
Alleviate administrative burden
Release budget

5. Why us?
Secure, tested and proven to work
It’s a closed-loop system
Full audit trail that works with NHS standard data set
Disease-specific data
Financial security
Ongoing governance and maintenance
Business continuity
Communications (external and internal) pre-built
We use all our own staff and HR

6. “We have seen a significant impact on our
referrals.
“This new approach has provided a more
in-depth understanding of the arrangements of
our local services and a greater cohesiveness
between the roles of the optometrist and the
service aims of the PCT.”
Nerinda Evans, Head of Commissioning and Development at
NHS Suffolk

7. The way things are now
During the course of our research, we’ve
heard several common goals mentioned
by PCTs:
Improve lines of communication between PCTs,
secondary care and community care
Increase efficiency of flow of patients referred from a
general practitioner to a specialist / hospital
Ensure patients do not spend time in the system when
they could be treated appropriately in the community at a
faster rate

8. We believe in driving
efficient eyecare
through innovation

9. What we can do for you
• We have created a revolutionary new system
that is driven by the four pillars that are
important to you:
– Quality
– Innovation
– Productivity
– Prevention
We integrate NHS primary, secondary and tertiary
eyecare in order to enhance patient outcomes,
improve efficiency and release budget.

10. We are different and we can
prove it
We use dedicated local clinicians to
handle the referrals
We manage referrals in a way that is
specifically tailored to your local patient
pathways and clinical thresholds
We are able to offer support to all parties
involved in the eyecare referral process,
including direct patient support

11. Machine and man
Our system is underpinned with the latest
technology, but what really makes us unique
is the fact that we combine this with skill and
expertise that only human beings can deliver
All our clinicians are dedicated
professionals who will ensure our system
helps you and your patients save time
and money

12. Our system explained

14. Poor patient journey
HES

15. evolutio stage 1 care pathway
HES

16. erefer
A secure electronic or fax referral management
tool supported by a dedicated ecare team
Offers data validation, quality clinical content and
referral consistency
We double-check the information provided, fill in
any missing gaps such as NHS numbers
And then deliver the patient to their preferred and
appropriate care provider in the correct specialty
clinic.

17. erefer (cont.)
Provides unique transparency, allowing
the relevant clinicians to follow their
patient at any point in the referral system
Visibility of all clinical traffic and disease
prevalence trends
All patient referrals are turned around
within 72 hours

18. erefer client software
Provides unique
transparency, allowing the
referring clinician to learn
from the care outcomes and
unify the care providers

20. evolutio stage 1 care pathway
HES

21. ecare
Patients are supported by a dedicated call
centre and an online suite of information
We offer 100% of patients choice and information
on where they can be treated
We take care of all the internal and external
communication needs

23. eCare
Good care pathway

24. We have a comprehensive
database of hospital
clinics and community
providers that are available
to a patient within their
local area

25. Enhanced services
Enhanced Service Optometrists work
mainly in their community, having been
accredited by the local CCG
They deliver high-quality service in
specific clinical areas such as glaucoma
or paediatrics

26. evaluate
Our evaluate team have the capability to
review, evaluate and refer patients to the
community where appropriate
This dramatically reduces unnecessary
hospital referrals
Patients can be seen quicker, and
specialist knowledge is leveraged within
your local optometric community

28. ebill
We can also offer activity audit,
compliant with minimum data set
standards
We can alleviate your administrative
burden by:
– Cross-checking all patient data
– Confirming care costs per patient
– Managing the community billing audit
– Provide a single point billing service

29. Data tracking
We are able to track the volume and nature
of referrals, categorising each in terms of
condition, locality, urgency and age
We can use these data to forecast annual
budget and then offer subsequent control of
this, managing all local referral payments

30. The results so far

31. Tried and tested
The Suffolk pilot showed that our whole
system considerably impacts hospital
appointments, and hence substantially
reduces costs to the local CCG

32. Suffolk validated outcomes

33. Volume reduction
When clinicians know that their referrals
are being studied and double-checked by a
peer clinician, this results in more care
being taken when making referrals
This improvement in standards at primary
care level – combined with the enhanced
services being offered by a community
provider – contributes to the significant
reduction in hospital referrals

34. Reduced waiting times
The knock-on effect of referral reduction is
that patient waiting times are dramatically
reduced
In Suffolk, all patients sent to the community
were seen within 2 weeks

35. Glaucoma analysis
To show the impact our system has had on a
single disease area, results were investigated
in suspect glaucoma
Of the inbound referral activity, 38% were sent to
a community provider

36. Glaucoma (cont.)
Of those patients sent to a community
provider, 73% were safely discharged to
the original referrer

37. A cost neutral service

38. How much Did it Cost?
Evolutio charge £8.80 for each referral case
for all its services.
Population Served of 600k
This gave an IRR of 822%

39. A bespoke offering

40. Whatever you need
We know there is no ‘one size fits all’
approach
We are here to understand the
nuances of your trust
All aspects of our service offering can
be tailored to your specific local care
pathways and clinical thresholds

41. Working with your LOC
We know that some LOC’s may wish a
more active ownership of the local service.
Evolutio offer an franchise for
the LOC to own the local service,
supported by the evolutio infrastructure.

42. In summary

43. erefer
Reduces unnecessary referrals
Reduces administrative delays
Consolidates data, driving standardisation
Saves money
Explores trends
ecare
Supports patients
Provides patient choice and convenience
Delivers all the communication needs
evaluate
Amplifies the reduction in referrals
Increases cost saving
Maximises community expertise
ebill
Reduces PCT administration
Forecasts budget

44. Increased number of referrals seen
within local community
Reduction in outpatient appointments
Freeing-up of hospital resources
Significant budget release for CCG

45. If you only remember two things
about this presentation...
This system can help you rethink, refine and
upgrade patient management
By driving change in the current referral
system, we make eyecare as efficient as
possible, while also increasing the overall
standard of care

46. “Commissioners really can save money
and change pathways. We have done it in
Suffolk – why not give it a try?”
Nerinda Evans, Head of Commissioning and Development
at NHS Suffolk

47. We have proved we could
work with Suffolk and Essex
to get the most out of their
area – now what could we
do for you?
0203 142 7755
www.evolutio.uk.com