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Beyond the Hospital Stay: Targeting patient support via mobile technology to reduce risk, save time and improve care.

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Ken Saman
Ken Saman

Presented at the Health Informatics Conference 2016, Melbourne Australia. Adrian Saunders ADON, St Andrew’s Hospital James Kollias MBBS FRACS MD CCPU Ken Saman CEO, Personify Care

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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
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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)
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com Clinician View Patient View Monitoring of patient progress pre admission and post surgery Solution KSSolution
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com Solution
Confidentialpersonifycare.com
Confidentialpersonifycare.com
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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.
Confidentialpersonifycare.com • 95.8% patient response rate • Response to 483 / 504 interactions • Over 7 weeks • Included: • Information • Actions • Health Assessments KSPatients Responded
Confidentialpersonifycare.com 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?
Confidentialpersonifycare.com • 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
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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.
Confidentialpersonifycare.com 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
Confidentialpersonifycare.com 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.
Confidentialpersonifycare.com 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

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Beyond the Hospital Stay: Targeting patient support via mobile technology to reduce risk, save time and improve care.

  • 1. 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
  • 2. Confidentialpersonifycare.com 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
  • 3. Confidentialpersonifycare.com 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
  • 4. Confidentialpersonifycare.com 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
  • 5. Confidentialpersonifycare.com 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
  • 6. Confidentialpersonifycare.com 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)
  • 7. Confidentialpersonifycare.com 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
  • 8. Confidentialpersonifycare.com Clinician View Patient View Monitoring of patient progress pre admission and post surgery Solution KSSolution
  • 9. Confidentialpersonifycare.com 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
  • 13. Confidentialpersonifycare.com 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
  • 14. Confidentialpersonifycare.com 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.
  • 15. Confidentialpersonifycare.com • 95.8% patient response rate • Response to 483 / 504 interactions • Over 7 weeks • Included: • Information • Actions • Health Assessments KSPatients Responded
  • 16. Confidentialpersonifycare.com 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?
  • 17. Confidentialpersonifycare.com • 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
  • 18. Confidentialpersonifycare.com 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
  • 19. Confidentialpersonifycare.com 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
  • 20. Confidentialpersonifycare.com 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.
  • 21. Confidentialpersonifycare.com 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
  • 22. Confidentialpersonifycare.com 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.
  • 23. Confidentialpersonifycare.com 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