Respiratory Remote Screening Application – Why the need?

  • In response to the Covid-19 pandemic, primary care required a system to identify, triage and provide treatment for high risk respiratory patients
  • Patients would usually attend an annual respiratory face to face appointment with their Health Care Practitioner
  • Those affected by respiratory issues such as asthma and COPD required an alternative to face to face appointments.

Our Solution – Asthma Pathway

A digitally enabled asthma pathway which enables patients to complete a screening tool questionnaire via email or SMS, depending on their personal preference, in a place and time to suit them.

The Health Call Respiratory Remote Screening Application allows general practices to register patients from within their clinical system onto the asthma pathway which will initiate a screening tool questionnaire for their annual asthma review.

Patients can choose to received this web-based questionnaire via email or SMS and this is linked to the GP’s clinical system, providing better connectivity for both clinicians and patients.

In the current climate, initial COVID-19 symptom checkers are required to be answered first. Should any of the symptoms suggest a COVID-19 diagnosis, the patient is automatically directed to the 111 online Covid-19 referral service. The asthma pathway will then move on to the validated asthma control test, selected based on the age of the person, after first requesting answers based on the previous 12 months of treatment requiring oral steroids or hospital admission.

Finally, the questionnaire asks for the current smoking status which can then be recorded within the clinical system.

At the end of the screening, the patient receives a response message based on their question scores and previous 12 months stability, either requesting them to make a further follow up appointment with their Health Care Practitioner or to continue with their current treatment plan, as their asthma appears to be stable.

The results of the questionnaire are snomed coded (Systematized Nomenclature of Medicine – the clinical standard), allowing integration back into the patient’s record on the clinical system for the clinician to review.

Our Solution – COPD Pathway

A digitally enabled COPD pathway which enables patients to complete a screening tool questionnaire via email or SMS, depending on their personal preference, in a place and time to suit them.

The Health Call Respiratory Remote Screening Application allows general practices to register patients from within their clinical system onto the COPD pathway which will initiate a screening tool questionnaire for their annual COPD review.

Patients can choose to received this web-based questionnaire via email or SMS and this is linked to the GP’s clinical system, providing better connectivity for both clinicians and patients.

In the current climate, initial COVID-19 symptom checkers are required to be answered first. Should any of the symptoms suggest a COVID-19 diagnosis, the patient is automatically directed to the 111 online Covid-19 referral service.

The COPD pathway will then move on to the validated COPD Assessment Test (CAT), after first requesting answers based on the previous 12 months of treatment requiring oral steroids, oxygen usage and hospital admission.

Finally, the questionnaire asks for the current smoking status and the Medical Research Council Dyspnoea scale which can then be recorded within the clinical system and used for QOF.

At the end of the screening, the patient receives a response message based on the screening question scores and previous 12 months stability, either requesting them to make a further follow up appointment with their Health Care Practitioner or to continue with their current treatment plan, as their COPD appears to be stable.

The results of the questionnaire are snomed coded, allowing integration back into the patient’s record on the clinical system for the clinician to review.

The Benefits of Remote Screening – Asthma

    • Time saving – Remote screening saves clinical time and resource while still monitoring all patients receiving treatment for asthma
  • Better targeting – Patients who do not respond to clinic attendance invitations may respond better to remote screening. The ability to triage remotely with video or telephone consultation allows more patients to be monitored for stability
  • Improved quality of care – Time saving and better response rates by utilising a validated screening methodology can increase the quality of clinical care
  • Integration into clinical system – Clinicians can review deterioration or improvement from their previous appointment anytime, anywhere
  • QOF compliant – Complies and is coded and integrated into the clinical system for QOF
  • Improved patient experience – Remote screening provides the patient with more flexibility to respond to the screening tool at a time that is suitable for them, from any location, without having to organise leave/childcare.

The Benefits of Remote Screening – COPD

    • Time saving – Remote screening saves clinical time and resource while still monitoring all patients receiving treatment for COPD
  • Better targeting – Patients who do not respond to clinic attendance invitations may respond better to remote screening. The ability to triage remotely with video or telephone consultation allows more patients to be monitored for stability
  • Improved quality of care – Time saving and better response rates by utilising a validated screening methodology can increase the quality of clinical care
  • Integration into clinical system – Clinicians can review deterioration or improvement from their previous appointment anytime, anywhere
  • QOF compliant – Complies and is coded and integrated into the clinical system for QOF
  • Improved patient experience – Remote screening provides the patient with more flexibility to respond to the screening tool at a time that is suitable for them, from any location, without having to organise leave/childcare.
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