The challenge

The Health Call Respiratory Remote Screening Application was developed for primary care in response to the COVID-19 pandemic. GP practices need a way of quickly identifying, triaging and providing treatment for high-risk respiratory patients.

Patients with asthma or chronic obstructive pulmonary disorder (COPD) usually attend an annual screening appointment at their GP practice. This health check is an opportunity to see how the patient is managing their condition. If patients don’t take part in their annual screening, they may deteriorate and present at healthcare services later.

By remotely screening patients, GP practices can maintain social distancing, and still carry out the vital annual assessment.

Resources

Leaflet – Respiratory Remote Screening

Our Solution – Asthma Pathway

flow chart of asthma and copd workflow

Our digitally-enabled asthma pathway means that patients complete their annual screening using a web-based questionnaire. They are sent the link to the questionnaire by email or text message.

As the solution is remote, they don’t need to attend an appointment to complete the form. Patients can complete the questionnaire at a time that’s convenient to them.

GP practices register patients onto the asthma pathway from their clinical system.  This generates the questionnaire for the patient to complete their annual asthma review.

First, the patient answers specific COVID-19 symptom questions. Patients are directed to the 111 online COVID-19 referral service if any of their symptoms suggest they may have COVID.

The questionnaire asks about the previous 12 months of treatment and details of any hospital admissions. The patient completes an asthma control test.

Finally, the questionnaire asks for the current smoking status which is then recorded in the clinical system.

At the end of the screening, the patient receives a response based on their scores and their stability over the previous 12-months. Depending on their answers, they will be asked to make a follow up appointment, or continue with their current plan.

The results are SNOMED coded and integrated back into the patient’s record.

Our Solution – COPD Pathway

flow chart of asthma and copd workflow

Our digitally-enabled asthma pathway means that patients complete their annual screening using a web-based questionnaire. They are sent the link to the questionnaire by email or text message.

As the solution is remote, they don’t need to attend an appointment to complete the form. Patients can complete the questionnaire at a time that’s convenient to them.

GP practices register patients onto the COPD pathway from their clinical system.  This generates the questionnaire for the patient to complete their annual COPD review.

First, the patient answers specific COVID-19 symptom questions. Patients are directed to the 111 online COVID-19 referral service if any of their symptoms suggest they may have COVID.

The questionnaire takes them through the COPD Assessment Test (CAT). The patient is asked about the previous 12 months of treatment, oxygen usage and details of any hospital admissions.

Finally, they are asked about their current smoking status in addition to their response on the Medical Research Council Dyspnoea scale. The answers recorded in the clinical system and can be used for Quality and Outcomes Framework (QOF).

At the end of the screening, the patient receives a response based on their scores and previous 12 months stability. Depending on their answers, they will be asked to make a follow up appointment, or continue with their current plan.

The results are SNOMED coded and integrated back into the patient’s record.

The Benefits of Remote Screening – Asthma

  • Remote screening saves clinical time and resource but still means asthma patients can be closely monitored.
  • Patients who don’t respond to clinic invitations may respond better to remote screening.
  • Can save time and may lead to better response rates which increases the quality of clinical care.
  • Data recorded by the patient is integrated into the clinical system.
  • Clinicians can review deterioration or improvement against previous years results.
  • Results are coded and integrated into the clinical system for QOF.
  • Remote screening can be completed at any time therefore providing the patient with more flexibility to respond at a time that suits them.

The Benefits of Remote Screening – COPD

  • Remote screening saves clinical time and resource but still means COPD patients can be closely monitored.
  • Patients who don’t respond to clinic invitations may respond better to remote screening.
  • Can save time and may lead to better response rates which increases the quality of clinical care.
  • Data recorded by the patient is integrated into the clinical system.
  • Clinicians can review deterioration or improvement against previous years results.
  • Results are coded and integrated into the clinical system for QOF.
  • Remote screening can be completed at any time therefore providing the patient with more flexibility to respond at a time that suits them.

Resources

Leaflet – Respiratory Remote Screening

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