Virtual outpatient clinic for remote follow-ups post-acute myocardial infarction

The Barts Heart Centre is the largest cardiac centre in the UK, with 3,500 outpatient appointments and diagnostics weekly. Timely follow-up of patients post-acute myocardial infarction enables identification of symptomatic recurrences or late complications in patients.

Situation

St Barts Hospital in London was experiencing some delays in follow-up and low rates of uptitration of medication following a heart attack (myocardial infarction or MI).

Aspiration

Digitise the pathway to reduce the proportion of cancelled appointments, remotely monitor patients and reduce follow-up time.

Solution and impact

Barts deployed Ortus-ihealth, which helps patients and their clinicians to connect through virtual appointments using a computer or mobile phone, rather than face-to-face.

It aims to make it easier for patients to take control of their health, while reducing NHS costs and the number of appointments that go unattended.

Ortus optimises the follow-up pathway by offering:

  • remote video follow-up to reduce cancellations of appointments for patients
  • remote monitoring which allows clinicians to access biometric data and patient subjective data (PROMs) and intervene if needed by communicating directly with patients through video or messaging service
  • the ability to keep track of a ward of patients safely using the app, making it easy to manage large patient lists
  • patients immediate access to medical documentation and clinic notes so they can act on treatment advice

Barts noted the following results after the introduction of Ortus:

  • Prior to Ortus only 11% of patients were at appropriate medication levels; after Ortus 88% are at the recommended dose
  • 87% of patients were very satisfied with the app
  • Follow-up times reduced from 3 months to 8 weeks
  • Continuous monitoring reduced appointment times from 20 minutes to 6 minutes
  • Use of the portal increased attendance rates to 88%
  • 12 outpatient pathways across six departments are being digitised at Barts Hospital: cardiology, cardiothoracics, endocrinology, oncology, respiratory and general surgery

Functionality

  • Helps patients and their clinicians to connect through virtual appointments by computer or mobile phone, rather than face-to-face
  • Aims to make it easier for patients to take control of their health while reducing NHS costs and the number of appointments that go unattended
  • Clinician portal allows management of high volumes of patients safely as a ‘virtual ward’
  • Captures biometric data including blood pressure, heart rate and PROMs

Capabilities

  • Supporting remote healthcare
  • Monitoring vital signs
  • Virtually connecting with a healthcare practitioner

Scope

To monitor vital signs and conditions at home.

Key figures/quotes

The digital solution helped reduce follow-up time from 3 months to 8 weeks.

Find out more

Watch this video for more on the Ortus iHealth virtual clinic pathway

Learn more about Jane’s experience with Ortus by watching this video

Oxford Academic website has more on the Ortus system in this article

Key contact

Dr Debashish Das, consultant cardiologist, Barts Heart Centre, CEO & director, Ortus-iHealth.com

dd@ortus-ihealth.com