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.
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).
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
- 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
- Supporting remote healthcare
- Monitoring vital signs
- Virtually connecting with a healthcare practitioner
To monitor vital signs and conditions at home.
The digital solution helped reduce follow-up time from 3 months to 8 weeks.
Find out more
Dr Debashish Das, consultant cardiologist, Barts Heart Centre, CEO & director, Ortus-iHealth.com
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