Location
York/Oxford, United Kingdom
About
Taking place at Nuffield Orthopaedic Centre, specialising in musculoskeletal and orthopaedic services, PRO-MAPP’s digital healthcare platform was studied for its impact in optimising Pre-Assessment Clinic Triage (PACT): identifying medically complex hip and knee joint replacement surgery patients to personalise the necessary next steps of their care pathways.
The Challenge
In the advent of Covid-19, preoperative assessment (POA) backlogs have seen more severe bottlenecks. These include a lack of personalised care considerations, clarification between high or low complexity cases, and multiple unnecessary appointments and tests before surgery. To minimise the risk of surgery postponement, there exists a necessity to swiftly identify patients most in need of treatment earlier on within care pathways, calling for a data-led solution to screen them before any surgery is deemed necessary.
The Solution
PRO-MAPP is designed to improve the communication between healthcare staff and waiting list patients using better data-led decision making. By correctly identifying complex orthopaedic cases earlier in the clinical pathway at the hospital, staff found it easier to schedule appropriate appointments (either by phone or face-to-face) before surgery, lowering the costs associated with the existing standard care pathways according to factors such as numbers of preoperative tests, lengths of stay, and types of POA appointment.
The Result
After triaging 734 patients with the PRO-MAPP platform, the joint replacement pathways proved to facilitate early POA, with an average cost saving of £152 per patient on metrics besides length of stay which, when included, reported a saving of £769 per patient. 75% were deemed suitable for a telephone assessment, reducing patient postponements and cancellations. With fewer backlogs, healthcare resources, theatres and staff are less burdened while those fit for surgery are fast-tracked from POA.
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