AmbuFlex – experiences of PRO based decisions in clinical practice Liv MV Schougaard, RN, MHSc Louise P Larsen, RN, MHSc Anne Jessen, RN, MHSc Niels H Hjøllund, MD, PhD WestChronic, Regional Hospital West Jutland, Herning, Denmark ISOQOL October 2014 Background WestChronic – AmbuFlex PRO in clinical practice • 11 patient groups • 17 departments • 9 hospitals Background AmbuFlex – flexible outpatient visits telePRO PRO PRO PRO AmbuFlex Patient Clinic Referral 3 mo 6 mo 9 mo Background AmbuFlex aims Quality of care • Flagging important symptoms • Better documentation Patient involvement • Patient education • Focus on patient needs Resource utilization • More efficient consultations • Reduce unnecessary consultations Methods Questionnaire and referral Data • Epilepsy patients at 3 outpatient clinics Feb 2012 to Oct 2014 Referral • Decided by the clinicians • Individual questionnaire interval Questionnaire • Clinical relevant aspects • Mixed mode survey Methods AmbuFlex algorithm Green: Don’t need to be seen in the outpatient clinic Yellow: May need to be seen in the outpatient clinic Red: Need or wish to have an appointment in the outpatient clinic Methods Which form of consultation do you feel would be most appropriate for you at this point in time? I I will contact the clinic if I need a consultation I I would like the clinic to contact me by telephone I I would like to book an appointment in the clinic I I don’t know In general, would you say your health is: I Excellent I Very good I Good I Fair I Poor Methods Results Patient referral N=3495 Status Oct 2014 AmbuFlex epilepsy Questionnaires posted N=5594 *Estimated at 1th questionnaire Response rate 92%* N=4980 Green response N=587 (12%) Automatic decision making Yellow response N=3018 (60%) Clinical decision making No contact 36% No further contact 48% Red response N=1375 (28%) Contacted Contacted 24% Contact 52% Conclusion/perspective What makes AmbuFlex a success? Patient group • Outpatients with many contacts • PRO essential • Patient involvement Organisation • Close cooperation with clinicians • Department management support Web-system • Generic and flexible Thank you for your attention! Contact • • • • Liv Marit Valen Schougaard WestChronic, Regional Hospital West Jutland, DK Web: westchronic.com E-mail: livschou@rm.dk