SERVICES
We use a range of communications media to deliver our services, including automated voice, SMS, email and smartphone app. We also operate services in other languages. Select a service below to find out more.
Monitor
Monitoring patients' well-being in the community.
Read about the NHS Evaluation by Thames Valley HIEC that decreased visits to hospital and to the patient's GP.
Adherence
Outcomes
Prescription
Alerts automatically sent to patients as either an SMS text or voice call.
Reminders
12-Dec-17

Outcomes of an Innovative Outpatient Monitor Service for Gynaecological Patients

The Case Study of the Royal Free Hospital by LSE Enterprises, London School of Economics and Political Science

Summary

The study evaluated the introduction of an innovative Outpatient Monitor Service (OMS) delivered to patients treated at the Royal Free Hospital. The OMS had positive impacts spanning clinical, safety and satisfaction areas and showed strong economic value when looking at the cost savings for the NHS in terms of reduced follow up consultations and DNAs.

Background

This project was initiated in collaboration between the London School of Economics and the Gynaecology Department of the Royal Free Hospital. When the project started, 70% of outpatient appointments were represented by follow-ups, compared with the Trust's target of 50%. Many of these follow-ups were post-operative or post treatment with the intention of monitoring the response to treatment. However, given that the majority of these patients do not experience post-treatment problems, there is a potential opportunity to substantially reduce this workload, provided an effective and responsive system is in place to identify the patients who do require further consultation.

The Outpatient Monitor Service (OMS) from Message Dynamics Ltd allows the discharging clinician to specify a bespoke remote follow-up schedule, depending on the individual clinical situation. The patient is asked a series of pre-determined questions via either a phone call or a smartphone survey. Based on the responses to these questions and the disease-specific protocol, the system identifies the category into which the patient falls. For most, there will be no need for face-to-face clinician contact and a further routine call will be scheduled accordingly. Where problems are identified, the patient can be fast-tracked into an outpatient follow-up appointment or directed to their GP, according to the nature of the problem.

The intention is to reduce the unnecessary attendance at outpatients, while simultaneously increasing the availability of appointments for new patients and necessary follow-ups. Whilst this has obvious merits from the perspective of patients' experience, it also offers potential financial advantages to the Royal Free Hospital Trust.

Project Objectives

This study explored the impact of the OMS on clinical and economic outcomes compared with standard care (i.e. historical patients who did not have access to the OMS). The objectives of the projects were:

- To identify if the OMS reduces the number of follow-up appointments and if so, by how much. In addition, the evaluation assessed the impact of the OMS on DNA rates.

- To identify if the OMS reduces the costs for follow-up visits and missed appointments.

Clinical and economic outcomes data were triangulated with patient perception and satisfaction data to collaborate trends in results and assess whether reduced numbers of (i) follow-up appointments (ii) DNA rates and (iii) costs were accompanied by patient perception of, and satisfaction with, the OMS.

Method

This is a historical cohort study comparing two separate groups. One group of patients received the OMS, whilst the other was a matched control group from historical patients, seen 12 months prior to the operation of OMS (historical cohort, receiving usual care).

For the economic data (cost of follow up visits and DNAs) each entry was assigned a unit cost based on the NHS tariff. A total cost for each patient was calculated as the sum of costs across all entries during the period.

The unit cost of delivering OMS was £5 per patient. A series of sensitivity analyses were performed to test the robustness of the economic benefits by adding a range of additional costs between £0 (no added costs) to £10.

Findings

1. Follow up visits.

- OMS reduced the number of follow-up appointments by 40% compared with the Historical cohort. The cost of follow-ups were reduced by a net 38% per patient.

2. DNAs

- OMS reduced the number of DNA patients by 80%. The cost of DNAs was reduced by a net 52% per patient.

The economic savings were confirmed regardless of the intervention cost of OMS delivery considered (£0 to £10).

Patient perception and satisfaction surveys confirmed that individuals receiving the OMS not only reported positive clinical, economic and safety (service improvement) outcomes but also were satisfied with the service received.

View the Case Study Final Report here.
12-Dec-17
Outcomes of an Innovative Outpatient Monitor Service for Gynaecological Patients
The study evaluated the introduction of an innovative Outpatient Monitor Service (OMS) delivered to patients treated...
11-Nov-16
Message Dynamics is working with The Ipswich Hospital NHS Trust
Patients receiving care from the oral team at Ipswich Hospital will be saved unnecessary return trips into......
18-Apr-16
Wessex AHSN with Isle of Wight CCG, Isle of Wight NHS Trust and Message Dynamics shortlisted for HSJ Value in Healthcare Award.
'Owning My Asthma' - an enhanced self-management programme for 14-19 year olds has been shortlisted in.....
08-Feb-16
Message Dynamics Wins New NHS Contract
Message Dynamics, a leading provider of low cost telehealth solutions, has been awarded a second contract to further develop its Monitor service for use by outpatient departments...
03-Feb-16
£4.4 MILLION AWARDED IN LATEST SBRI HEALTHCARE COMPETITION
SBRI Healthcare, an NHS England funded initiative to develop innovative products that address unmet health needs, today announced the companies that will share £4.4 million.....
11-May-15
Small Businesses receive £1.25 million SBRI healthcare funding.
SBRI Healthcare, an NHS England funded initiative to develop innovative products that address unmet health needs, today announced the companies awarded phase 1 .....
21-Oct-14
Patients would recommend Monitor service to fellow patients.
In a telephone survey conducted during October 2014 by the West Berkshire Community Respiratory Team (BHFT), based in Reading, all the patients surveyed found the .....
12-Aug-14
Patients say Monitor service makes them feel '..safe' or '..very safe'.
In a patient satisfaction survey carried out by the Cardiac Specialist nursing team at Basingstoke & North Hampshire Hospital (HHFT), 100% of patients said the .....
06-Jan-14
Knowledge Team Bulletin Extract
Regular readers of this Bulletin will be familiar with the work done by local company and HIEC partner, Message Dynamics, to support patients with COPD through interactive voice response technology. W.....
30-Sep-13
PM Society Digital Media Awards
The winners of the fifth PM Society Digital Media Awards were announced in London on September 26. Hosted by comedian Dara O Briain, the Digital Media Awards remain the only dedicated recognition for .....
Monitor
Monitoring patients' well-being in the community.
Adherence
Improving adherence by focusing on the needs of patients at risk of non-adherence.
Outcomes
Follow-up check and measurement of patients' treatment outcomes.
Prescription
Alerts automatically sent to patients as either an SMS text or voice call.
Reminders
Helps patients remember an upcoming clinical appointment or medicines delivery.