PatientFlo – Help patients get out of hospital quicker, and keep them out of hospital

在NHS的任何一天，医院都有大量准备出院的病人，但没有办法自己回家。因此，医院开始与当地慈善机构签订合同，将这些患者从医院带回家，但这项服务的安排和管理非常手动。我们的项目将创建一个数字解决方案PatientFlo，不仅将“从医院回家”服务自动化和数字化，还确保患者与慈善机构之间的定期登记，以减少再次入院的人数。除了解决患者出院后的身心健康问题外，该项目还将帮助为等待治疗的患者腾出床位，从而减少长时间的救护车交接延迟。PatientFlo将是用户友好的，直观的，安全的，可供多人使用。帮助病人出院的过程将由医院的NHS病房经理发起，使用PatientFlo通知他们当地的慈善机构那些准备出院但无法自己回家的病人。在PatientFlo上收到这些通知的慈善机构管理员将管理和安排慈善福利工作人员将患者从医院运送到家中。如果患者独自生活，则在出院后的六周内，他们将继续接受健康工作者的访视。PatientFlo将帮助安排随访，并允许健康工作者将该解决方案用作患者的数字日记。这些访视对于确保患者处于可以良好恢复的环境中非常重要，例如他们有食物和暖气，这减少了再次入院的机会。这些访问还将减少独自生活的患者的焦虑，减少孤独感，改善他们的心理健康。PatientFlo是创新的，因为它解决了一个紧迫的健康问题。它针对现有的手动、纸质和依赖电话通信的流程，将流程数字化，使其更高效和可扩展。它与目前的综合护理委员会保持一致，在这些委员会中，基于地方的伙伴关系将在改善人口的健康和福祉方面发挥重要作用。PatientFlo将与巴斯的Age UK合作开发，Age UK将成为我们的第一个客户。PatientFlo将被设计为与NHS系统互操作，并符合NHS数字标准，如DCB 0129和DBC 0160\。

On any given day in the NHS, hospitals have a large number of patients who are ready for discharge, but have no way of getting home by themselves. Consequently, hospitals have started contracting with local charities to take these patients home from hospital, however the scheduling and managing of this service is very manual.Our project will create a digital solution, PatientFlo, that not only automates and digitises the 'Home from Hospital' service, but also ensures a regular check-in between the patient and the charity to reduce the number of readmissions into hospital. In addition to addressing the patient's mental and physical wellbeing after discharge, this project will help free up beds for patients waiting for treatment, and consequently reduce long ambulance handover delays.PatientFlo will be user-friendly, intuitive, secure and be used by multiple personae. The process to help patients get discharged will be initiated by a NHS ward manager in hospital using PatientFlo to notify their local charity of patients who are ready for discharge, but have no way of getting home by themselves. The charity administrator who receives these notifications on PatientFlo will manage and schedule charity wellbeing workers to transport patients from hospital to home. The patient will continue to receive visits from the wellbeing worker for up to six weeks post-discharge if they live by themselves.PatientFlo will help schedule the follow-up visits, and allow the wellbeing worker to use the solution as a digital diary for the patient. These visits are important to ensure the patient is in an environment where they can recover well, e.g. they have food and heating, which reduces the chance of readmission to hospital. These visits will also reduce the anxiety of patients who live by themselves, reduce loneliness and improve their mental health.PatientFlo is innovative because it addresses an urgent health problem. It targets an existing process that is manual, paper-based, and reliant on phone communication, digitises the process, making it more efficient and scalable. It aligns well with the current Integrated Care Boards where place-based partnerships will play a major role in improving the health and wellbeing of the population. PatientFlo will be developed in collaboration with Age UK in Bath, who will then be our first customer.PatientFlo will be designed to interoperate with NHS systems and will comply with NHS Digital standards like DCB0129 and DBC0160\.