Patient entered online information to support video outpatient consultations

新冠肺炎危机导致门诊预约迅速实施，通过视频或电话远程进行。然而，医生或护士对患者、他们的问题以及他们的背景病史的信息有限。如果在会诊前在网上输入这一信息，远程会诊将更加高效，更有可能避免随后的面对面预约。Ultramed已经开发了一个数字健康平台，提供MyPreOp，这是NHS创新加速器的一部分，得到NHS England的支持，在NHS中广泛采用。我们的愿景是开发数字健康平台，为一系列临床专科提供在线预约前计划。关键目标是快速建立和部署这些面向门诊的计划。预计这将需要两年的时间才能交付。然而，新冠肺炎危机和非面对面门诊预约的需要意味着迫切需要提前时间表。创新基金将使这一点成为可能。一系列门诊项目将在现有的数字健康平台上开发。这需要编写临床问题并开发软件代码来部署每个程序。将开发和部署文件上传功能，允许患者上传文件或照片，以便与进行远程门诊预约的医院顾问共享。这些计划将通过NHS患者登录获得。这是一项创新，使患者能够控制他们选择在门诊预约之前与医疗保健提供者共享的信息。这个人有时间仔细考虑他们被问到的问题，并输入他们的答案。他们也有机会输入他们希望医生或护士回答的问题，作为门诊预约的一部分。这是个人健康记录的基础，Ultramed拥有MyPHR商标。这种方法以前没有在门诊环境中被采用，以减少面对面预约的数量。它与NHS长期计划保持一致，将面对面的预约减少三分之一。这就是开发这套程序的原因，但新冠肺炎危机使这一点变得迫切。对原始项目的扩展将允许使用相同的方法开发另外4个面向门诊的产品。这将增加myOPD计划套件涵盖的专业范围。此外，将开发新的软件功能，使审查/管理临床医生能够执行有助于他们优化患者预约前管理的任务。

The Covid-19 crisis has led to the rapid implementation of outpatient appointments being conducted remotely by video or telephone. However, the doctor or nurse has limited information about the patient, the problem they have and their background medical history. If this is entered online by the person before the consultation, the remote consultation will be more efficient and more likely to avoid a subsequent face to face appointment.Ultramed has developed a digital health platform delivering MyPreOp which is a part of the NHS Innovation Accelerator and is supported by NHS England for widespread adoption in the NHS. The vision is to develop the digital health platform to deliver online pre-appointment programs for a range of clinical specialties.The key objective is to rapidly build and deploy these outpatient facing programs. It was anticipated this would take 2 years to deliver. However, the Covid-19 crisis and the need to deliver non face to face outpatient appointments means that there is an urgent need to bring forward the timeline. The Innovation Funding will allow this to happen.A range of outpatient programs will be developed built on the existing digital health platform. This requires the clinical questions to be written and software code to be developed to deploy each program. A document upload functionality will be developed and deployed that will allow patients to upload documents or photos to share with the hospital consultant who is conducting the remote outpatient appointment. The programs will be available through the NHS patient login.This is innovative in putting the patient in control of their information which they choose to share with their healthcare provider before their outpatient appointment. The person has time to consider carefully the questions they are asked and input their answers. They also have the opportunity to enter questions that they would like to be answered by the doctor or nurse as part of the outpatient appointment.This is the basis of a Personal Health Record and Ultramed owns the trademark MyPHR. This approach has not previously been adopted in the outpatient setting to decrease the number of face to face appointments. It aligns with the NHS Long Term Plan to reduce face to face appointments by 1/3rd. This was the reason this suite of programs was going to be developed but the Covid-19 crisis has made this urgent.An extension to the original project will allow a further 4 outpatient facing products to be developed using the same methodology. This will increase the range of specialties covered by the MyOPD suite of programs. In addition, new software capability will be developed that will allow the reviewing/managing clinician to action tasks that will help them optimise the pre-appointment management of the patient.