Time for Medicine Limited proposal to applydecision support software to Improve PatientPathways in an Integrated Sexual Health(ISH) Clinic

为了调查，作为一个参考网站，引入决策支持软件到theCardiff综合性健康（ISH）诊所，以便能够识别低风险，无症状的患者，使更复杂的情况下，可以直接向高级ISH临床医生，以满足患者寻求诊断和护理疑似性传播感染（STI）的护理目标。目的：·用人工智能复制卡迪夫ISH临床工作人员使用的传统诊断过程，该过程还将识别相关的必要诊断测试·从ISH临床医生收集的患者中收集匿名数据，以便进行诊断，并将该数据输入人工智能决策支持引擎。在格拉摩根大学先进技术系的帮助下，使用人工智能软件加上临床和统计算法构建决策支持软件·测试所得决策支持引擎与临床医生诊断和管理建议的金标准相比的准确性·评估，在斯旺西大学健康经济学中心的帮助下，为公共资金提供决策支持引擎的潜在价值·创建分诊软件和适当的硬件，以指导患者进入适合其表现的临床途径和ISH诊所资源。为了将该软件引入卡迪夫ISH诊所，建议部署医疗时间（TfM）的决策支持软件，通过将每个患者的需求与适当的护理水平相匹配来简化患者路径，并确保诊所成功实现符合英国性健康和艾滋病毒关键性能指标协会的要求，特别是98%的人在与性传播感染提供者联系后48小时内获得预约或上门服务。

To investigate, as a reference site, the introduction of decision support software into theCardiff Integrated Sexual Health (ISH) clinic in order to enable identification of low risk,asymptomatic patients so that more complex cases can be directed to senior ISH clinicians in order to meet care targets for patients seeking diagnosis and care for suspected Sexually Transmitted Infections (STIs).Objectives:• To replicate the conventional diagnostic processes used by Cardiff ISH clinical staffwith artificial intelligence that will also identify associated necessary diagnostic tests• To collect anonymised data from patients that ISH clinicians gather in order to make adiagnosis and enter that data into an artificially intelligent decision support engine• To construct with the assistance of the University of Glamorgan Department ofAdvanced Technology decision support software using artificially intelligent software plusclinical and statistical algorithms• To test the accuracy of the resulting decision support engine as compared with thegold standard of the diagnosis and management recommendation of the clinician• To assess, with the help of the Swansea University Centre for Health Economics, thepotential value for money of the decision support engine for the public purse• To create triage software and appropriate hardware to direct patients to the clinicalpathways and ISH clinic resources appropriate for their presentation.• To pilot the introduction of this software into the Cardiff ISH clinicIt is proposed that the deployment of Time for Medicine (TfM)’s decision support softwarewill streamline patient pathways by matching each patient’s needs with the appropriate level of care and ensure that the clinic is successful in achieving compliance with BritishAssociation of Sexual Health and HIV Key Performance Indicators, in particular that 98% ofpeople are offered an appointment, or walk-in, within 48 hours of contacting an STI provider.