CollaboRhythm – Redefining the doctor-patient relationship

Redefining the doctor-patient relationship – John Moore MD

The doctor-patient relationship is deteriorating. And today’s information technology solutions are exacerbating the problem. They perpetuate paternalistic decision-making and episodic care, and they fail to assist doctors in making persuasive arguments to their patients.

CollaboRhythm is a technological framework that encourages new paradigms in doctor-patient interaction to improve health outcomes and the patient experience. It uses ubiquitous connectivity, collaborative decision-making, and compelling interfaces and visualizations to educate patients, improve treatment adherence, and deliver care at any point in time or space with seamless transitions.

New Media Medicine from nextlab on Vimeo.

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Cardiology Service improves for patients in NHS Highland

An expansion to the cardiology service at Raigmore Hospital in Inverness means as many as 400 patients a year will no longer need to travel out with the Highland area for cardiac treatment.

Patients requiring percutaneous coronary intervention (PCI) – the process of putting balloons and Stents into patient’s arteries to open up narrowings that can cause a heart attack or angina – can now be treated in Inverness following the setting up of the PCI service in Inverness.

Professor Steve Leslie is one of two interventional cardiologists working for NHS Highland.  He said: “This is great news for the patients in Highland.  By having this service here in Inverness our patients won’t have to travel to another centre such as Aberdeen or Edinburgh.  They’ll be treated locally, be seen more quickly and they will get the procedure done by doctors who they know and are familiar with.

“We have been preparing for this for a while.  Dr Jamie Smith who joined Raigmore last year after a specialist Fellowship in Canada in PCI is the other interventional cardiologist and we have been going to Aberdeen Royal Infirmary regularly to carry out these procedures.  Senior nurse Isobel Adams, who has worked in one of the biggest PCI centres in the UK, brings a wealth of nursing expertise to the role and the cardiologists and cardiac surgeons in Aberdeen, along with the North of Scotland Planning Group, have and continue to be very supportive.”

The service will run during normal working hours throughout the week so some patients will still have to travel if they need to be treated at weekends or out of hours but for the majority they can be treated closer to home.

Frederick Falconer, age 70 from Inverness was one of the first patients to receive PCI in Inverness.  He said: “You can’t help but worry when you know you need to have this done and having to travel away from your local area just adds to any anxiety you already feel.

“I did actually take the trip to Aberdeen in March to get this procedure done.  However, my health deteriorated quite badly and I wasn’t fit for it to happen.  I spent a lot of time in hospital after this, both in Aberdeen and in Inverness and I did not relish the idea of having to make that journey again.

“I had the procedure done in Raigmore Hospital on the 19th May and immediately noticed a big difference.  I walk a fair bit and even though it’s not been long since I was treated I find this a lot easier now, I can breathe better.

“I am very grateful that I was able to have this done locally, not having to travel as far was a huge weight off my mind.  It is a blessing for the people in the Highlands.”

Professor Leslie said: “Highland has such a remote and dispersed population which itself presents a challenge but with the development of the PCI service we are now able to provide a higher level of cardiac care to our patients.”

More spent per head in Scotland, but health benefits yet to show

Published Date: 10 June 2010

SCOTLAND is not seeing health improvements in line with the level of government spending, according to a new study.

• A report by a think-tank and auditors calls for more research into regional behaviour and health systems – to explain why Scotland’s health continues to struggle to improve. Picture: Getty

Just under £2,000 is spent per head on health in Scotland – about £250 more than in England – said the Centre for Public Policy for Regions (CPPR) think-tank and auditors KPMG.

The study said there was a 12-16 per cent higher spend per person and 30 per cent higher staffing levels north of the Border in the NHS.

Reductions in death rates, including from cancer, heart disease and strokes, were welcomed but the authors argued they do not go as far as expected.

On life expectancy, the report said improvements in Scotland did not match those in England.

The report also said that Scotland’s 30 per cent higher level of staffing should be investigated through a new regulatory body to ensure value for money.

CPPR’s John McLaren said: “Our research has shown that while health spending and staffing levels per head in Scotland appear to be greater than in England, we are not experiencing the improved health outcomes that might have been hoped would have followed.

“This could be due to worsening needs in Scotland relative to England, for example due to differing behavioural patterns, but at present it is difficult to convert any such higher needs into extra costs.”

The report said smoking has declined in the past ten years but the number of smokers in Scotland “remains higher” than elsewhere in the UK.

The rate of deaths linked to alcohol is more than double the rate in England, the study added.

“Greater comparability of UK health needs, health systems and behavioural patterns is required, along with the incorporation of lessons to be learnt from international evidence,” Mr McLaren said. “This research should be conducted with an eye to what potential savings or reductions in demand, with regards to future health budgets, might be possible.”

The Scottish Government said health was not improving quickly enough but said parts of the report were “ill-informed”.

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Minimising patient waiting times

TechnowaiT provides innovative solutions in queue management systems for health organizations serving patients on a first come, first serve basis.

TechnowaiT’s 1-2-3-GO! service is:

  • An innovative technology offering a practical solution for the probleme of over full waiting rooms
  • A proven, robust and reliable solution
  • A unintrusive, turn-key service, free for the clinic (certain conditions notwithstanding)

The 1-2-3-GO! service from TechnowaiT is designed to allow patients to leave the waiting room to avoid long waiting periods. Patients register with the service, and via an interactive phone based system, obtain information about the progress of the waiting line. This allows them to return to the clinic in a just in time fashion.

This turn-key service does not require any change for the physician or clinic personnel. It really is as easy as 1-2-3-GO!

With TechnowaiT, you improve the waiting conditions of your practice in several ways, providing a better workplace environment, greater efficiency and optimising your available floor space.

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