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Video Consultations - Keeping the service running. Are Video consultations for group education the next step?

by Joseph Loades | 7 months ago | in Rheumatology
Horizon 2

The Rheumatology therapy team have been using video consultation software in order to continue therapy for our service users. 

This Technology has allowed us to continue with new patient referrals and follow ups to provide effective assessment and exercise prescription from home.  We have been able to highlight any equipment or splinting needs to be able to deliver a large part of our prescription service. 

 

We have also been provided with "rehab my patient" software which allows users to formulate patient centred exercise programmes from your smartphone, laptop or tablet and quickly email them. 

Axial Spondyloarthritis annual reviews have continued where we are able to complete BASDAI, BASFI and  some observed BASMI measurements for our service users to monitor disease and guide treatment. 

 

Our Rheumatology therapist has also been involved with screening service users via the BSR Risk stratification tool to determine shielding status.  The rheumatology advice line has continued to remain busy with queries and this additional skill mix has helped to manage the volume of service user queries. 

Continuous professional development time has continued via microsoft teams alongside clinical discussions and mentoring 

 

We are now considering how we can continue to utilize video consult as to whether education groups could be used via this software or similar software to provide education on our osteoporosis and hyper-mobility events. 

What is needed to sustain the change?

The 'ACCURX'  and 'Rehab my patient' technologies will need to be continued to be licensed in order to provide this service. 

What is your region?

North West

edited on Jul 13, 2020 by Kyle Beacham
Joseph Loades

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Will Gregory 7 months ago

Hi Joe,
Great sounding work going on with you and your team! I almost posted about how we might manage BASMI during these video or phone consults. Glad to hear you are also thinking about this (and experimenting with ways around this). I think the BASMI is too important a tool for movement monitoring and exercise engagement to lose over this period. With regards to exercise engagement any kind of semi-BASMI we can do at present will be effective; however we will have issues for movement monitoring (over time) as any measures undertaken over the video consult will presumably have poor correlation with what might be taken in a face-to-face clinic. In the long-run there should really be a digital way around this (we can monitor heart rate, sleep patterns, etc. on apps, but not the simple movement measures of the BASMI!?), a future project perhaps?

Reply 1

Joseph Loades 7 months ago

Hi Will,

Yes we are limited with what objectivity we can obtain from video consultations for the BASMI measurements. It's definitely something we can discuss further. I believe that there is online technology for PROMS for BASFI/ BASDAI. BASMI is definitely something to consider.

Reply 1

Kate Southall 7 months ago

What are your thoughts on patients using spirit level apps for measurement in degrees? Or can we educate patient families to perform these measurements themselves using the videos on the NASS website as a guide?

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Kate Southall 7 months ago

I wondered if this was a post from our own trust as it reflects fairly accurately what we are doing too. We have utilised the MySpA app for collection of PROMs but we have not had any experience with the Rehab my patient tool.
We are considering setting up virtual MDT clinics for new inflammatory arthritis to include up to 6 patients for delivery of advice and "meet the MDT".

Do you have any experience with this as s communication medium for multiple patients for education?

Reply 1

Joseph Loades 7 months ago

Hi Kate, my own experience with using spirit level apps was difficult. I dont know how this would be received with service users. Also looking at which apps are deemed as reliable.

I have not used any technology for group education and thats something I am going to look into

Let me know if you would like to discuss the matters above further. We could arrange a meeting.

Reply 1

Kate Southall 7 months ago

This week i have learned of a coaching app called Hudl Technique. It allows the client to film themselves performing an action which can be viewed in slow motion. It also allows the coach to make notes on it and draw on angles etc. If we were to use something like this in a controlled way, it might give us a usable objective measurement to compare against, particularly with regard to BASMI?

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Joseph Loades 7 months ago

Let me know if this progresses Kate. It will be interesting to hear whether this sort of technology could be safely and effectively implemented to allow for some objectivity during this period.

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Helen Linklater 7 months ago

Interesting to hear your experience. I have just spoken to a patient today who has participated in online video group meetings for pain management in our Trust and found the experience was excellent. So we will explore this for rheumatology patient education and peer support.

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Joseph Loades 7 months ago

Hi Helen. Thanks for your comments. Again as discussed with Kate, I'd would be great to know if you can implement this platform of patient education within your service. Keep me posted

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Greta McLachlan 7 months ago

Status labels added: Choice, Collaboration, Community Care, Effective Team Working, Information Sharing, Investment In Technology, Patient Selection, Technology (Software/ Apps), Telephone Advice, Telephone Consulting, Triage, Video Consulting, Virtual Consulting, Virtual MDT, Horizon 2

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Greta McLachlan 7 months ago

Status labels added: Education, Home Working / Remote Working, Patient Activation, Remote Monitoring, Social Prescribing, Workforce

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Greta McLachlan 7 months ago

The idea has been progressed to the next milestone.

Reply 0

Greta McLachlan 7 months ago

Status labels added: Shared Decision Making, Upskilling Of Staff

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Kyle Beacham 6 months ago

Status labels removed: Choice, Collaboration, Community Care, Education, Effective Team Working, Home Working / Remote Working, Information Sharing, Investment In Technology, Patient Activation, Patient Selection, Remote Monitoring, Shared Decision Making, Social Prescribing, Technology (Software/ Apps), Telephone Advice, Telephone Consulting, Triage, Upskilling Of Staff, Video Consulting, Virtual Consulting, Virtual MDT, Workforce

Reply 0

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