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Self- reporting risk scoring

by Melanie Martin | 6 months ago | in Rheumatology
Horizon 1

Rapid identification of high risk /extremely vulnerable patients who should shield during the covid-19 pandemic was a challenge due to the incomplete data held in secondary care regarding multi-morbidities. We identified that patients could rapidly provide updated health information which could inform a more accurate risk  score based upon the BSR risk stratification tool. We formed a ‘risk’ clinical group and held daily virtual huddles via VC to focus on generating the list for NHSE. We utilised a combination of pharmacy prescribing data and using excel formulae generated a provisional score for each patient. We then generated a patient self-reporting digital questionnaire Using www.snartsurvey.co.uk ( IG approved) with question logic and scoring based upon the BSR tool. 2500 + patients responded to the questionnaire. Where there was disagreement in ‘clinician’ and ‘patient’ score , the clinical notes were reviewed. Using a self-reported risk scoring system saved considerable consultant time, and enabled the department to generate a list of extremely vulnerable patients in a timely manner. 

What is needed to sustain the change?

What is your region?

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edited on Jul 13, 2020 by Kyle Beacham
Melanie Martin

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Carol McCrum 6 months ago

Hi Mel- a really responsive strategy and really helpful to learn how it was undertaken
- interested in how the survey was shared with patients, if any thoughts or plans for using a survey approach for other aspects of triage, information gathering or care delivery going forward and any advice or tips for others with this method? Thanks!

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Greta McLachlan 5 months ago

Status labels added: Collaboration, Implementation, Information Sharing, Medication, Monitoring Of Groups, Patient Activation, Patient Selection, Remote Monitoring, Screening, Supported Self-Management, Technology (Software/ Apps), Horizon 2

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Greta McLachlan 5 months ago

Status labels added: Effective Team Working, Shared Decision Making, Staff & Patient Collaboration, Horizon 1

Status label removed: Horizon 2

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Greta McLachlan 5 months ago

The idea has been progressed to the next milestone.

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Kyle Beacham 4 months ago

Status labels removed: Collaboration, Effective Team Working, Implementation, Information Sharing, Medication, Monitoring Of Groups, Patient Activation, Patient Selection, Remote Monitoring, Screening, Shared Decision Making, Staff & Patient Collaboration, Supported Self-Management, Technology (Software/ Apps)

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