National PROMs and NJR data
Until recently, hospitals who wished to link National PROMs data with NJR data, were not able to easily do so. These are two separate databases that are run and managed by two separate organisations (NJR/Northgate and NHS Digital respectively).
The Amplitude platform provides hospitals with a largely automated process to link both the workflows and the data of these two databases into one system whilst using that platforms’ electronic data upload functionality to submit the datasets directly to the relevant organisations who run the NJR and National PROMs registries.
For the first time, hospitals can view the data alongside each other and observe the long-term outcomes of the interventions carried out and measure the benefit of the surgery to the patient, over time. It also allows the hospital to identify evidenced, best practice when faced with multiple treatment options.
“Royal Berkshire Hospital has been using Amplitude to submit National PROMs data for several years. After the success of the National PROMs digital transformation, it is an obvious and easy progression for the trust to extend the service to include NJR data. We are highly optimistic that the ability to view the NJR data in conjunction with National PROMs data, will benefit both clinical and admin teams. We anticipate clinical teams accessing patient PROMs data as part of their assessment of patient progress post-surgery within the context of each patient’s specific surgery and complexity factors.” Royal Berkshire NHS Foundation Trust
Not only does Amplitude make the workflows more efficient by having triggers from one event to another, thereby reducing admin and clinical inputs, it also significantly improves data accuracy due to the numerous in-built data validation checks within the system, both within the patient and clinical portal.
Patients are able to complete the PROMs questionnaires on a wide variety of devices and in a variety of settings from home to hospital, with the workflow processes designed to optimise compliance rates. Patients are sent email notifications and reminders to complete scores both pre-and post-op, with the added option of utilising SMS messaging, contacting patients via a text message containing links that take the patient directly to the patient portal. Patients are able to easily and quickly run through the required PROMs which can also be presented in different languages, should a Trust or registry choose this optional functionality.
“Since the introduction of Amplitude at Yeovil for capturing our National PROMs, we have seen a marked increase in patient compliance rates for both Q1 and Q2. Our PROMs admin staff are now more effectively utilised, focussing on compliance rather than filling out and sending off paper forms. The overall result is better quality data, that we can use for service improvement decisions that costs the Trust less overall.” Rebecca Whittaker, General Manager for Surgery / Trauma & Orthopaedics, Yeovil District Hospital NHS Foundation Trust.
On the clinical data side, Amplitude provides clinicians with operation note templates that are quick and simple to configure to their own way of working whilst still ensuring the NJR dataset is captured. In addition, all operation note templates follow GIRFT recommendations in terms of data fields to help reduce litigation exposure.
It is a simple process for Trust admin teams to monitor compliance rates of both patients and clinicians, in real time, as well as initiating further reminders where appropriate.
“Kings College Hospital has recently launched Amplitude in their orthopaedic department for the electronic capture and upload of NJR data and National PROMs collection. Despite it only having been implemented for a few months, we have had great feedback from both consultants and patients. As the process is now digital and automated, the admin team is able to concentrate on improving patient compliance rather than data entry.” Kings College Hospital NHS Foundation Trust.
The NJR and National PROMs linked data is also available in near real time for hospitals to be able to draw reports for their own review and analysis.
Interfacing with EPR’s
Amplitude has an extensive API which means data items (including PROMs scores) as well as pdf documents can be sent back to the hospital’s EPR, and data can be used in other areas of the EPR such as scores embedded within clinic letters to GPs.
Other Registries and Other Pathways
It is a simple process to extend the system to include other pathways, specialties and registry datasets. The following is a list of orthopaedic registries currently available within the Amplitude platform.
Data can be maintained locally and electronically uploaded to these registries, ensuring administration effort is minimised, best practice adhered to, and the Trust have full access to all data for their own reporting and analysis.
The above highlights the efficiencies in time and effort for capturing this data, the increased accuracy of data that can be achieved and the ease of access to this valuable data, that can be derived by Trusts and hospitals.