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Take a look below at previous Change Challenge Innovations:

Thank you all for your involvement. We have now published details of the most impactful ideas. You can filter on the left-hand side for each of the Challenge categories.


Embedded digital strategies for MSK screening questioning for suspected inflammatory arthritis

Posted by Kyle Beacham (Admin) 11 months ago Posted in Primary/Community Assessment and Triage

When did you change?

  • Developed project in line with the introduction of digital software for electronic records
Who was involved?
  • Physiotherapy Team leads, Software project Lead, Physiotherapy colleagues
How did you change?
  • Explored options on software programme on how and where to embed the screening questions strategy within the digital entries during the assessment process
  • Questions informed by NICE guidance [NG65 & NG100] referral criteria, NICE interactive flowcharts, National Axial Spondyloarthritis Society and ASAS tools and resources to support this screening initiative
What challenges did you face?
  • The screening cannot be mandated within the assessment process and requires clinicians to engage with the pop-up prompt and enter the screening section to complete the screening questions
  • The screening process is not appropriate for all people being assessed and so ‘pop up’ fatigue on the site may mean it is ignored
  • Time factors and pressures to get software into daily clinical practice
  • Screening still requires clinical decision making on when there is sufficient suspicion to make an onward referral
What successes occurred?
  • Collaboration with teams to develop and test the screening strategy

Click here or directly on the attachment below to see the full narrative. 

This post was edited on Oct 5, 2020 by Kyle Beacham

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