Skip to Main Content
Page banner

Submitted
Thematic Analysis
Gathering votes
4/7.5
Average
Filtration
Thanks for your vote
This voting milestone has now ended, and the idea has progressed to a private milestone
Return to idea list
Thanks for approving the idea
This milestone has now ended, and the idea has progressed to a private milestone
Return to idea list

Self- reporting risk scoring

by Melanie Martin | May 31, 2020 | 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?

No answer chosen

edited on Jul 13, 2020 by Kyle Beacham
You will need to login to post a comment

Carol McCrum Jun 3, 2020

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!

Reply 0

Greta McLachlan Jun 9, 2020

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

Reply 0

Greta McLachlan Jun 10, 2020

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

Status label removed: Horizon 2

Reply 0

Greta McLachlan Jun 10, 2020

The idea has been progressed to the next milestone.

Reply 0

Kyle Beacham Jul 13, 2020

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)

Reply 0

Share