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Rapid implementation of virtual clinics: a quality improvement initiative

by Ruth Adam | 11 months ago | in Planned and Elective Care
Horizon 3

A multidisciplinary group of healthcare professionals was assembled to support the implementation of virtual clinics at the Royal National Orthopaedic Hospital, Stanmore. The Institute for Healthcare Improvement approach to quality improvement was followed using the Plan Do- Study-Act (PDSA) cycle. A process of enablement, process redesign, delivery support and evaluation were carried out, underpinned by Improvement principles. Following the target of 80% virtual consultations being set, 87% of consultations were delivered virtually during the first 6 weeks. Satisfaction scores were high for virtual consultations (90/100 for patients and 78/100 for clinicians); however, outside of the COVID-19 pandemic, video consultations would be preferred less than 50% of the time. Information to support the future redesign of outpatient services was collected. Link to article:

What is needed to sustain the change?

The pace of change required a pragmatic quality improvement approach and does not seek to test or demonstrate statistical significance. Future research studies evaluating the effectiveness and acceptability of VC are required, particularly as services return to a  ‘new normal’ after COVID-19.

What is your region?


edited on Jul 13, 2020 by Kyle Beacham
Ruth Adam

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Carol McCrum 11 months ago

Hi Ruth- thank you for your really helpful post and valuable evaluation data - could you provide a brief outline of top tips for others going forward with virtual clinics from your experiences?- thank you

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Ruth Adam 11 months ago

Thank you Carol...please find attached a summary of lessons learnt.

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Carol McCrum 11 months ago

Hi Ruth - thank you - Table 4 -really valuable

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Carol McCrum 11 months ago

The idea has been progressed to the next milestone.

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Greta McLachlan 11 months ago

Status labels added: Effective team working, Investment in technology, Patient selection, Technology (software/ apps), Telephone advice, Telephone consulting, Video consulting, Virtual consultation, Virtual MDT, Horizon 3

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Sophie Parslow 11 months ago

This sounds great Carol.

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Kyle Beacham 9 months ago

Status labels removed: Effective Team Working, Investment In Technology, Patient Selection, Technology (Software/ Apps), Telephone Advice, Telephone Consulting, Video Consulting, Virtual Consulting, Virtual MDT

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