When paper becomes "mobile

Orientation towards customer feedback and outcome measurements are a central element of any quality management. As a specialist clinic for psychiatry, psychotherapy and psychosomatics, Privatklinik Hohenegg has been committed to a pervasive feedback culture for many years.

Mhe new OutcomePortal, which was developed together with Dynelytics AG, a company specialising in statistical data analysis and online data collection and reporting, was able to transform the processes oriented towards paper questionnaires into a digital mobile solution. The established paper questionnaires were programmed by Dynelytics for data collection via the web and optimized for collection via tablet. The question sets can thus be filled out by patients on mobile devices in accordance with data protection regulations. The patient data is loaded via the interface to the clinic information system and linked to the collected values.

Analyze data collection professionally, implement quickly
In an initial implementation phase, the Hohenegg Private Clinic implemented three different sets of questionnaires electronically. Patients answer one questionnaire set each for the periods "admission", "progression" and "discharge". The central element of these questionnaire sets is the measurement of the BSCL questionnaire. This instrument, which is prescribed nationally for all psychiatric clinics, measures a patient's symptom burden and thus gives the Hohenegg Private Clinic the opportunity to incorporate these analysed values into patient-centred treatment. The reduction of symptom burden is one of many quality indicators that the Hohenegg Private Clinic uses as a guide. A highlight of the electronically implemented feedback culture is the extremely comprehensive assessment options in the "discharge" questionnaire. This means that, in addition to all the services offered by the clinic, all the teams and persons involved in the treatment can be individually assessed by patients. The possibility of an integrated graphic result processing and a direct internal benchmarking at the push of a button was implemented here. However, the clinic's comprehensive measurement system also includes surveys on quality of life at admission and at follow-up (6 and 12 months after discharge) as well as the established patient satisfaction questionnaire (MüPF-27). In a second expansion phase, the consolidation of these question sets, which are currently still paper-based, has already been initiated. It has been shown that additional questionnaires and evaluations can be easily and quickly integrated.

Automatic statistical data analysis and reports
After completion of the questionnaire, the required evaluations and graphics are automatically calculated by the outcome portal and the results and graphics are written back to the clinic information system as PDF documents within minutes, so that they are immediately available to the treating specialists and teams. Data entry and analysis options on tablets mean that both patients and staff involved in treatment are largely independent of time and space. Results and comparisons can be called up almost immediately after the data has been entered. This has the decisive advantage of being able to react immediately to feedback and changes in measured values and to initiate measures without loss of time. Among other things, this enables the clinic to improve risk management for suicidality assessment of patients. The automated digital outcome web solution significantly reduces the time and effort required for data collection and evaluation and also reduces potential sources of error. With this solution, the Hohenegg Private Clinic has achieved a significantly improved response rate to the questionnaires - this underlines the general acceptance of this implementation and thus forms the basis for a strong feedback analysis.

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