Overview of the care pathway
The COVID-19 pathway helps to take pressure of the already stressed healthcare systems by supporting patients before they contact caregivers and by following up on patients after a visit to a GP or hospital.
The pathway can be started on a care organisation’s website and provides the first advice to patients based on a screening of the patient’s symptoms. Additionally, it follows up closely on patients after a visit to a caregiver with daily questionnaires to ensure patients can recover at home without assistance.
We can divide the COVID-19 care pathway into 2 phases:
- Symptom check
- Tested positive for COVID-19
- Follow-up
The backbone of the care pathway is summarized in the figure below, for this flow we relied mainly on the ICHOM standard set of Patient-Centered Outcome Measures for COVID-19.
Symptom check
Based on the official guidelines, we check if the patient has COVID-19 symptoms. If the patients' symptoms do not match COVID-19, the care pathway automatically stops. If the symptoms do match, we ask that the patient be tested at the appropriate facility.If the patients' symptoms do not match COVID-19, the care pathway automatically stops. If the symptoms do match, we ask that the patient be tested at the appropriate facility.
Baseline
If the patient tested positive for COVID-19, they get asked to fill in the following baseline patient-reported outcomes:
- Demographic Survey Questionnaire (e.g comorbidities, age, smoking status, etc)
- Patient-Reported Outcomes Measurement Information System (PROMIS-10)
- Influenza Patient-reported Outcome (FLU-PRO)
Follow-up
After baseline, the patient gets asked to fill in the following patient-reported outcomes at week 2, week 4, month 1, month 2 and month 3:
- Patient-Reported Outcomes Measurement Information System (PROMIS-10)
- Influenza Patient-reported Outcome (FLU-PRO)
Integrations
From your EMR to scheduling or billing, Awell easily connects with your systems so you can create powerful care pathways that tie disjointed systems together.
Dashboards
The following patient-reported-outcomes are visualized in the care pathway:
- Patient-Reported Outcomes Measurement Information System (PROMIS-10): Global Physical Health Score
- Patient-Reported Outcomes Measurement Information System (PROMIS-10): Global Mental Health Score
- Influenza Patient-reported Outcome (FLU-PRO): Heatmap
Information brochures & video's
In the care pathway a number of information brochures and video's are included:
- COVID-19: general information brochure
- COVID-19 specific rehabilitation exercises
- COVID-19: General hygiene measures
Benefits
The COVID-19 offers numerous benefits that will increase efficiency on the one hand and improve the quality of care for both patient and provider on the other.
- Patients can perform initial triage independently, without the need for a healthcare professional
- Automatic data collection based on the ICHOM Standard Set
- Automatic scoring calculations
- Integrated with your systems (Electronic Medical Record, scheduling, medical billing, online pharmacy & fulfilment, e-prescribing, insurance eligibility....)
- Decreased administrative burden for the care team
- Automatic alerts to the care team if patients reports alarming Patient-reported-outcomes
- Patient can access information brochures about treatment, symptoms, etc
