Back to normality: remote follow up activities and recovery plan for care services
About this good practice
The Good Practice was divided into two distinct areas: Outpatient Area and Hospitalization and Care Area. The Procedures have allowed efficient management of the reopening of regular hospital activities, services and remote monitoring tools for Covid patients.
Recovery of performances. The activities provided were those requested with urgent commitments (U - with priority within 72 hours and B - with priority within 10 days). In May 2020, the lists for new appointments were therefore scaled up in time.
Outpatient activities were thus re-activated, even for less urgent appointments (marked D with priority within 30 days and P - with priority within 120 days) and for screening activities. Finally, the appointments' diaries were reviewed to re-arrange the appointments according to the new social distancing rules.
Follow Up Systems. In order to avoid the interruption of the therapeutic and care pathways for chronic patients, telereferral examinations were introduced. The follow up system being used and then integrated with the ambulatory area was Fenix Amb (outpatient management software).
Admission and Treatment Area:
Recovery of Health care services. In the emergency phase and afterwards, there was a decrease in admissions in the surgical area. To reduce the waiting times for surgeries, the hospital decided to adopt an incentive-based method of compensation for medical-nursing personnel.
Evidence of success
The Procedures described, adopted in a timely manner, enabled coordinated and effective management of transports from other hospitals and admissions of patients to a dedicated Hub.
Potential for learning or transfer
The Lessons learned could be summarized as follows:
• For the reorganization of appointments, also complying with the new rules on social distancing, exclusive priority was given to urgent patients.
• To monitor and follow up the large number of severe and non-severe Covid patients, new follow-up modalities were introduced, such as telereferral tools and management software.
• Financial incentives for surgeons to work longer hours.