Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting

Aachal Kotecha,1,2 Alex Baldwin,1 John Brookes,1 Paul J Foster1,2 1Glaucoma Service, Moorfields Eye Hospital National Health Service Foundation Trust, 2NIHR BRC, Moorfields Eye Hospital, NHS Foundation Trust and UCL Institute of Ophthalmology, University College London, London, UK Backgro...

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Autores principales:	Kotecha A, Baldwin A, Brookes J, Foster PJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/25df938773cc4e0cb51ca0c476889138
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spelling	oai:doaj.org-article:25df938773cc4e0cb51ca0c4768891382021-12-02T02:53:17ZExperiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting1177-5483https://doaj.org/article/25df938773cc4e0cb51ca0c4768891382015-10-01T00:00:00Zhttps://www.dovepress.com/experiences-with-developing-and-implementing-a-virtual-clinic-for-glau-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Aachal Kotecha,1,2 Alex Baldwin,1 John Brookes,1 Paul J Foster1,2 1Glaucoma Service, Moorfields Eye Hospital National Health Service Foundation Trust, 2NIHR BRC, Moorfields Eye Hospital, NHS Foundation Trust and UCL Institute of Ophthalmology, University College London, London, UK Background: This article describes the development of a virtual glaucoma clinic, whereby technicians collect information for remote review by a consultant specialist.Design and Methods: This was a hospital-based service evaluation study. Patients suitable for the stable monitoring service (SMS) were low-risk patients with “suspect”, “early”-to-“moderate” glaucoma who were deemed stable by their consultant care team. Three technicians and one health care assistant ran the service. Patients underwent tests in a streamlined manner in a dedicated clinical facility, with virtual review of data by a consultant specialist through an electronic patient record.Main outcome measure: Feasibility of developing a novel service within a UK National Health Service setting and improvement of patient journey time within the service were studied.Results: Challenges to implementation of virtual clinic include staffing issues and use of information technology. Patient journey time within the SMS averaged 51 minutes, compared with 92 minutes in the glaucoma outpatient department. Patient satisfaction with the new service was high.Conclusion: Implementing innovation into existing services of the National Health Service is challenging. However, the virtual clinic showed an improved patient journey time compared with that experienced within the general glaucoma outpatient department. There exists a discrepancy between patient management decisions of reviewers, suggesting that some may be more risk averse than others when managing patients seen within this model. Future work will assess the ability to detect progression of disease in this model compared with the general outpatient model of care. Keywords: glaucoma, virtual clinic, implementation, service deliveryKotecha ABaldwin ABrookes JFoster PJDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1915-1923 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kotecha A Baldwin A Brookes J Foster PJ Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
description	Aachal Kotecha,1,2 Alex Baldwin,1 John Brookes,1 Paul J Foster1,2 1Glaucoma Service, Moorfields Eye Hospital National Health Service Foundation Trust, 2NIHR BRC, Moorfields Eye Hospital, NHS Foundation Trust and UCL Institute of Ophthalmology, University College London, London, UK Background: This article describes the development of a virtual glaucoma clinic, whereby technicians collect information for remote review by a consultant specialist.Design and Methods: This was a hospital-based service evaluation study. Patients suitable for the stable monitoring service (SMS) were low-risk patients with “suspect”, “early”-to-“moderate” glaucoma who were deemed stable by their consultant care team. Three technicians and one health care assistant ran the service. Patients underwent tests in a streamlined manner in a dedicated clinical facility, with virtual review of data by a consultant specialist through an electronic patient record.Main outcome measure: Feasibility of developing a novel service within a UK National Health Service setting and improvement of patient journey time within the service were studied.Results: Challenges to implementation of virtual clinic include staffing issues and use of information technology. Patient journey time within the SMS averaged 51 minutes, compared with 92 minutes in the glaucoma outpatient department. Patient satisfaction with the new service was high.Conclusion: Implementing innovation into existing services of the National Health Service is challenging. However, the virtual clinic showed an improved patient journey time compared with that experienced within the general glaucoma outpatient department. There exists a discrepancy between patient management decisions of reviewers, suggesting that some may be more risk averse than others when managing patients seen within this model. Future work will assess the ability to detect progression of disease in this model compared with the general outpatient model of care. Keywords: glaucoma, virtual clinic, implementation, service delivery
format	article
author	Kotecha A Baldwin A Brookes J Foster PJ
author_facet	Kotecha A Baldwin A Brookes J Foster PJ
author_sort	Kotecha A
title	Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
title_short	Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
title_full	Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
title_fullStr	Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
title_full_unstemmed	Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
title_sort	experiences with developing and implementing a virtual clinic for glaucoma care in an nhs setting
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/25df938773cc4e0cb51ca0c476889138
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Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting

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