Advice & Guidance
The system has a much wider service offer than traditional advice and guidance systems with a range of added benefits for patients and clinicians.
Conversation streams
Transfer of digital images
ADVISR supports multiple imaging methodologies including volumetric CT scans, radiographs and high quality clinical images. The process of transfer is simple with images made available in our own PACS viewer and transferred to hospital systems via our IEP integration ensuring that every clinician has access to imaging data.
Clinical modules
A range of clinical modules support the rapid and accurate entry of clinical data beyond simple messaging, for example refraction data, periodontal charting, and social history. All data are available within individual referrals but can be aggregated and viewed to facilitate service evaluation, research and commissioner reports.
Access
ADVISR gives simple and secure access, it’s available to users across primary and secondary care without the need for HSCN or Smart Card access. ADVISR is fully integrated into eRS making transition to a referral as simple as a single click, and summary care records are available for urgent care cases where appropriate permission to view is obtained.
Shared Care
In many clinical disciplines, shared care is a series of referrals between services with delays and lack of joined up clinical decision making. Advisr enables real time, interactive shared care with dynamic updates, ensuring that all clinical team members can see, assess and comment on the delivery of care.
The uploading of predefined clinical modules at regular time points to allow patient monitoring, or the sharing of clinical images, radiographs or scans means that for the first time clinicians in primary and secondary care can truly collaborate on complex patient care.
Examples of shared care case uses in Advisr include the delivery of special care dentistry where primary, community and secondary care use ADVISRs shared clinical workspace to plan and monitor these complex patients.
Long-term Conditions
While in many situations an Advisr session may be completed in a matter of days, or hours, depending on the clincial urgency, the workspaces can also support long term care and management of chronic conditions. For example, there may be a need to review progress of a new treatment or intervention. An Advisr session can be left open indefinately to support longer term review findings or to determine the outcome of treatment plans where this may be less predicatable. For example in special care dentistry or community glaucoma monioring. Advisr is being used to support Peadiatric Community Dentistry practices where the Consultant led service is enhanced by easy communication, image sharing and outcome recording.
Research and Education
Advisr offers a multi-centre, GDPR, HSCN based secure platform for the collection of clinical data. Using bespoke modules as clinical record forms, and with built in consent systems Advisr reduces the research infra-structure burden – enabling researchers to contribute patient data to repositories instantly. Research co-ordinators can view recruitment, assessment and study progress in real time. Advisr’s unique platform distribution means that data can be collected in primary, secondary and community settings on a single platform.
The robust governance, compliance with NHS Digital and ICO standards means that ethical approval is simplified and we have a range of resources to help users get onboarded quickly and get sites contributing data faster than ever before. Advisr also permits the collection of non text research data, such as images, videos and voice interviews – providing a single repository for all your research assets. Qualitative and quantitative research teams can enjoy shared data space in a secure and resilient environment.
Advisr can play an important role in education, not only by providing learning through the use of advice and guidance but also for didactic teaching purposes. Study groups, remote learners and clinicians who may be practicing in remote or rural settings can work on case material together and contribute to a shared learning environment. Advisr enables the expertise of NHS clinicians to be shared on a global basis.
Onwards referrals
Post Covid all Acute Trusts are experiencing huge demand on services and have long waiting lists of patients. ADVSR has been designed to move away from the traditional binary referral systems from primary to secondary care and allows for interactive conversations that can then be consolidated into an automated referral with a simple couple of clicks.
The primary care clinician is confident through using the Advice and Guidance function that they have considered all options and that the referral is as refined as possible. The receiving clinicians will gain high quality referrals with the most relevant information through a simple, fast automated referral process. All of the assets collected during an ADVISR session are collated in the referral document, and images are available on PACS.
The referral process is integrated and and simple to use. ADVISR has access to National and local directories of service allowing clinicians to select and refer to the most appropriate service. ADVISR can send to all eRS endpoints, NHS authorised email addresses or integrate directly with PAS or PMS.
Referrals can be initiated by either clinician, and their urgency can be easily changed to reflect the A&G outcome.
Refinement of pathways
Refinement of pathways is necessary to maintain and further develop high quality care. ADVISR does this by ensuring that variation is reduced through standardised modular systems, we however understand the need to fit with local need and systems and have ensured these can be customised for use. Available modules can be changed at any time by any clinician and from any specialty or functional group. Read more about ADVISRs modular approach under the ‘Modules’ section.
Development of new modules is rapid and can be deployed on local or national levels depending on use. The metric data from each module are stored and can be exported on patient or aggregated levels to inform further service design or research.