are administered by Digital and Platform24 on a daily basis
Region Norrbotten is sparsely populated, with huge distances and the population’s care needs are rising while recruitment of healthcare staff has become increasingly difficult.
According to Anders Nordin, IT/MT Director at Region Norrbotten, the Platform24 solution is one of several jigsaw puzzle pieces in a greater strategy where technology alone isn’t the decisive factor.
”The major change is how the staff adapts its way of working. We selected Platform24 in the fall of 2019 in order to launch our digital entrance before the end of the year. Previous IT projects required us to build our own IT environments, but now we have procured an external service that simplifies matters significantly. Platform24 is in charge of operation and maintenance of the service and we need to integrate it with our other IT environment.”
Anders Nordin. IT/MT Director at Region Norrbotten
”We needed to find new ways. We have many patients with multiple ailments who have extensive contact with their healthcare providers. Also, we have large patient groups with simpler healthcare needs that don’t require the same physical care. By meeting these patients digitally we’re able to free up resources for those who need us physically.”
Pia Näsvall, Health and medical director at Region Norrbotten
Digitalen can be reached via 1177.se or a text message link sent from the telephone queue at 1177. The patient logs on by using BankID on their smartphone, tablet, or computer. Then, via an automated chat function, they get to provide answers to relevant questions regarding their complaint.
Based on these answers the patient is given self-care advice, being referred to emergency care, or offered the option to chat with a nurse. Once the medical history is compiled, the nurse may prioritize patients in line depending on their degree of urgency. The case may also be transferred to a physician or appropriate psychiatric care professional. Also, the nurse may schedule appointments for the patient at the primary care center while the medical record is updated simultaneously.
When the corona pandemic hit Sweden and Norrbotten, 1177 and primary care centers were as expected quickly overwhelmed. Digitalen, therefore, became an important complementary addition for maintaining good healthcare access for Norrbotten’s residents.
– During this period, we had more options available. We helped more people without having to increase staff while maintaining a nice working environment, with terrific patient contact, says Pia Näsvall, Chief Physician at Region Norrbotten.
One-third of those who used 1177 opted for the digital entrance and half of those cases that concerned covid-19 were directed to self-care services.
– We launched Digitalen the same day corona hit us and the following day corona was basically everywhere. We have helped a lot of patients when 1177 reached their maximum capacity. As expected, we received many questions about the coronavirus, but the usual questions – everything from ingrown nails to heart diseases remained the same, says Ann-Charlotte Öhman, district nurse at Digitalen.
The digital platform generates a seamless flow and it consists of self-care advisory services, transfers, digital final treatments, and referrals to the primary care center where the patient is listed. The option to upload pictures increases the probability of making the correct assessment compared to a phone consultation.
Half of the patients elect not to escalate the case to a physical meeting. Therefore, many patients find a solution to their medical inquiry, and their cases are finalized without increasing the workload for the healthcare staff.
are administered by Digital and Platform24 on a daily basis
of the patients receive automated self-care advice
– This solution saves time as the patient is guided to the right care level from the start. If the patient’s needs require more than self-care advice and wishes to chat with a nurse, then the medical history is already in place. This saves a lot of time for the staff, says Pia Näsvall, Chief Physician at Region Norrbotten.
Both patients and healthcare staff give this service terrific grades and the staff really appreciates the chat. They say it has improved their working environment, with lower stress levels and increased efficiency as the chat enables them to make a more qualitative assessment compared to over the phone. The average grade from the staff is 4.75 out of 5.0.
”You can help most patients in a good and convenient way. I feel that I’m able to provide a higher degree of service compared to when in 1177. Now, I can schedule appointments with physicians, send referrals and not only transfer the patient. The chat gives a more “here and now feeling” and the conversation is more focused and to the point than over the phone. Also, for many patients, the chat makes it easier to answer more sensitive questions.”
Ann-Charlotte Öhman, district nurse at Digitalen.
Region Norrbotten intends to implement the Platform24 solution all over the Region. In the first phase, Platform24 will be implemented in all regionally managed primary care units in the Region. During the second phase, Platform24 will also include specialized care.
– Today, the service is staffed by nurses at 1177, physicians from various healthcare centers in the Region, and psychiatrically trained staff. The idea is that all primary care units in the Region eventually will join in and thus enable the patient to meet the same staff regardless of having a physical or a digital meeting, says Anders Nordin.
How to succeed with implementing a digital healthcare platform on a regional level according to Anders Nordin
Det är hög belastning på vården nu, men med den digitala ingången kan vi öka tillgängligheten och patienterna prioriteras redan i kön efter hur svåra besvär de har, även hörselskadade kan enkelt få hjälp den här vägen.
Verksamhetsutvecklare, Region Gävleborg
Jag är mycket tacksam att vi så snabbt och kvalitetssäkert kunnat få den här tjänsten på plats i en svår tid. Att människor får rätt information och hjälp samt kan träffa oss online istället för att besöka oss är extra viktigt just nu.
Primärvårdschef, Region Jämtland Härjedalen
Det känns som tjänsten kom i rätt tid. När vi jämför oss med andra regioner har de haft betydligt tuffare att hantera sina telefonköer. Med våra två vägar in har vi kunnat ha en god tillgänglighet även om vår belastning självklart också ökat.
Chefsläkare och verksamhetsansvarig, Region Norrbotten
Att införa digitala vårdmöten är ett komplement till dagens vårdutbud, och en av lösningarna för att möta framtidens vårdbehov. Vi ser fram emot att skapa ett sömlöst flöde online för triagering , chat, video, lab- och formulär-tjänster för både första linjens vård, andra linjens vård och vår kronikervård, och på det sättet vara mer tillgängliga för regionens medborgare.
Utvecklingschef, Region Gävleborg
Med ödmjukhet och samlad kompetens har Platform24 levererat anpassningsbara funktioner i sin dynamiska plattform med triageringslösning och direktintegration mot journalsystemen. Plattformens enkelhet och användarvänlighet gör den attraktiv för både vårdgivaren och patienten.
Chief Medical Informatics Officer, Capio Närsjukvård AB