1.
@patientsco enquiries@patientsknowbest.com www.patientsknowbest.com
Scaling patient
empowerment

2.
Why scaling digital
health is difficult

3.
The Problem
• Difficult to connect
• Technical problems
• Legal issues
• Patient excluded
• No one feels in control
GOVERNMENT &
COMMISSIONING BODIES
PRIMARY CARE
HEALTH
SERVICES
GP
EMPLOYERS SOCIAL SERVICES
SPECIALIST
SERVICES
SECONDARY CARE/
HOSPITAL
PHARMACIES PHARMACEUTICALS
MOBILE DEVICE &
APP DEVELOPERS
RELATIVES
RESEARCHERS CHARITIES AND PATIENT
ADVOCACY GROUPS
COMMUNITY
TEAMS

4.
Patient Portals
- create even more fragmentation
• Multiple sites with multiple
logins
• Data in different places for
the patient
• No single source
• Patient does not own the
data, they can only “see it”
GP
HOSPITAL
SERVICES
APPS &
DEVICES

5.
PRIMARY CARE
HEALTH SERVICES
GOVERNMENT & COMMISSIONING BODIES
GP
EMPLOYERS
SOCIAL SERVICES
SPECIALIST
SERVICES
SECONDARY CARE/
HOSPITAL
PHARMACIES
PHARMACEUTICALS
MOBILE DEVICE &
APP
DEVELOPERS
RELATIVES
RESEARCHERS
CHARITIES AND
PATIENT ADVOCACY
GROUPS
COMMUNITY
TEAMS
The solution
A single shared
record
Every
government
in the world
needs this

6.
Breaking down the
technical barriers

7.
How others
tried to get there
from here?
Stuck in their silo as other silo incumbents prevent
their spread, e.g EMIS for GPs, Cerner for hospitals.
New silo with only patients’ data, e.g. Google,
Microsoft, Apple.
Stuck in their regions with no consistency of approach
and no cross-border information sharing
INSTITUTIONAL ELECTRONIC HEALTH RECORDS:
CONSUMER PERSONAL HEALTH RECORDS:
REGIONAL RECORDS:
New silo with patients’ data from one place, unable to
consolidate information, e.g. Patient Online
‘TETHERED’ PATIENT PORTALS:

8.
Sharing data
across borders
Ensure your architecture
allows information to travel
where the patient is
Postcode with a PKB record
PKB customer institution

9.
Receiving data
from all EHRs
400 GP practices
7 acute hospital
trusts
6 social care
organizations
4 community trusts
2 mental health
trusts
North West
London
HOSPITAL
MENTAL HEALTH
INSTITUTION
GP SURGERYPATIENTS ENTERING DATA

10.
Being ready for
national roll-out
PKB works in 19 different languages
>1,000,0000 people’s medical records
(contracted to deliver 3.5m integrated care plans for citizens)
National framework and national integration
SCIStore integration in place, Glasgow first site,
Glasgow lead for national citizen portal procurement
ENGLAND
WALES
SCOTLAND
Distributor received
confirmation from national
regulator that PKB is furthest
ahead in delivering their vision
NETHERLANDS

11.
Enabling access

12.
Mass sign up and
registration
• Patients can register
1. At home without coming into clinic
2. Check-in kiosk in clinic/hospital
3. In-person
• Use security token and multi-factor
authentication
• Immediately can send all letters
electronically
• Appointments
• Lab results
• Discharge summaries, reports
• Embed with patients as digital first
approach
• Gainshare model available for
large-scale deployments
based on letters savings

13.
Benefiting
everybody

14.
Ensuring the right
tools for patients
and professionals
• Secure messaging and video
consultation
• Symptom tracking
• Care planning
• Information resources
• Connection to 100+ apps,
devices and telehealth
• Letters and appointments in
one place

15.
PATIENT
SAFETY
I. Sharing information
between services
removes duplication
II. Potential for adverse
events avoided as
medications from all
sources available
III.Coordinate care
between services
PATIENT SELF-
MANAGEMENT
I. Encourages patients to
monitor and
proactively manage
their care
II. Connect 100+
telehealth, pass and
devices
III. Information resources
collated in one place
PATIENT
EXPERIENCE
I. Receive information
quicker and more
conveniently
II. Easier access to the
right services
III. Remote consultations
and online discussions
SERVICE
EFFICIENCIES
I. Manage more patients
online and free up capacity
in outpatient clinics
II. Discharge patients earlier
and monitor remotely
III. Manage referral processes
through assessment and
triage done online
DIRECT IN-YEAR CASH
SAVINGS
I. Send appointments
electronically
II. Letters, referrals, reports
and discharge
summaries sent to
patient electronically
III. Care plans digitally
shared across
organisations
IV. Outpatient clinics
conducted online

16.
L&D found that
for every
£1 spent on PKB
can return £5 in
cost savings
Extra surgical cases
avoided at240
Extra outpatient
appointments created in L&D1,100
Long term
conditions
managed by
remote out
patients appts.
75%
25%
Outpatient transformation,
SaSH and Luton & Dunstable
5,891
Messages sent at
SaSH, meaning fewer
appts, telephone calls
and emails
696 Patients created in
PKB at SaSH
17,476
Blood results sent to
patient records at
SaSH

17.
PKB recommended
as the gold standard
for quality trauma
discharge by NHS
England
Improvement in
patient satisfaction9/10
Improvement in
patient activation64%
Surgical Transformation,
North Bristol
• Severn Major Trauma Network created the
Quality Trauma Discharge service using PKB
• Implemented discharge care plan
• Online communication
• Information resources
71% 51%
Reduce unplanned GP
appointments by 28%
WITHOUT PKB WITH PKB

18.
When
professionally led
over 70% uptake
rate of PKB
Patients believed it
enhanced their relationship
with clinical team
98%
Patients felt that it saved time for
both patients and professionals93%
Digital Patient,
Sandwell & West Birmingham
Patients perceived
saving the NHS and
patient money
84%
14%
73%
Of all patients had
used PKB for over 3
months
92% Had used secure
messaging
70% Had received clinical
correspondence

19.
Building a business
case that stacks up

20.
• Annual SaaS Licence reduced by 70%
on gainshare model linked to
guaranteed cash savings
• Integration with mail management
companies makes it quick and easy
• In-year cash savings up to £728,296
and over 5 years is £4,602,701
Example of cash
releasing benefits
• 527,346 outpatient appointments
• 2,013,16 letters
• £0.75 per letter sent inhouse (post,
admin, paper, print etc.)

21.
Summary
| HEALTH CARE RECORD FRAGMENTATION IS A VERY
EXPENSIVE PROBLEM
| BUILD SOLUTIONS AROUND PATIENTS
| TRADITIOAL SOLUTIONS MAINTAIN
FRAGMENATION
| BENEFITS CASE IS COMPELLING WITH CLINICAL,
PATIENT AND FINANCIAL OUTCOMES

22.
@patientsco
enquiries@patientsknowbest.com
www.patientsknowbest.com
P A T I E N T P O R T A L
C I T I Z E N R E C O R D
I D C R ( C L I N I C A L P O R T A L )