Hitachi Smart Digital Diabetes Prevention Service (HSDDPS) and Salford Royal NDH Care Call

Transcription

1 Hitachi Smart Digital Diabetes Prevention Service (HSDDPS) and Salford Royal NDH Care Call Patient Dashboard User Guide 1

2 HSDDPS Patient Dashboard User Guide Patient Dashboard This user guide explains the different aspects of patient dashboard, which a patient can use throughout his engagement with Hitachi Smart Digital Diabetes Prevention Service (HSDDPS). 2

3 Table of Contents 1 DASHBOARD: OVERVIEW DASHBOARD SECTIONS EXPLAINED PATIENT INFORMATION & APPOINTMENT DATE MY LIFESTYLE LOG MY LIFESTYLE LOG ENTRY FOR WEIGHT, STEPS AND ACHIEVEMENTS ACTION PLAN ACHIEVEMENTS ENTRY SELF-ASSESSMENT SUMMARY ACTION PLAN MESSAGE FUNCTIONS SMS REMINDERS AND S TO PATIENTS CONTACT US, FAQ AND RESOURCES PAGE APPLICATION ACCESS ON MOBILE DEVICES

4 1 Dashboard: Overview The Dashboard is a tool, which gathers and displays all the information you need to manage your lifestyle change through the NDH Care Call program. For the next nine months, this will be your gateway to achieving your weight loss goal. The dashboard will be used in 3 ways. 1. Use as an information centre The dashboard displays your key NDH Care Call programme information: from call appointment date, clinical test result, self-assessment result, and more. 2. Record your progress Dashboard is a handy tool to record your weight, steps and your action plan achievement level for you to know your progress visually. Your input will be shared with your Health Advisor and becomes basis of your care. Weight Steps Action Plan Achievement level 3. Discussion tool for your call You and your Health Advisor will be looking at the same dashboard during your call. Make sure to have your PC, laptop or tablet in front of you, log in to the system to open the dashboard before the call starts. This is how I am doing You are doing very well! You Health Advisor 4

5 COMPLETE DASHBOARD VIEW FOR A PATIENT: The Six Sections shown in the Dashboard. 5

6 1. SERVICE INFO SECTION Figure 1: SERVICE INFORMATION SECTION OF DASHBOARD 2. MY LIFESTYLE LOG SECTION 6

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8 3. HEALTH CHECK RESULTS SECTION Figure 2: HEALTH CHECK RESULTS 4. SELF-ASSESSMENT SUMMARY SECTION 8

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10 Figure 3: Self-Assessment Summary 5. ACTION PLAN SECTION Figure 4: ACTION PLAN SECTION 6. MESSAGES SECTION Figure 5: MESSAGES SECTION 10

11 2 Dashboard Sections Explained Once you login to the application as a patient, the dashboard is displayed with the following sections: 2.1 Patient Information & Appointment date This section shows your general information, next call appointment and the status of the follow up calls. Here, you are able to chat with your Health Advisor and can request a re-scheduled appointment if required. Patient Information 11

12 Call Information A. Patient information Shows Patient s Name, Surname, Contact number, Address, Age in years NHS number and General Physician (GP)Name Last Call and Next Call appointment details Note: this information was provided by your GP on referral to service. ServiceCall Progress Information B. Service Call Progress There are Nine Milestones depicted in the Call Progress chart. The call progress starts with Self-Assessment followed by Action Planning Call which is followed by Seven Follow-up calls sequenced as 1,2,3,4,5,6 and finally 9 th FC call as Summary. The chart shows the current status of the service. (Green coloured milestone implies it is scheduled and complete, Orange colour indicates that it is scheduled for a future date, and Grey colour indicates that it is yet to be scheduled). For Eg. In the above figure, Self-Assessment was completed on 20 th Oct 2017, Action Planning Call was completed on 31 Oct 2017, First Follow-up Call is scheduled and other Follow-up calls are yet to be scheduled The dates scheduled for the above steps will be shown once the appointment is scheduled with your Health Advisor in the system. If you wish to change your appointment date, convey the same to your Health Advisor 12

13 2.2 My Lifestyle Log This section provides an overview of how you can record your weight, steps and the weekly achievement for each action plan and see them displayed in the graphic timeline. Please enter them on a daily/weekly basis in order to see your progress. This helps you and the Health Advisor to discuss your progress and confirm if the agreed plan can work best for you My Lifestyle Log Entry for Weight, Steps and Achievements For patients who have BMI (Body Mass Index) less than 24.99, they are considered healthy, and Weight Reduction goal is considered as zero, hence the Current weight is displayed in 6 Month Goal. However, patient can enter his weight entries if he wishes. The graph shows options to see the details in Kg or Stone. There is also a BMI option. Figure 6: No Weight Loss Goal for BMI <=

14 Figure 7: Goal set with BMI above 25 Explanation of the terms: Parameter Start Weight Current Weight Description This is the weight registered by a Health Advisor during the time of Patient record creation. Health Advisor can edit this number This is the latest weight entry done by a patient Status Shown as a percentage, this is the start weight (minus) current weight / (start weight- goal weight) * 100 Goal Importance Speed Month Goal Set as a figure between 1 and 10 by Health Advisor Speed at which the patient is losing his weight per month. If BMI is less than 24.99, the weight loss goal is set as Zero. Algorithm based number that is given to the patient by Health Advisor 14

15 The first section of the lifestyle log displays your recorded weight and steps. Click the option for timeline as shown (Day, Week, Month, All Data) to view the graphical data of your weight for that option. Use the Add Weight Entry button to enter your weight for any day in the program up to present day using the pop-up window provided for the same. (Refer to Fig below) By default the system date is shown in the date field Use Navigation arrows provided as required to navigate to previous day and next day. Use - and + signs to increase or decrease the entered value. Entering the value for weight, for the day chosen: Enter the weight value in Kg or Stone (St)-Pound (LB) and save your entry by clicking the Save button. The conversion of weight between Kg and stone-pound is automated. You can see the Week Number for which you are providing your entries Note: If you do not click the Save button and exit the window by clicking the x icon, your data will not be saved to the application 15

16 You can choose Day, Week, Month and All Data views of the graph, to see your progress on your weight accordingly All Data option when selected shows the graphical representation of all the data entered by you ( as date and weight pairs) since your Action-Planning Call, shown over a time line of 9 months Click on any of the options to see the data related to that option Day Week Month All Data The following Data is shown within the graph Start Weight This is the weight entered at the start of the program by your Health-Advisor Current Weight This is the latest weight entry you have done in the application Status This is the % percentage weight you have reduced with respect to your target weight [( Start weight - Target weight ) x 100 / Target weight ] Goal Importance A value between 1 and 10,entered by your Health-Advisor as per your regular follow up call conversations. Speed The rate at which you are reducing your weight per month, to reach your target weight 6 Month Goal Also called as the Target weight, is the weight you have put as a goal to achieve. Different types of inferences are shown with reference to input data on the graphs: Your Progress : shows the progress on your weight reduction over a chosen time period Expected Progress : shows the target to achieve at any given time Average Progress: shows the average of entries made during the chosen time period 16

17 Trend Line : How a patient is progressing overall with reference to the target to achieve Day Graph Week Graph 17

18 Month Graph All Data Graph: 18

19 Steps Graph Use the Add Steps Entry button to enter your Steps for any day in the program, from a FC1 (Follow Up Call)date up to present day. Use Navigation bars as required. Enter in numbers Use +, buttons to increment /decrement the value entered by 1 unit You can choose Day, Week, Month and All Data views of the graph, to see your progress on your steps All Data option when selected shows the graphical representation of all the data entered by you (as date and steps) since your Follow Up Call 1, shown over a time line of 9 months 19

20 2.2.2 Action Plan Achievements Entry This section displays the action plan you are working on and the weekly achievement for each action plan. You can enter the Achievement level by using the Add Achievements button provided, which will be reflected in the graph. The following options are provided in the drop down selection text box Never In the current week you have Never followed the action plan suggested Rarely In the current week you have rarely followed the action plan suggested Sometimes- In the current week you have followed the action plan suggested, Sometimes Often - In the current week you have followed the action plan suggested, often Always- In the current week you have always followed the action plan suggested Unknown- You are not sure if you have followed or not the action plan suggested, and do not wish to make a entry Once entered, the above options will be displayed in different colour code, shown as below The X- Axis shows the week numbers starting from the date of APC (Action Planning Call) taken as week 1. 20

21 The Y-Axis of the graph shows the listing of the Action Plan items you are advised to follow. Health Check This section gathers all your clinical information. It will be updated to the latest entry. Please note that body weight shown here is an official figure as measured at the GP practice which is not the latest result you have entered by yourself. The following Clinical Parameters of yours are shown here 1. Body Weight Your weight as measured at the GP Practice shown in Kg and Stone-Pound. This is the reference weight based on which your weight reduction goal is set 2. HbA1c The value entered as per your clinical record, with date 3. BMI Body Mass Index shown as Kg/m2 (Your Goal for weight reduction will be zero, if your BMI is less than or equal to 24.99). 4. Blood Pressure Your BP as measured of late as systolic over diastolic reading eg 120/95 mmhg 21

22 2.3 Self-Assessment Summary This section shows the eating habits, physical activity and other general information as result of your Self- Assessment. 22

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24 2.4 Action Plan In this section you can look at the action plans you are currently working on. Your input on weekly achievement level is displayed here to inform you and the Health Advisor if the plan is being achieved. At the call you will be discussing the plan with the Health Advisor. Revision of the plan will be reflected in the system by the Health Advisor within a day. TIP: How to make achievable action plans Your action plans are displayed as a form of when what and how much. This format can be helpful to you to break down your problem: for example, if you are having difficulty in achieving your plan, is the problem about timing/frequency? Or the goal? Or the amount? Think about this when discussing your action plan with your Health Advisor. 2.5 Message Functions You can send a message and get a reply from your Health Advisor. Please note that this service is not used as a text messaging service. Your message will be seen by the Health Advisor prior to the call appointment, and will be discussed during the call. 24

25 Click on the New Message button. Enter your message in the text box provided, and click Send. You can see the message sent with date and time stamp, in the messages panel to the left of the screen. Messages will appear in the ascending Order of Entry ie Latest entry, will be shown first. You can also see the messages received from your Health Advisor 25

26 3 SMS Reminders and s to Patients During the course of your Program, you will receive SMS reminders and s in order to help you to follow the advice, to maintain your dashboard up to date and to remember your telephone appointments. SMS Messages to patient: Following table shows the different types of SMS messages that a patient would receive for the conditions during his programme. Message Type Trigger When Message Text Template Condition Lifestyle log reminder (Reminder to enter weight and activity data into the lifestyle log) Lifestyle log encouragement (Encouragement to enter weight or steps or achievement and data into the lifestyle log) Patient is not keeping the lifestyle log updated then a weekly reminder is sent Repeat: Every 7 days if no entries are made for all the three entries (weight, steps, achievements) Patient is keeping the lifestyle log up to date then send a fortnightly encouragement message Hello <Patient Name>, this is a reminder to keep your online lifestyle log up to date, as this will help you to achieve your goal. Thank you! Hello <Patient Name>, Well done for keeping your lifestyle log up to date this week. Please keep up the good work as this will help you to stay focused. Thank you! Even if one entry is done on Weight, Steps, Achievements, No SMS needs to be sent to patient. Only if he has not entered any entry on weight, steps and achievements a SMS needs to be sent. If a patient has entered any one value or all of Weight, Steps and Achievements in a week, and is regular for any two consecutive weeks, an encouragement SMS is to be sent at the end of second week. Repeat this every 15 days Appointment Reminder (Reminder prior to the next call appointment ) Reminder to have bloods/weights and complete surveys at base line Appoint reminder message to be sent 24 hours prior to next scheduled appointment Generated following completion of APC call Hello <Patient Name>, this is a reminder for your telephone appointment at <Time> on <Date>. If you cannot make this appointment please call the NHS Care Call office <Tel. Number>. Thank you! Hello <Patient Name>, it s time to complete your <patient surveys > and have your bloods/weights taken! The survey can be accessed through< Sent to patient one day before a scheduled appointment. In case of reschedule, patient needs to inform the Call Centre. In case his Health Advisor reschedules, Patient will get the notification. On completion of APC call a patient survey and Bloods/weights taken SMS is sent 26

27 rvey.co.uk/s/iydrh/ >. Please visit your GP if you haven t already had your bloods taken. Thank you! Reminder to have bloods/weights and complete surveys at 6M call Generated when followup call six (FC6) is set Hello <Patient Name>, it s time to complete your < urvey.co.uk/s/p87kg / > and have your bloods/weights taken! The survey can be accessed through< Survey Link>. Please visit your GP to have your bloods taken. Thank you! On schedule of FC6, a patient survey and Bloods/weights taken SMS is sent Reminder to have bloods/weights and complete surveys at 12M call Generated when followup call nine (FC9) is set. Also valid for Completed status patients Hello <Patient Name>, it s time to complete your <htttp:// urvey.co.uk/s/mti75 / and have your bloods/weights taken! The survey can be accessed through< Survey Link>. Please visit your GP to have your bloods taken. Thank you! On schedule of FC9, a patient survey and Bloods/weights taken SMS is sent Messages to Patient Message Type Trigger Text Patient Welcome sent to the patient once the Action Planning Call appointment has been set. Reminder s sent again on 7 th and 11th day in case account activation has not been completed Subject: Welcome to the NDH Care Programme! Body Dear Joe We wanted to welcome you to the NDH Call programme. Over the 9 months you will be monitoring your activity level and keeping a food diary of what you eat. To help you while on the programme, you will be assigned a 27

28 Health Advisor. Their name is Philip And your first telephone appointment is on Wednesday, February 21, 2018 at 20:50 Please verify your new account by clicking on the link below. This will ask you to confirm your date of birth and ask you to register a password. If this link is not active and you are not able to click directly on it, please copy and paste the whole link onto your web browser. Best browsers for Windows desktop, laptop computers: Google Chrome (preferred), Mozilla Firefox, Internet Explorer (11.0,EDGE). For Internet Explorer best resolution is 1920 x 1080 pixels Best browsers for mobile devices: Safari browser for Apple (ios), for Android Nougat (7.0), Marshmallow (6.0), for Windows Mobile latest Internet Explorer 11. Please note that once you have used this link to activate your account, you will not be able to access your account through this link again. We recommend you save the login page to your favourites or you can access the login page by using If you are experiencing any problems please contact the Helpdesk on Beginners guide to fundamentals ( fundamentalsguide.pdf) Please click on this link should you wish to access our beginners guide to help you set up your account. Forgotten password sent to the patient when clicking on the forgotten password button. Regards, NDH Care Call Programme. Subject: NDH Care Programme - Request to reset your account password Dear Moses, There has been a request to reset your NDH Care Programme account password. If you made this request, you can begin to reset your account password by clicking on the link below. You will be asked to enter your , the temporary password shared below, and a new password. Once you have done this you will be prompted to log in with your new password straight away. Reset Password Link: 28

29 Temporary Password: If this link is not active, or you are not able to click directly on it, please either copy or paste or type the whole link into the address bar of your web browser. Please note: do not copy the Reset Password Link into a search engine such as Google or Bing as this page will not be found. Regards, NDH Care Call Programme. 29

30 4 Contact Us, FAQ and Resources page At the bottom of the page you will find the links to Contacts, Frequently Asked Questions (FAQs) and the Resource page where you can download these guidelines and see the introduction video again. For more details on Contact Us, FAQ and Resource Page, kindly refer to Patient User Manual link to which is provided in Resources Page Remember: 1. Be sure to log in to your account and open your dashboard in front of you before the call starts. The web link is 2. In order to have effective call with your Health Advisor, do try to enter your lifestyle log such as weight, steps and achievement level to the dashboard every day/week. This is how I am doing You are doing very well! You Health Advisor 30

31 5 Application access on Mobile devices Note: Application is better viewed in Flip Horizontal / Landscape mode in mobile devices (sample image shown below) All functionality remains the same, except that the application is viewed in a mobile device 31

32 Figure 5.1 Figure

33 Refer Figure 5.1 The patient dashboard displays the basic patient information like Name,Age,Telephone number,address,gp Name Next call appointment and the status of the follow up calls are also displayed Here, you are able to change your scheduled appointment date with the help of your Health Advisor. My Lifestyle Log section has entries for Weight, Steps and Achievements Note: Weight Reduction 6 Month goal is shown for people who have their BMI (Body Mass Index) above The Goal is show as Zero, for those who have their BMI less than or equal to at the time when the patient record is created by the Health Advisor However, patient can enter the weight entries if he wishes Use the Add Weight Entry button to enter your weight for any day in the program up to present day using the pop-up window provided for the same.by default the system date is shown in the date field. The following Clinical Parameters are shown in Health Check section. Refer Figure 5.2 Body Weight Your weight as measured at the GP Practice shown in Kg and Stone. This is the reference weight based on which your weight reduction goal is set HbA1c The value entered as per your clinical record, with date BMI Body Mass Index shown as Kg/m2 (Your Goal for weight reduction will be zero, if your BMI is less than or equal to Blood Pressure Your BP as measured of late as systolic over diastolic reading 33

34 Figure 5.3 Figure 5.4 Figure 5.5 Use Navigation arrows provided as required to navigate to previous day and next day. Use - and + signs to increase or decrease the entered value. Refer Figure 5.3 Entering the value for weight, for the day chosen: Enter the weight value in Kg or Stone (St) and save your entry by clicking the Save button. You can see the Week Number for which you are providing your entries Note: If you do not click the Save button and exit the window by clicking the x icon, your data will not be saved to the application The same applies for Steps (Figure 5.4) and Achievements (Figure 5.5) entries.the following options are provided in the drop down selection text box Never In the current week you have Never followed the action plan suggested Rarely In the current week you have rarely followed the action plan suggested Sometimes- In the current week you have followed the action plan suggested, Sometimes Often - In the current week you have followed the action plan suggested, often Always- In the current week you have always followed the action plan suggested Unknown- You are not sure if you have followed or not the action plan suggested, and do not wish to make an entry Once entered, the above options will be displayed in different color code. 34

35 Figure 5.6 Figure

36 Figure 5.8 Self-Assessment summary shows the eating habits, physical activity and other general information as result of your Self-Assessment. Refer Figure 5.6 Action Plan section lets you have a look at the action plans you are currently working on. Your input on weekly achievement level is displayed here to inform you and the Health Advisor if the plan is being 36

37 achieved. At the call you will be discussing the plan with the Health Advisor. Revision of the plan will be reflected in the system by the Health Advisor within a day. Tip: How to make achievable action plans.refer Figure 5.7 Your action plans are displayed as a form of when what and how much. This format can be helpful to you to break down your problem: for example, if you are having difficulty in achieving your plan, is the problem about timing/frequency? Or the goal? Or the amount? Think about this when discussing your action plan with your Health Advisor You can send a message and get a reply from your Health Advisor. Please note that this service is not used as a text messaging service. Your message will be seen by the Health Advisor prior to the call appointment, and will be discussed during the call. Click on the New Message button. Enter your message in the text box provided, and click Send. You can see the message sent with date and time stamp, in the messages panel to the left of the screen. Messages will appear in the ascending Order of Entry ie Latest entry, will be shown first. You can also see the messages received from your Health Advisor.Refer Figure 5.8 END OF DOCUMENT 37