NHS Greater Manchester strengthens shared care record capability with digital care plans and ‘My GM Care’ patient app
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Care Planning for Digital Patient Engagement
Our care planning suite transforms the delivery of care and improves the quality of life for patients with, or at risk of long-term, complex or life-limiting conditions. This is achieved at the same time as delivering efficiency and cost-saving opportunities for care providers.
Graphnet Care Planning provides end-to-end management of cohorts of patients, from identification of those at risk, remote assessment and monitoring, through to on-going care planning and discharge. The patient engagement solutions have a broad range of applications, including:
Creating a Digital Patient Engagement Platform
Using details held within the Graphnet Shared Care Record, clinicians are able to identify and target cohorts of patients who will benefit most from proactive care. Depending on the situation, patients provide relevant information (for example: blood pressure, oximetry readings, mood details, etc.) via Personal Health Record (PHR) questionnaires and/or wearable devices in real-time to their care teams.
This information is then available to professionals to view via interactive dashboards which highlight changes using, for example, RAG ratings, so levels of care can be escalated as needed. From here, users can also drill down directly into the shared care record for a detailed, holistic view of the person. Individuals also benefit from receiving rules-based prompts, and further advice and support from their care teams.
