How HOPE Platform works

ADDI Medical
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How HOPE Platform works

How HOPE Platform works

The HOPE Platform consists of six functions that enable new ways of communicating and sharing health data and information between the patient, healthcare and research.

The digital care plan will be available via the HOPE Practitioner medical record system, which supports staff management and follow-up on all patient activities, medical and more health related, automated triage and anamnesis, automated draft medical records and automated clinical decision support.

The digital activity plan becomes available when the patient downloads the HOPE App. Patient requests are centre stage at this point. The patient can share health data and digital forms through the HOPE App. It makes it possible for patients to take greater responsibility themselves in terms of care and treatment.

HOPE Automation provides the staff with an effective and secure tool for the automation of care plans, especially suited to more highly specialised clinical activities. The result is an automated care pathway with the option of tailoring planned activities to an individual patient and clinical decision support for each diagnostic field. HOPE Meetings enables chat and/or video meetings between patient and staff. HOPE Communication is for automated notifications, receipts, text messages and emails designed to support the patient compliance with their scheduled activities. HOPE Integration as support for integration with the surrounding “ecosystem”.

HOPE Practitioner - The Digital Care Plan

Healthcare professionals such as doctors and nurses, research staff and administrators work in the HOPE Practitioner medical record system – available as a web application and mobile app. A general care plan can be created and configured from the start. Over time, this can be populated with activities and personalised to match specific patient needs. The plan has no limit to the number of activities that can be added.

Activity examples:

Dynamic forms
Appointment invitations and acknowledgements
Chat sessions and video meetings
Home tests
Measurements such as weight, steps, blood glucose, blood pressure, etc.
Food and drink intake
Medication intake
Medication dispensed
Training/working out
Request for consent

The purpose of the care plan is to support staff in their work and the requirements for higher quality and greater efficiency in patient-facing healthcare work, increasing availability and service accessibility for patients. Some of the work previously performed by healthcare staff can now be done by patients, while healthcare can offer more communication channels. Healthcare can view and monitor patient self-care via manual and automated monitoring of threshold values. Automated and proactive alerts via via notes, text message and email are sent to care staff if one or more threshold values are exceeded.

Activity planning

Activity planning via HOPE Practitioner facilitates the generation of automated standardised care pathways, as well as other identified pathways. From the perspective of the care staff, care plan content becomes a cohesive series of activities and results from patient registration of self-care and can be followed up by care staff in real time.

Information and data generated by the patient when answering questions and performing activities is automatically shared with authorised care staff, providing them with a readily accessible and customised overview of the patient’s needs and state of health.

Personalised communication

Healthcare professionals can communicate in a personalised manner with patients via the chat function or via automated replies from the chatbot. Automated replies give the patient individually tailored advice and support with no temporal or spatial limitations and it can be gradually adjusted as the question base is expanded.

Regulatory framework rules and triage

As the patient is given the opportunity take greater responsibility and be more involved and engaged in their care and health, a clinical data base is generated. That base will be used for automated triage, automated anamnesis, automated draft medical records and automated clinical decision support. Care staff are proactively, automatically and promptly alerted if patient health exceeds or falls below of clinical evidence-based limits. The regulatory framework rules and criteria for clinical decision support are based on data collected via evidence-based protocols, which results in a score generated by evidence-based algorithms.

Care staff are in full control of all planned activities and input algorithms, as well as rules and criteria that automatically direct the patient care pathway through triage. Over time, care staff can manually update activities for one or more patients or update using predetermined rules.

Find out about the building blocks supporting the care plan:

Activity planning

Automated records

Clinical decision support

Visualisation

Knowledge bank

Consent

Automation

Configuration

HOPE App - The digital activity plan

The patient downloads and uses the HOPE App or accesses it as an online application. HOPE App enables new communication pathways such as asynchronous chat and video link appointments.

Patients also receive their apppointments, notes and reminders about different activities through the app.

The patient can share health data for weight, daily steps, pulse and digital forms such as lifestyle recording through the app and patient information can be monitored regularly by healthcare staff once reported.

Clear goals are set up in consultation with patients and once goals have been achieved, the patient receives automated notifications to motivate the patient to continue working on healthy habits.

The app also has an information bank with educational material in the form of pictures, informative films, publications and links to a number of different websites, as well as information and films available from patient associations. The information bank can be continually updated and developed in line with patient requests.

Information registered with respect to different self-care measures is gathered in one place and is easily and securely shared with care staff and investigators in real time.

HOPE App can:

Obtain consent for different purposes. Over time, the patient can see all of their consents, both approved and pending.
Take into account whether the patient is linked to a specific place within the region is this is important when different places have different health activities for the same care pathway
Take into account whether there is a responsible doctor/nurse/dietician for a patient
Dircet the patient in order to to promote increased continuity, for example when using the chat function
Simplify booking video/chat/phone or physical meetings
Improve meeting preparation by sending predefined forms for scheduled follow-up and automating lab referrals in accordance with special decision rules

Recurring forms can be booked in automatically, e.g. digital PASI score forms every 6 months, lifestyle forms every 4 months, annual check-up and other digital health forms
Visualise metrics and scores from evidence-based symptom forms in a diagram in the same or different graphs
Provide support and advice via a digital knowledge bank with quality-assured information from healthcare
Offer the patient increased assurance and service through asynchronous and synchronous chat with care staff and enabling the patient to see their already-peformed health activities, as well as those scheduled. The patient gets a complete overview while being simultaneously guided onwards and made proactively aware when it is time for the next step in the care pathway

The new digital method of communication between patient and care staff provides access to activities performed that are processed using algorithms, calculations, rules and criteria. Processed results are fed back to the patient and shared securely in real time with authorised healthcare professionals. Based on registered results, the activities performed by a patient will be updated automatically.

Securely shared data is accessible in identified, deidentified, aggregated form or as anonymous individual data.

Find out about the building blocks supporting the digital activity plan:

Activity planning

Automated records

Clinical decision support

Visualisation

Knowledge bank

Consent

Automation

Configuration

HOPE Automation

When a care pathway has an established content of health activities, the next step is to define the rules and calculations that are to be applied to automate the care pathway – for example applying triage to the right level of care and/or creating clinical decision support. All rules and algorithms that healthcare can define based on diagnosis-specific needs can be easily and quickly configured using the ADDI Medical proprietary patent-pending programming techniques.

Individual adaptation

The result is automated care pathways that can be adapted to the needs of the patient and clinical decision support that can be adapted to each individual diagnostic area. Automated care pathways enable care staff to quickly and easily monitor patient self-care. This facilitates an increased focus on performing highly specialised clinical activities via HOPE Practitioner clinical decision support.

Alerts and excursions

HOPE Automation is based on automation rules produced by the care business and automatically generates an alert if patient self-care does not follow the established care plan. HOPE Automation is used in every applied system support on offer in HOPE Platform.

Automating information

In HOPE Practitioner, care staff can automate transitions between different scheduled health activities. When the next planned step is to be carried out, triage is created based on the registered patient information.

Clinical decision support

HOPE Automation can also be used to automatically generate a draft anamnesis and medical record based on the most recent information registered by the patient. On the basis of specific needs in different diagnostic areas, automation can also generate clinical decision support based on rules and calculations in the form of simple values. An example of a rule is an evidence-based score or algorithm that exceeds a certain value.

Read more about building blocks HOPE Automation:

Automation

Automated records

Communication

Clinical decision support

Activity planning

HOPE Integration

HOPE Platform can be integrated with health and medical systems wherever there is a need to receive lab results, for reporting to quality registers, booking physical and/or digital meetings, writing medical records, entering a diagnosis, creating a contact list, medical treatment, exchanging forms or measurement values and more.

Finished integrations

HOPE Platform is already currently integrated with several record systems, quality registers, e-cards, SITHS and BankID authentication, payment services for using credit cards and Swish.

Export function

HOPE Platform has an export function that exports all information to a file with just one click – for example from a company’s entire patient list or from an individual patient care plan. Data export works with Excel and other compatible CSV formats.

Clipboard function

HOPE Platform also has a built-in, complete export function in the form of a clipboard. Satff can easily specify which information is to included using the clipboard function. Staff can then open another system and “paste” the selected information in and make any necessary adjustments and additions needed, as the pasted information pasted is an editable format.

The service reduces the need for systems integration between HOPE Platform and external systems. The extra work takes only two clicks or whatever is required for integration with other systems.

Read more about building blocks combined with HOPE Integration:

Integration

Communication

Security

HOPE Meetings

The patient and healthcare staff, administrators or research staff can participate in a digital meeting via a chat function that works as an asynchronous and synchronous communication channel. Before the chat meeting, the patient can answer questions via a form that is automatically included in the care pathway for the patient when the chat meeting is booked. Care staff can consult the registered self-care data for the patient before the meeting. Information, documents and diagrams can be shared during the meeting. Additional forms can be activated automatically or manually in the care pathway for the patient.

Chat

The chat function enables care staff to handle multiple patient consultations in parallel simultaneously, as it gives the patient a more continuous and accommodating form of meeting. Chat meetings can be easily cancelled or rebooked as a different type of visit, both digitally and physically.

Clarity in the type of chat expected to be used in dialogue between care staff and the patient is important. When the patient initiates the chat, the patient will receive information about when the healthcare chat is staffed and when a reply can be expected. Information can be quickly and simply updated by care staff in real time.

Video

The patient can also meet with healthcare staff via video meetings conducted through an external system support for video. Prerequisites for multi-party video are dictated by the system functionality of the external video system. There are no restrictions regarding selection of the video system support used.

HOPE Meetings ensures that all conversations are saved in accordance with the Swedish Patient Data Act (PDL).

Read more about building block combined with HOPE Meetings:

Communication

HOPE Communication

The primary channel of communication with the patient is the automated patient care pathway available via the HOPE App. The care pathway is a composition of different complex medical activities and self-care for a patient, the purpose of which is to increase healthcare service and accessibility to the patient, support and streamline healthcare while simultaneously enhancing the quality of the healthcare journey for the patient.

Automatic sharing

Self-care data generated by the patient through responding to questions and performing activities is automatically shared with the responsible , authorised care resource. It provides a rapidly adapted overall snapshot of the needs and health status for the patient.

Self-care support

From the healthhcare staff perspective, the patient digital care pathway via the HOPE App becomes the patient care plan and results rom patient registration of self-care can be followed up in real time. Healthcare work may be perceived as even more accommodating and providing simple and secure remote support for patient self-care.

Notifications and reminders

If needed in communication with a patient, healthcare staff can also use mail for notifications of a more administrative nature or for reminders to alert user that it is time to perform an activity. For example, if a registered value has exceeded or fallen below a level that means a certain measure must be taken.

Text message (SMS/Short Message Service) can also be used for this kind of simple and quick communication.

Read more about building block combined with HOPE Communication:

Communication

How is it done?

As a service

A mobile service targeted at healthcare, medical care and scientific study
Facilitates triage and study of patients
Is based on the ADDI Medical HOPE Platform™ communication platform
Has completed integrations with other apps, applications and infrastructures
An open communication platform with different building blocks that support national guidelines and regulatory frameworks, as well as international standards such as FHIR
Is CE-marked and supports the Swedish Patient Data Act (PDL) and the General Data Protection Regulation (GDPR)

For the individual

Has an intuitive interface and easy-to-learn functions
Provides support via automated flows that help the user perform health activities step-by-step
Gives the user a notification whenever it is time to carry out a new activity
Provides information about who to approach with questions and for advice
Makes digital communication with healthcare possible via chat
Gives the conditions for being eligible to take part in clinical studies
Gives the user their results immediately after logging in using personal BankID or secure personal code
Manages and shares information in a safe and secure manner in accordance with the Swedish Patient Data Act (PDL) and the General Data Protection Regulation (GDPR)

For healthcare staff

A digital platform that makes triage, automated anamnesis and medical records, as well as clinical decision support
Supports communication between the patient and the business, for example via digital forms, digital appointments, text message, email and chat, which are then saved as medical record documentation
Displays information in different ways in different technical environments
Provides healthcare staff with a complete overview and control of the rate at which data is collected, as well as what data is collected via the individual patient
Automatic alert if results for a patient fall outside limits or if there is a lack of compliance with scheduled health activities
Ensures that data is always used in accordance with Swedish legislation in a secure, responsible and considerate manner
Includes the patient and lets the patient perform activities that care staff have deemed the patient can carry out themselves
Frees up healthcare staff to spend more time on patient-oriented work

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