About Debashish Das
Debashish is a Cardiologist at Barts Hospital with a passion and history of service improvement within the NHS. The passion Debashish has for digital health lead him to to develop a virtual clinic platform (Ortus-iHealth). The goal was to combine virtual consultations, a patient portal and patient reported outcome measurement (PROMs) generation into one easy to use platform.
After a successful pilot in Barts Hospital Debashish now aims to scale up and digitise other outpatient pathways within Barts hospital.
Problem: Outpatient services in the UK are lacking capacity and require innovative approaches to deal with increasing pressures. St. Bartholomew Hospital is a perfect example. A lack of capacity in outpatients has led to the introduction of waiting time initiative clinics to relieve pressure, but at added expense. Current DNA rates are ~10-12% across Barts Heart Centre and Barts Cancer Centre, while the recent CQC inspection mandates better utilisation of the outpatient’s department and improved patient pathways. Barts requires a means of improving the outpatient service efficiently while also improving patient care.
Solution: Having delivered successful pilots in cancer and cardiac patients, the current transformation project involves scaling up and delivering digitisation of clinical pathways. Initially, this will be through increasing the use of virtual clinics and video conferencing. As Debashish gathers data via remote monitoring and patient reported outcomes, he will facilitate further intelligent pathway change to ultimately reduce the outpatient burden.
Scale: Debashish aims to deliver 7 clinical pathway changes between April 2019 and April 2020. It is estimated this will change the nature of at least what would have been 3000 outpatient contacts.
Desired impact: Through this transformation project Debashish aims to achieve greater access to care for patients and their families. Improve efficiencies, productivity for clinicians and cost-savings in the delivery of care. Overall, Debashish aims to improve the quality of care and patient satisfaction.
Progress to date: The project is set to go live in April 2019 with the business case awaiting final approval and the setting up of a transformation steering group.