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The methodology behind RealTime has been deployed in the US for many years by Eagle Medical Management LLC (Dr. Jess Boyer, Principal Consultant for Eagle and Chief Medical Officer for RealTime). This methodology is based on a unique approach that involves establishment of an improvement programme through close collaboration with clinicians and staff. The approach relies on two simultaneous activities:
Sustained accomplishment of both of these activities is highly data driven; both are dependent on the use of clinical evidence and information feedback. By providing the evidence and feedback daily, RealTime drives the changes needed.
This approach is unique because it is based on targeting financial improvements, analyzing potential clinical improvements and coaching clinicians and staff to achieve and sustain these improvements. The improvements in efficiency and quality of care drive the achievement of the financial goals. The initial analysis for potential improvements involves manual medical record reviews of key diagnoses or groups of diagnoses, in which hospital performance is compared to known best practices. This is very labour and time intensive. During the next phase (implementation and coaching), information is also key and is derived significantly from manual record reviews. We then share this information with physicians and coach them on how to improve care. Sustainability of results is dependent on the information feedback to physicians and staff.
West Middlesex University Hospital is close to Heathrow, London. High average length of stay (ALOS) was the biggest contributor to their financial deficit in 2009-10.
“We have been able to cut costs while improving the quality of care. RealTime allows us to marry resources with needs, has enabled a healthy discharge rhythm and has improved forward planning.”Simon Marshall, CFO, West Middlesex University Hospital
Cambridge University Hospitals NHS Foundation Trust signed a business partnership agreement with RealTime Health Ltd to enable both parties to profit from promoting the RealTime product in the market.
