Musculoskeletal

Supporting Musculoskeletal out patients

MyPathway enables MSK outpatients to become better connected and more involved in their treatment. On registering for MyPathway MSK, patients are sign-posted to self-management resources and lifestyle advice which they are encouraged to resort to whilst waiting for their appointment. Patients are asked to complete baseline, condition specific, outcome questionnaires, such as MSK-HQ, EQ-5D and STarT Back, digitally within the app.  All appointment information is available on the patient’s timeline to assist with adherence, DNA reduction and improve patient experience and engagement.  Automated reminders are sent to the patients at agreed intervals for both forthcoming appointments and questionnaire completion.

The MyPathway clinical portal enables clinicians to monitor their patients progress remotely and provides a real time snapshot of how their patients are developing. Clinicians can engage with their patients by sending personalised messages, condition specific advice and information can be automatically pushed to the patient according to pre-agreed clinical rules. Clinicians can also upload and send bespoke resources such as exercise videos, PDFs or URL links. On discharge, patients are sent further outcome questionnaires for completion, enabling the service to measure outcomes at patient, service and population level. Patient experience questionnaires such as Friends and Family Test (FFT) are used to monitor patient satisfaction.

MyPathway MSK has been implemented within 2 trusts which have already seen an increase in questionnaire responses. One trust has seen 90% of the completed MSK-HQ PROMs are completed within 6 days of patient registering. DNA rates of app users are 50% less than those patients who do not use the app, not only does this benefit the efficiency of the service, it also saves costs. In one trust where MyPathway MSK is rolled out, there was a 40% cost reduction as a result of reduced admin, patient processing and postage costs.

Musculoskeletal supported self-management

Part of the NHS Long-term Plan is “supported self-management”, a commitment to make personalised care business as usual across the health and care system. Health commissioners and providers want to prevent referrals for conditions that can be self-managed entering the musculoskeletal (MSK) service via remote early intervention and support.

MyPathway MSK Supported Self-management (SSM) enables patients with lower back pain to self-manage their care remotely through creation of their own activity and goal setting programme and access to proven support resources delivered by the app. Patientsare triaged via Keele STarT Back and red-flag symptoms questionnaires to check that they are suitable for the programme. The patient selects a series of daily / weekly exercises and activity goals and creates their personal 6-week self-management plan. Daily automated goal scoring reminders are pushed to the app enabling the patient to track their progress and encouraging adherence.  Fitness tracking devices can also be linked to the app to help patients more accurately track their physical activity. Patient health outcomes are measured via completion of baseline and discharge MSK-HQ questionnaires and, at the end of the programme, a clinical summary document is sent to their practitioner via NHS MESH for either discharge or onward referral. Patients can elect to continue to use the platform long-term and have their outcomes monitored.

MyPathway MSK SSM enables patients to become better connected and more involved in their treatment, encouraging patient self-care.