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Sample Sets

With DTX, question sets can be adjusted for any clinical scenario, regardless of specialty. This can be a valuable tool both before surgery and after.

RISK STRATiFICATION

1) Do you live alone?

2) Do you own a car?

3) Do you work?

6) Do you own a cell phone?

5) Where is the closest hospital/ER (in minutes) from you?

6) Do you have a reliable caregiver at home?

7) How would you rate your current overall emotional/mental health?

8) Are you currently walking?

9) Are you currently under the care of a Pain Management Physician?

10) How many weeks of Physical Therapy have you completed for your current symptoms?

OUTCOME SET (POST-OP)

1) Do you have any new deficits since surgery?

2) Is your wound leaking?

3) Do you have a follow-up visit scheduled with your surgeon?

4 Where were you discharged to?

5) Are you scheduled to see your Primary Care Physician?

6) Have you had a fever greater than 101˚ F since your last contact with us?

7) How many prescription pain medications are you currently taking for your spine symptoms?

8) Do you want a call back for questions?

9) Do you suffer from any muscle spasms?

10) Do you have any new symptoms?

For Example

Post-Discharge Follow-Up, Remote Monitoring & Risk Stratification for Microdiscectomy Patients

A Microdiscectomy (MLD) is one of the most common Spine Procedures with approximately 200,000 cases in the US annually. For MLD and many other spine procedures, Surgeons do not know the number of patients that feel better, off pain medications, back to work and happy with their outcome. Due to existing operational constraints, there is no reliable way to collect this information.  To do so with current systems would require a herculean effort of personnel including data collectors, IT to review EMR, and a significant amount of time.  Performing outcome studies with an EMR is difficult.

 

In the following example, Quality (Physician) and Patient Question Sets for the MLD Procedure are created in DTX. Once the patient is scheduled for MLD surgery, these question sets are automatically sent to the patient based on the patient’s surgical date and the user’s frequency parameters.

Physician (Quality) Outcome Set

Question set would be automatically sent to the physician, two weeks prior to the patient’s surgery, in order to ascertain the following patient information:

    1. Smoking History
    2. Diabetes History
    3. Prior Spine Surgery
    4. Pain Medication History
    5. Working or Not Working

Patient Outcome
Set 1

Question set would be automatically sent to the patient three days after surgery:

    1. Is your wound leaking?
      • If yes, the physician and clinical team are alerted.
    2. Any fever over 100 degrees Fahrenheit.
      • If yes, the physician and clinical team are alerted.
    3. Are you on pain medication?
    4. Would you like a follow-up call today?

Patient Outcome
Set 2

Question set would be automatically sent to the patient one month, three months, and one year after surgery:

    1. What is your current pain level?
    2. Are you in physical therapy?
    3. Are you on pain medications?
    4. Are you back to work?
    5. Are you back to your normal level of physical activity?

Patient and physician data

This data can be easily visualized through the Analytics Dashboard. Data for individual patients can be exported to Microsoft Excel. The dashboard allows data from the patient outcome sets to be merged with and filtered by data from the physician outcome sets. Below are several examples:

  • How many patients with a history of smoking return to work at three months? One year?
  • How do the pain levels of patients on pain medication prior to surgery compared to those off pain medication prior to surgery at one month? Three months? One year?
  • Do diabetic patients have a higher rate of wound leakage at 3 days than non-diabetic patients?