Case study How Orton hospital reduced its orthopaedic patients' post-operative visits by 20%

Impressive results

20%

fewer post-operative visits

90%

PROMs response rate

87%

PREMs response rate

4,6/5

patient rating

Orton and Buddy Healthcare collaboration

Orton hospital, based in Finland, recognised the shift to value-based care and identified several areas of improvement that could be solved using health technology. Orton partnered with Buddy Healthcare in 2017 when the hospital was looking for a solution to:

  • digitise and automate knee and hip surgery patients' communication and education,
  • automate and increase PROMs and PREMs collection and response rates,
  • improve its remote patient services with enhanced recovery after surgery.

Digital perioperative care of the orthopaedic patient

The goal of the collaboration was to digitise orthopaedic patients' communication, improve patient satisfaction, and increase the collection rate of Patient-Reported Outcome Measurement questionnaires through the platform. Orton also sought to improve operational efficiencies by eliminating unnecessary post-operative visits and phone calls.

Patients undergoing knee and hip replacement procedures began receiving all pre- and postoperative care instructions, pre-assessment forms, medication and nutritional instructions, appointment and task reminders, prehabilitation and rehabilitation instructions, a pain meter, and patient questionnaires (PROMs, PREMs) automatically through Orton's white-label mobile application.

While orthopaedic patients used the mobile app, the orthopaedic nurse monitored the patients' progress remotely using Buddy Healthcare's Care Pathway Management  Dashboard. Orton's nurse communicated with patients mostly through secure messaging, allowing them to send questions or images of their surgery wounds via a digitised and secure mobile app.

Electronic pre-assessment forms, which were collected digitally, were available to care personnel before the patient arrived for the procedure. The digitally guided patients had already submitted the form in advance through the app. Traditionally,  guided patients would bring the paper version of the pre-assessment forms to the clinic on the day of the operation, and the secretary would need to scan the paper form.

Key results with Buddy Healthcare's platform platform

  • Digitally guided patients had 20% fewer postoperative visits to Orton's clinic. Patients could send wound images through secure messaging for the orthopaedic nurse's evaluation instead of visiting the hospital.

  • Orton reduced the average number of phone calls to just two per digitally guided patient throughout the entire perioperative care pathway.

  • Increased response rates: PROMs questionnaire, 90%; PREMs questionnaire, 87%.

  • 89% of patients with hip and knee conditions who were offered the mobile application chose digital patient guidance over traditional paper-based guidance, which included phone calls and mailings.

  • Orthopaedic patients using the mobile application rated the digitised care pathways with 4,5/5.
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I love to use the messaging feature with my patients. My patients are often sending me photos of their wounds for my evaluation. I provide instructions based on the photos without a need to describe it on the phone or make a visit to our hospital.

Orthopaedic nurse

Enhanced recovery after surgery: The orthopaedic PROMs questionnaire response rate is 90%

Orton automated the delivery of rehabilitation and postoperative care instructions, as well as Patient-Reported Outcome Measures (PROMs) questionnaire collection, using the platform. 

Patients attending hip or knee replacement surgeries submitted either the Oxford Hip Score (OHS) or the Oxford Knee Score (OKS) questionnaires digitally from their mobile devices. The digital collection of questionnaires was very effective, as 90% of patients assigned to the digital care pathway submitted their PROMs questionnaire, and 87% of patients submitted their patient experience feedback questionnaire.

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I feel I was taken very good care of when using the app as I could easily send messages to the nurse whenever I had questions in my mind. The app created a feeling of safety for me.

Orthopaedic surgery patient who used the Orton app

Implemented Care Pathways

  • Hip joint replacement
  • Knee joint replacement
  • Back to the fitness treatment path
  • Knee fitness treatment path
  • Sports medicine care path

About Orton

Orton is the most extensive private provider of specia­lised health care in Finland. In addition to joint replace­ments and spinal surgery, they offer a wide variety of other specia­lised health care services in coope­ration with HUS Helsinki University Hospital, which is the largest university hospital in Finland.

Watch a video where Mikko Manninen, Head of Orthopaedics, introduces the use of the Platform at Orton.

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