Monday 20 April 2009

NURSE LED CLINICS/MOBILE CLINICS (Updated 29th Nov. 2010)




As the Mediwatch product range lends itself to 'Nurse led clinics' I think a section dedicated to this subject would be of interest:

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I forgot to add this here relating to August 2010 update on Mobilewatch:




Let mediwatch help you expand your clinical offerings with a service to beat all services, a one-stop shop for all your Urology Diagnostic needs.

This exclusive online platform is designed to be easy to use, and allows you to schedule your patients for a range of procedures, which are performed by experienced clinical professionals using top-of-the-line equipment.

The mobilewatch clinical services package is
only available in the USA at present.






To view the full list of mobilewatch
features click here to download the
latest information sheet.

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From the Interim Results released 28th July 2010 for the six months to 30 April 2010

Mediwatch launched the Mobilewatch Clinic division in April 2010 and served its first customer in the US in that month. Mobilewatch Clinic has been specifically designed to deliver lower healthcare costs in anticipation of the future implementation of the Affordable Care Act (March 2010) in the US.

Mediwatch Mobilewatch Clinic allows us to service medical practitioners, who may lack the volume of cases or the recurring patient episodes necessary to justify the capital equipment outlay, with our Mediwatch diagnostic tests without their need to purchase our equipment.

Mobilewatch Clinic offers a new service to Mediwatch's customers and opens up a new market segment to the Company which has not been previously available.


Research and development

New software application for the Mobilewatch Clinic division to increase efficiency and deliver cost reduction to our service customers

Development of a low cost urodynamic system and software package that is portable and easy to use aimed at the Mobilewatch Clinic business

Current trading and outlook

The Board is very pleased with the results for the first half, maintaining turnover and increasing profits despite the current economic and political climate having an effect on customer budgets. In the UK the government cuts will ultimately affect capital expenditure so we are addressing this problem in advance as we have already done in the US.

We plan to gradually launch the Mobilewatch Clinic diagnostic service in the UK and place bigger emphasis on our disposable products which come out of our clients' operational rather than capital budgets. The Board will continue to monitor overheads and will actively manage the cost base as appropriate.

Interim Results for the six months to 30 April 2010


From the 2009 Mediwatch Final Results

Services

A new mobile diagnostics service will be operated through skilled nurses, which will create opportunities to present a cost efficient diagnostic service to physicians, with no major capital outlay. This service will incorporate new diagnostic procedures which should launch in the first half of 2010 and will run in parallel to the change in US government expenditure in regards to reimbursement and presenting a wider medical facility to all individuals. Initial efforts will be concentrated in Florida with the potential to be rolled out to the other 49 states through our nurse network.
Mediwatch-Final Results for year ending 31st October 2009


Mediwatch Statement

"Mediwatch has developed a range of medical equipment for the diagnosis of a variety of clinical conditions. Mediwatch focuses it's design skills on unique diagnostic products that can be used with simplicity, across the medical profession, by healthcare providers with different levels of clinical expertise.

Mediwatch's research and development strategy draws on extensive clinical knowledge with a seamless interface between the point-of-care and innovation with cutting-edge technology."
Mediwatch Website

Also

"Mediwatch is developing more point-of-care tests, including a range of relatively high-margin pathology tests. The company intends to provide mobile screening clinics for private hospitals, clinics and nursing homes.

This is in line with Mr Stimpson’s original strategy when he launched Mediwatch in 1996.His aim was to provide a full range of diagnostic products and services, many with superior properties to what hospitals, clinics and surgeries typically provide, in areas such as diagnostic ultrasound and point-of-care biochemistry."
Mediwatch’s healthy growth prospects 8th April 2009

NHS Buyers' Guide-Urodynamic Systems UK-Dec.2008

Mediwatch response to the above:

Urodynamics
"A comprehensive, comparative assessment of clinical Urodynamic systems was performed independently for the NHS Purchasing and Supply Agency. We are proud to report that this study found Mediwatch’s Urodynamic systems superior to those from competing manufactures (Laborie, LifeTech, MMS, Andromeda and Albyn). Mediwatch was the only manufacturer to receive a “Very Good” rating with five stars for its products."

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Examples of Nurse led Urology Clinics (New Section as of February 2010)

Lakehead Nurse Practitioner-Led Clinic Opens-Canada Added 29th November 2010)

Revive Clinics-Australia (Added 28th November 2010)

Royal Free Hampstead NHS Trust-UK(Added 27th November 2010)

Hawke’s Bay, New Zealand (Added 27th November 2010)

The Blackpool,Fylde and Wyre Hospitals NHS Foundation Trust



Mediwatch & General News relating to 'Nurse Lead Clinics'


Emerging Statistics for Nurse-led Clinics UK (Scotland)-September 2010


Emerging Statistics for Nurse-led Clinics UK(Scotland)-December 2009

Sponsored session 3-Urodynamics/Setting up a nurse lead clinic
BAUN 2009 Annual Conference & Exhibition UK-2nd to 4th November 2009

Evidence for Nurse led clinics Australia-2009

Europe’s nurses:an untapped resource Cancerworld.org-March/April 2009 Edition

Mobile health clinics hailed a 'success' UK-April 2009


The findings of the first four full years of collection (2004/05, 2005/06, 2006/07 and 2007/08) are presented in the table below - covering nurse-led clinics in acute specialties and other non-acute specialties(Scotland).
Emerging Statistics for Nurse-led Clinics UK-Feb.2009

Nurse-led Clinics in Wales Help Expedite Clinical Trials of New Cancer Drugs UK-Oct.2008


Nurse-led PACs are fit for purpose. Guidelines for assessment and management are closely followed with minimal changes to treatment at consultant review.
Nurse-led prostate assessment clinics – are they fit for purpose? UK-2008

Surgery and Urology Directorate 2006-2011 UK-2007

Nurse Led Clinics and Nurse Prescribing UK-2006?

Interstitial Cystitis Towards a Nurse-Led Clinic UK-2004

Lancashire Teaching Hospitals NHS Trust - Nurse-led telephone follow up for prostate cancer UK-2004


This audit shows how a change in practice can significantly improve the patient's journey. For people with cancer, quality information, communication, continuity and overall coordination of care are all vital. As well as benefiting patients, this service development has resulted in a radical reform of the urology/oncology service.
The nurse-led histology clinic has had significant benefits for the medical team as well as the patient. The patients attending the consultant clinic are more informed, better prepared and have their staging investigations completed. This allows the consultant to have a more meaningful and productive time with patients to discuss management of their cancer.
The development and audit of a nurse-led urology/oncology clinic. UK-2004


Cost-effective analysis of conventional and nurse-led clinics for common otological procedures-Abstract

Abstract

The need to reduce costs while providing a first-class service has led to the expansion in the role of nurses in recent years. We present results of a comparison of the cost-effectiveness of conventional and nurse-led out-patient ear clinics. Our results indicate that cost-effective health care is a distinct competitive advantage for nurses taking up some roles conventionally performed by doctors. The difference in mean cost of out-patient visit per patient between the two groups is £75.28. This is equivalent to a reduction in cost to the hospital of more than £47000 for the 626 patients seen in a nurse-led ear clinic in a year. The nurse-led service is thus more cost-effective and presents an opportunity by freeing up otolaryngologists’ time to see more complex patients and has the potential for reducing out-patient access time in the NHS.
Cost-effective analysis of conventional and nurse-led clinics for common otological procedures-Abstract UK-2004

Nurse-led clinics for assessing men with lower urinary tract symptoms UK-2003 (Added Nov 2010)


NURSE LED CLINICS-GUIDELINES AND PROTOCOLS UK-2001?



Turning out to be a well documented sector,will add more later.

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