Mount Druitt GP clinic is using CareMonitor as a COVID-19 ‘bedless hospital’
A version of this article was first published in the Daily Telegraph (paywall)
Two young women with COVID-19 have become the first patients in Sydney to take part in a “bedless hospital” trial where local GPs will treat them at home.
In a move designed to free up hospital beds, patients taking part in the trial will use CareMonitor, a health management app that’s adapted their platform to help support remote healthcare operations.
The patients will be asked to answer a daily online questionnaire, with medical staff at the Mt Druitt Medical Centre making a daily assessment as to whether they can stay at home or need to head to hospital.
The medical centre is run by Australian Medical Association (NSW) president Dr Kean-Seng Lim. Alongside the questionnaire, the CareMonitor team has rapidly released software updates to support the trial. Mount Druitt GP will accept as many as 20 COVID-19 patients as part of the trial, which could be expanded across other health districts.
How it works
In the CareMonitor app, COVID-19 patients are asked daily question to gauge their current health status. The answers result in a green, orange or red status, with the latter prompting a request for the patient to call an ambulance. The daily responses will be monitored by the nurses and pharmacist, with the GPs becoming involved when a more serious score is flagged.
If the patients deteriorate during the course of the day, they can send a message on the app, which is picked up immediately. The trial, which is being run out of the Western Sydney Local Health District and Primary Health Network, is based on remote care already being offered for patients with conditions such as diabetes, heart failure and asthma.
The patients
The first two women to take part in the trial were aged 23 and 24 years, both of whom were “expected to do well” given their low risk profiles. But with “one per cent” of those with a low risk profile still requiring potential hospital care, ongoing monitoring was critical, he said.
“The patients we will accept will have been diagnosed at one of the COVID-19 clinics and are regarded as low to moderate risk. We know that, with coronavirus, most patients that deteriorate do on days 7 and 10. This software means at a glance we can see whether someone needs to be followed up,” said Dr. Lim.
Freeing up local beds
Dr Lim said the system maximised the efficiency of local hospitals by freeing up beds and emergency department doctors while also allowing general practitioners in the community to play a more effective role.
The centre has five doctors, three nurses and a pharmacist, who are each taking part in the trial. Other measures to ease the load on hospitals are the subject of ongoing discussions of various localised working groups comprised of medical practitioners of different specialties who are sharing their knowledge as part of the NSW Health crisis response, Dr Lim said.