4. The pre-assessment nurse sets up the system to reflect the clinic’s availability and staff
data.
All clinical staff on duty also have a tablet with a list of their appointments. The system
connects to the hospital Wi-Fi and manages the efficient distribution of appointments:
green light/red light system.
There is a wayfinding add-on where hospitals can add location-based services to better
improve efficiencies by allocating appointments based on proximity and a ‘find my doctors
/ locate my next appointment’ function.
Prerequisite for the app to work...
5. PILLAR I: PLANNED OPERATIONS, scheduled appointments
Step 1
Welcome Desk
Patient walks in, goes to the
welcome desk/pre-
assessment nurse.
Nurse knows they have x
appointments at certain times.
At the RM, typically max of 3
tests a day (pre-assessment,
ECG, surgeon)
Nurse inputs the 3 times for
the appointments and gives
patient table to fill in
questionnaire.
Step 2
Receive Tablet
The tablet loads up with the
waiting ID and information
regarding the doctors that the
individual needs to see regarding
their tests before surgery.
Step 3
Navigate
The tablet/app is a companion
throughout the journey, prompting
them about waiting times, when
they need to go and where, how
much time remaining, watch video
tutorials.
The order of patient is decided
on: availability and proximity of
doctors & severity of case
Step 4
Return tablet
The patient returns the tablet to
the welcome desk on his way out.
Nurse takes care of cleaning and
put in charging dock.
6. PILLAR II: PLANNED OPERATIONS, unscheduled appointments
Step 1
Welcome Desk
Patient walks in, goes to the
welcome desk.
The nurse knows they are
coming and that they need
tests done but there are no
fixed time slots for when
these tests will be done.
Nurse inputs the doctors he
needs to see (no times) and
gives the patient the tablet to
fill in the questionnaire.
Waiting game begins.
Step 2
Receive Tablet
The tablet loads up with the
waiting ID and information
regarding the doctors that the
individual needs to see regarding
their tests before surgery.
Step 3
Navigate
The tablet/app is a companion
throughout the journey, prompting
them about waiting times, when
they need to go and where, how
much time remaining, watch video
tutorials.
The order of patient is decided
on: 1) availability and proximity of
doctors; 2) severity of the
individual’s situation.
Step 4
Return tablet
The patient returns the tablet to
the welcome desk on his way out.
Nurse takes care of cleaning and
put in charging dock.
7. Pillars I and II are successful and resources are allocated more
efficiently, waiting times are reduced...
Time has been freed up to see more patients and push forward
some of the waiting list of operations...
How do we manage this most effectively?
Free time on our hands!
8. PILLAR III: management of underutilised resources
waiting list, standby customers - external facing app
Step 1
Initial appointment
Patient sees their clinic doctor
(surgeon or oncologist), is told
that their test/operation is on
a waiting list of 3 months -
asked to download app on
their phone, doctors inputs
the x tests that they need
done.
Criteria of proximity.
Step 2
Notification
On a given day, at the Rm, the system
recognises that the x tests are available and
notifies all phones within a 1m radius to come
to the hospital.
Priority is given to patients on the ward. The
nurse on the ward has a table in the room.
Step 3
Confirmation
Patient confirms via
telephone they are
available and make their
way to the hospital.
Appointment is
confirmed for X time. The
nurse inputs the time like
she normally would for
pillar I.
Step 4
Welcome Desk
Repeat Pillar I.
9. Revenue model
We install the hospital patient wifi totally for free,
we give them the HP Windows tablets totally for
free, we replace them with new in 24hours and
upgrade the whole set every 12 months plus they
get the software totally for free. We then work out
what the cost of that lot is over 3 years and add a
margin. We then look at how many visits that
hospital gets each year, and of those visits how
many journeys per visit (i.e. a visit is one person
coming to the hospital for clinical appointments on
one day, a journey is going from A to B where B is
a member of clinical staff). We then lock them into
a 5 year contract and work back from the total
contract cost and set a price per journey.
10. Revenue model
Hospital
Royal Marsden Example
● The Royal Marsden will accommodate 60,000 visits per year with an average of 6
journeys per visit. (total annual journey 360,000)
● They would need 150 + 50 spare (at £100 per tablet) that's £20,000 per year
● They have good wifi, so we just need to add more spots to provide location services,
we costed this at £60,000 (one off)
● TOTAL COSTS £80,000 / cost per journey 22p (so we would charge maybe, say
30p) Each hospital would pay a different price.