G106 Paediatric functional illnesses – learning points from the first year of a two year pilot service

Abstract

The challenge was to make these care pathways available to all within the system. Our primary aim was to provide families and healthcare professionals with consistent evidencedbased information through home, primary and secondary care. Methods Across these healthcare settings no single IT solution existed to communicate these pathways to all. We set out to develop our own: prioritising secure, robust and safe technical programming whilst delivering an accessible user-friendly interface. This led to the use of smartphone technology.Comprehensive integrated-care pathways were devised for all six high-volume conditions. Pathways were reformulated into algorithms suitable for app format. Outcome tools included data on app usage, data dashboard to monitor 'zeroday length of stay admissions' for the six conditions and qualitative feedback from stakeholders. Results 24 months quantitative data from in-built analytic programme as a measure of usage and retention:-Total unique user events: 7937 (69% parents/carers; 14% primary care; 17% secondary care). Retention: 16% of users revisited app within 1 month with an average number of 2.5 sessions per user.Admission dashboard data to monitor admissions for 6 high-volume conditions: key data is presented in table 1. Data demonstrates 15% reduction in total admissions, with fever and minor infection showing the greatest reduction.Abstract G105 Table 1 % change in admissions from 12 months before to 12 months