Results

Vitalpac’s products have been contracted to 51 hospitals and fully rolled out to more than 600. Currently some 25,000 nurses every month are using Vitalpac to record over 5 million sets of routine observations as well as for a wide range of assessments including VTE, dementia and for screening indwelling devices. Sustained reductions in mortality rates of 15% at 2 Vitalpac hospitals – equivalent to 750 fewer deaths per year – have been evidenced in a paper published in BMJ Quality and Safety. Similar levels of reduction have been observed following multiple hospital roll-outs completed in 2014. Vitalpac roll-outs have also been accompanied by reductions in length of stay of up to 10% across multiple sites. With the introduction of Vitalpac Flow we are expecting to see LOS reductions of the order of 20%.

Patient safety and outcomes

Improved patient safety and patient outcomes

We measure our impact by the lives we help save and the improvements delivered to patient safety and care.

Reduced mortality
Studies were carried out over a number of years at 2 Vitalpac hospitals. The results, published in BMJ Quality and Safety, showed that the introduction of Vitalpac was accompanied by a sustained 15% reduction in mortality, equivalent to almost 400 fewer deaths per year in one hospital and 370 in the second. Similar results have been evidenced across a cohort of 8 Vitalpac Trusts that were surveyed in 2014/15.

Reduction in cardiac arrest rates
Following the introduction of Vitalpac, cardiac arrest rates have been reduced by as much as 70%, equivalent to 120 fewer cardiac arrests per year in a 500 bed hospital.

Reduced in-hospital infection rates
Working closely, the Infection Control Team at Portsmouth created a real time surveillance system to help identify and isolate infected patients before infections spread, resulting in a reduction in Norovirus outbreaks by 91%. Outbreaks of vomiting and diarrhoea fell from 20 per year to just four over the 3 years following implementation.

Fewer admissions to intensive care
The early identification of deterioration with Vitalpac has led to a reduction of over 50% in unplanned transfers to ITU.

Improved financial performance

According to the NHS Technology Adoption Centre, Vitalpac systematically delivers substantial and sustained returns of between 4 and 6 times investment.

Because the impact of Vitalpac system is immediate and roll-out is rapid with wards paperless within days, the returns are substantially delivered in the first year of contract and each year thereafter.

No other electronic observations system comes close to Vitalpac’s installed base and therefore our evidence base of delivered return is unequalled.

The components of these financial returns are many, but the most significant are:

Reduced loss of income

  • Fewer infection outbreaks and reduced ITU bed usage, leading to fewer cancelled operations and associated loss of income.

Reduction in length of stay

  • Reducing length of stay by an average 1.5days from 7.8 to 6.3 days is saving one hospital more than £2m per annum.

Reduction in cardiac arrests

  • Fewer cardiac arrests, reducing both intensity of care and length of stay.
  • Generation of income from sustained compliance levels with required assessments, enabling Trusts to claim their full CQUIN payments.

Enhanced hospital performance

Vitalpac enables critical behaviour change and focuses resources on critical needs, saving lives and releasing time to care.

Increased productivity
Using Vitalpac’s system, Queen Alexandra Hospital in Portsmouth saw accuracy of EWS calculation rise from just 20% to 95%, patient observations’ completion rates increase to 99%, and the time required to gather patient observations fall by 40% compared to paper based systems.

VitalPAC believes that great care starts at the bedside. Simplification of routine tasks not only delivers substantial productivity increases, but releases nurses time to care.

Improved line of sight
Following implementation of Vitalpac at Croydon University Hospital, the Trust introduced new dashboards on each ward displaying any lateness of observations ward-by-ward, the percentage of night-time observations, responses to escalations and unexpected ICU admissions. The impact was immediate and even led wards to compete to achieve the best compliance rates.

Both at ward level and at hospital wide level, latency of observations provides a real-time indicator of busyness that enables ward and hospital managers to respond proactively, moving resources to where they are needed.

The ability to capture ward level and hospital level real-time views of where the sickest patients (or the patients displaying greatest pain) are to be found, helps optimise and speed the deployment of specialist teams.

Similarly infection control teams can rapidly pin point potential outbreaks and effect prompt intervention.

Enhanced levels of compliance
VitalPAC delivers measurable improvements in quality and reliability of assessments for important issues such as dementia and VTE prophylaxis.