What is Guided Consultation?

LungHealth have developed a guideline-based computer-guided consultation designed to facilitate COPD management.

The COPD software application enables management by incorporating algorithms, based on the GOLD Standards, that prompt the clinician throughout the review.

This facilitates diagnostic confirmation and prompts but does not make clinical decisions or actions.

The system uses the medical model and forms an electronic consultation. Unlike a simple electronic case sheet, the embedded algorithms guide the consultation, aiding the clinician diagnostically and with management options.

The intelligent software stratifies the interventions after disease confirmation and prompts the clinician to consider 11 areas of guideline-based management. In those patients with normal or restrictive spirometry or if the clinical history raises another issue or diagnosis, review by an appropriate diagnostician (either the GP or a specialist physician) is prompted.

All data are recorded and appropriate reminder prompts are repeated at subsequent consultations. This removes the necessity to constantly refer to guidelines as they are embedded. It also promotes quality since the consultation progresses only after key clinical issues are addressed.

Software Features

  • Electronic consultation using the medical model guides a purposeful history to support accurate diagnoses
  • Creates a standardised electronic record of their condition that can be used for future care, both elective and acute
  • Does not make decisions: the embedded algorithms prompt clinicians towards GOLD guideline-based interventions and therapy
  • Data gathered form a population database
  • Database created is fully password-protected and can be based on a local NHS server or on the NHS N3 network, Caldicott principles can therefore easily be maintained
  • Can be customised to use local formularies as priorities while not excluding individual management

Embedded software algorithms

  • Guided history, examination and investigation
  • Diagnosis: challenge and confirmation
  • Spirometry interpretation
  • Pharmacological interventions
  • Inhaler technique check and correct
  • Pulmonary rehabilitation
  • Oxygen assessment
  • Vaccinations
  • Smoking cessation
  • Self-management plan
  • Exacerbation management