Population Health

The Oberoi Disease Management (ODM) digital audit platform represents the future of population health management in primary care.

Our platform is designed to support primary care to manage chronic diseases more effectively by stratifying patients based on their risk factors and targeting those who are not optimised in accordance with clinical guidelines.

The platform utilises non-patient identifiable real word data from primary care systems to create sophisticated reporting and dashboards allowing clinicians to focus their time on the highest risk patients across their population.

Our Digital Audit platform harnesses the power of intelligent strategic data analysis

The interactive online reporting is aligned to NHS Structure

Measure progress through dashboards & downloadable PDF quarterly re-audit reports for:

Practices

PCNs / Clusters

ICBs

It has been designed to be easy to use and implement, with a user-friendly interface and comprehensive support and training. Using the dashboards and reporting primary care providers can quickly and easily access patient data within their own clinical systems to intervene earlier and prevent complications from chronic disease.

Primary care also track the progress within their healthcare organisation over time and easily report the impact.

Our digital audit platform has proven to

improve the quality of individualised patient care and long-term outcomes

reduce hospital admissions and readmission

lower healthcare costs

Benefits of our Digital Audit Platform:

Improved Quality of Care: Real-time insights into practices, patient populations, and outcomes

Reduced Costs: Identifying areas of inefficiency and waste

Enhanced Accountability: Transparency and accountability to demonstrate commitment to quality and patient-centered care

Improved Decision-Making: Real-time data and insights, to improve decision-making and support evidence-based practices

Increased Productivity: Saving time and resources by automating many of the data collection and analysis tasks that are currently done manually

Oberoi Consulting are also able to work with the Pharmaceutical Industry to enable them to access specific modules for the NHS under a donated service programme or create a tailored digital audit platform for a specific disease area on their behalf.

An example of a tailored digital audit platform created on behalf of a Pharmaceutical client & developed in collaboration with the NHS England (NHSE) hosted Accelerated Access Collaborative (AAC) is SPECTRA

SPECTRA supports primary care to identify adult patients with uncontrolled Asthma through clinical system resources. Further information can be found here https://www.oxfordahsn.org/our-work/respiratory/asthma-biologics-toolkit/identifying-patients-with-uncontrolled-asthma/

SPECTRA was a finalist in the inaugural AHSN Network/NHS Confederation Innovate Awards in the Outstanding Collaboration with Industry category

NICE

National Institute for Health

and Care Excellence

Our work in supporting the NHS to implement guidelines and quality standards has been acknowledged by NICE. NICE uses their shared learning platform to share innovation and best practice across the NHS, showcasing examples of those using NICE guidance and standards to improve local health and social care services

Click below to read more

Stroke Prevention in Atrial Fibrillation (AF) Protect and Perfect – Optimising anticoagulation treatment in partnership with Academic Health Science Network for the Kent, Surrey and Sussex (AHSN KSSS).

To read more about how we have impacted Heart Failure outcomes click to read an article from the PCCJ

Client Feedback

“Thanks to Oberoi’s Clinical Heart Failure Education & Shadowing Programme I was able to start my own Heart Failure clinic.

This would not have been possible without this fantastic programme of training and shadowing.

All of the training content was delivered clearly and on-point.

I wish more pharmacist prescribers were aware of training opportunity.”

– Konrad Winiarek | Practice Pharmacist Clifton Court Medical Practice –

“Oberoi’s Digital Audit Platform for heart failure is a great quality improvement process. It has helped us to improve our heart failure coding, increased prevalence of heart failure patients and the input of the specialist heart failure nurses working to local guidelines helped increase uptake of evidence-based treatment for the patients of my practice and across Eston Primary Care Network.

The feedback I received from practices was that they were, in addition able to achieve QOF and heart failure targets and related funding.

The Oberoi nurse allocated through our PCN was very efficient, contacted the practices to have access to our data so that she could carry out her work. The responses I received from patients after their recommended treatment had been implemented has improved their conditions. I highly recommend this service to other practices and PCN”

– Dr Ifti Lone MBE, GP partner at Normanby Medical Centre and Clinical Director of Eston Primary Care Network in North Yorkshire –

“Oberoi Reporting tools are much easier to use and interpret than other tools. The main benefits being; the integration into the clinical system, the real time results, the ease of use identifying patients that need addressing… all at the click of a button.”

– Dr Amar Ali | GPwSI in Diabetes Oakenhurst Medical Practice, Blackburn –

“As a large PCN with 34000, who merged into one practice over the pandemic we had an urgent need to do a deep dive into the heart failure data to identify and categorise patients. With over 500 clinical records to review after Oberoi’s initial audit, it was clear further support was needed to expedite timely identification and review of heart failure patients thus enabling appropriate treatments for their defined heart failure diagnosis.

As a result, our prevalence is now well above national average and patients are benefitting from the 4 pillars of heart failure treatment. Furthermore, we have a clear coding strategy to future proof our registers.

Thank you to Amanda from Oberoi who have been instrumental in this process.”

– Liz | Advanced Nurse Practitioner with a Specialist Interest in HF –

“The Oberoi Heart Failure platform made it easy to track the impact on Heart Failure registers and number of patients optimised. And, the specialist nurses delivered robust patient centred clinical reviews, focusing on optimisation in line with the latest clinical evidence.”

– Professor Ahmet Fuat | GP, GPSI in Cardiology Darlington and Honorary Professor of Primary Care Cardiology at Durham University –

“When Oberoi Consulting were commissioned to improve the care and management of patients with Heart Failure, in practices across Darlington PCN, they delivered a professional service with excellent outcomes for both patients and practices.”

– Jaya Authunuri | Practice Director & Clinical Pharmacist Drs Reddy & Nunn –

– Professor Ahmet Fuat | GP, GPSI in Cardiology Darlington and Honorary Professor of Primary Care Cardiology at Durham University –

“As a PCN, the platform allows us to continually track improvement across all our practices.

Patients who are still not yet on all 4 pillars of treatment can be optimised using the searches & prompts integrated within our own clinical systems – providing an ongoing legacy.”

– Jaya Authunuri | Practice Director & Clinical Pharmacist Drs Reddy & Nunn –

“Oberoi’s investigative work, to tidy the registers and patient coding, increased the heart failure prevalence across the PCN from 0.84% to 1.06% with an additional 113 patients, whilst the number of patients coded with HFrEF increased by 168.

The number of patients with HFrEF, on all four pillars of heart failure therapy, more than doubled after their input”

– Dr Ben Sieniewicz MBChB PhD | Consultant Cardiologist with a Special Interest in Heart Failure and Complex Devices Heart Failure Service Lead at University Hospitals Plymouth –

“The Heart Failure Specialist Nurses from Oberoi functioned independently and ensured patients were managed in accordance with our local prescribing practices.

Highly recommended.”