eHealth Call Centre
About this good practice
The center is a high-resolution service for urgent/emergency situations, as it can send an ambulance, doctor or nurse to the home. It can also make appointments with the Primary Care Referral Teams. Among all the functions it performs is the attention to health demand, both in calls received from the specific Council telephone (900 20 30 50) and calls received on the specific telephones of the 3 Osakidetza Emergency Coordination Centres, performing a triage to assign a level of urgency to the call and monitoring chronic patients both telemonitored (COPD and CHF) and not telemonitored (Pluripathological and Palliative). Another programme that has considerably increased the activity of Consejo Sanitario is the Telecare Service (elderly or frail people). It also collaborates in different Research Projects, such as suicide prevention.
When the pandemic arrived and because the health advice service became the reference telephone number for the public (as well as continuing with its usual activity), it needed to be resized due to the increase in calls and sick leave of the usual staff. Likewise, referral circuits to Primary Care and Continuous Care Points were established. These new circuits, together with the continuous change of protocols and procedures, obliged the nursing staff to be constantly updated.
Once the pandemic activity has stabilized, the Suicide Prevention Programme has begun in coordination with 112 and the specific suicide prevention telephone number.
Resources needed
Before the COVID19 the staff was 23 nursing posts and a 24x7 continuous timetable. During the pandemic the service was resized to 50 nursing staff to cope with the sharp increase in calls and sick leave of the usual staff. In addition, 10 new nursing were set up in the Emergency Coordination Centre
Evidence of success
Growth of nursing staff.
24x7 working hours.
Increasing activity data:
2017: 173,047 calls received
2018: 186.779
2019: 192.173
2020: 359.418
2021: 244.934
Increased activity in monitoring chronic patients and calls received from Telecare.
Consolidation of corporate programmes (multi-pathology, palliative care, suicide prevention, telemonitoring).
Potential for learning or transfer
This good practice is an example of how a call centre coordinated by health professionals is able to adapt its work quickly according to the demand caused by the pandemic. Centralising a type of citizen care around the COVID19 enables rapid triage processes to be carried out without the need to force the patient to go to his or her health centre. In addition, it allows appropriate information to be passed on to patients by medical professionals, giving them the opportunity to empower themselves with regard to their pathology. The dynamism of the centre has been able to adapt to the different needs that have arisen in the wake of the pandemic. Another region might find it interesting to use this good practice as an inspiration to establish a centre with a similar activity to cope with the health consequences following the pandemic.
Further information
Good practice owner
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