Case Study

YHEC: our digital pre-operative reinvention for joint replacement surgery

York/Oxford, United Kingdom


A programme developed by health economic research arm and consultancy York Health Economics Consortium (YHEC) and Oxford Academic Health Science Network, investigated four evidence-based digital solutions for their transformative patient pathway abilities. PRO-MAPP was chosen for its capabilities in preoperative assessments and digital reporting.

The Challenge

Fewer resources and staff members has seen lengthy backlogs for joint replacement surgery. Preoperative appointments are too numerous to decide surgery-fit patients, and tests get expired or repeated unnecessarily. Simplifying each step before surgery (fewer face-to-face appointments, tests and data input) is needed to fast track those liable to more urgent care and save material costs.

The Solution

PRO-MAPP’s application identified patients fit for surgery swiftly to reduce waiting list queues. Patients were assessed via web or tablet, with staff training taking 15 minutes on average, while required tests were undertaken on the day as informed by better data collection. The digital interface speeds up diagnostics and operational decisions so complex patients can start preoperative investigations earlier and avoid repeated tests. Segmenting patients lowered appointment numbers, saving valuable resources and costs.

The Result

Complex patients were identified with an accuracy rate of 98%, while hospital days were two days shorter on average. Readmissions were lowered by 0.4%, and 1.3% fewer surgeries were cancelled. The PRO-MAPP pathway for knee and hip replacement saved £770 per patient; per 1000 patients, this marks a difference of £726,944. 92% of patients were satisfied with the initial questionnaire, and staff felt the application helped the service with quality support and workflow management.

Founder, PRO-MAPP

Michael Phillips

A proven path to better patient and staff satisfaction

"PRO-MAPP was designed to reduce unnecessary appointments and maintain a high standard of care for those in crucial need of replacement surgery. We’re delighted to see how our mission to improve patient pathways worked to save time and money for the health services, alleviating the stresses that come with healthcare for staff and patients alike. We’re committed to constant improvement still, and look forward to reinventing healthtech capabilities that are so important in this fast-moving world."