Diakonessenhuis digitisesPreoperatieve screening

By 2040, Utrecht will welcome 100,000 new residents—a 31% increase. For Diakonessenhuis, this means a significant rise in demand. One of the measures taken to meet this challenge is the digitisation of preoperative screening. (delivery was led by D&A Conclusion)

Since February 2024, 55% of screenings are conducted entirely digitally. This allows Diakonessenhuis to assess more patients with the same capacity, while reducing the need for hospital visits. 

Preoperative screening reimagined

Preoperative screening (POS) is a crucial step in preparing for surgery. The anaesthetist assesses the patient’s health and determines the most suitable anaesthesia technique. Previously, this screening was almost always conducted by phone or in person. 

Thanks to digitisation, the screening process is now more streamlined. A large proportion of patients are assessed remotely, saving travel time and increasing productivity. Scarce resources can be used more effectively. 

"Broad support thanks to inclusive collaboration"

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Built-in tools

The digitisation process uses the triage functionality of ChipSoft HiX. Based on a digital questionnaire, the system automatically calculates a preliminary ASA score—an internationally recognised measure of a patient’s physical status. This score determines the next step. Patients with a low score (ASA 1 or 2) can usually be assessed digitally by the anaesthetist. Those with a higher score (ASA 3 or 4) require a phone or in-person appointment due to more complex health conditions. 

Several other digital tools support the screening process. The BeterDichtbij app informs patients at the right moments and reminds them of actions they need to take, such as completing informed consent. For education, the hospital uses Indiveo, which explains what to expect around anaesthesia and admission through animations and videos. 

From design to practice

The transition to digital screening was primarily an organisational change. All relevant departments—from anaesthetists and intake nurses to pharmacists, planners, secretarial staff and the lab—mapped out the existing process and gradually converted it to a digital workflow. 

Patients were also involved in the development. They reviewed the process and provided feedback, helping ensure the screening was clear, user-friendly and efficient. 

Education and communication

The implementation significantly changed daily routines. Departments adapted their working methods, supported by targeted education and communication. Teams discussed the new approach in meetings, attended instruction sessions and accessed additional information via the intranet. This inclusive approach resulted in broad support for the change.

After going live in February 2024, the hospital closely monitored the process. Teams met weekly to evaluate progress and identify areas for improvement. Patient feedback was actively collected and used to refine the approach.

"This digitisation aligns with the hospital’s ambition for value-driven care "

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Scientifically validated

The results clearly show the approach is effective. More than half of patients no longer need a physical appointment, while the hospital can assess more patients with the same staffing levels. This leads to significant time savings for care providers and less burden for patients, who can complete much of their preparation from home. 

Crucially, care quality remains intact. A scientific publication released in November 2023 compared digital and physical screening. It found that patients screened digitally recover just as well as those who had an in-person intake. Preoperative anxiety levels were also similar. This confirms that digital screening is a fully valid alternative. Diakonessenhuis contributed to the publication. 

Project-based approach

The broad collaboration between departments and specialists was a key success factor. Because everyone was involved from the start, different interests and working methods could be aligned. It also helped identify overlaps and gaps in existing processes. 

The project-based approach proved essential. Clear assignments, tight deadlines and defined roles ensured steady progress throughout implementation. 

Looking ahead

Diakonessenhuis now has a more efficient process that serves more patients with the same quality and experience. At the same time, the digital approach supports the hospital’s ambition for appropriate and value-driven care. What patients can do at home, they do at home. 

The digitisation of preoperative screening has provided valuable insights for streamlining other processes. With Utrecht’s expected growth, this helps Diakonessenhuis meet its considerable challenges. 

Logo Diakonessenhuis

ZorgpartnerDiakonessenhuis

Diakonessenhuis is a general hospital that has been providing care in the Utrecht region for 180 years. With 500 beds and over 2,800 staff, the hospital offers a wide range of medical services. The city of Utrecht is set to grow by 100,000 residents by 2040—a 31% increase. This rising demand calls for innovative solutions, of which the digitisation of preoperative screening is a concrete example.

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Ann OuvryClient director healthcare
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