IMH is an established and robust computer-patient interviewing system that uses branched logic to pose clinically appropriate questions relevant to age and gender from a vast database of potential symptom questions
Patients record their responses to a series of multiple choice questions, where each question asked will depend upon the answer given to the previous question. This is a genuine “history taking” approach starting with a problem (or problems), rather than the completing of protocol based flat-file questionnaires that essentially require the patient to self-diagnose the presenting condition from the outset, and which do not respond dynamically or intelligently to answers provided by the patient.
Built by leading clinicians and world-class experts in computer based interviewing, IMH has been developed for well over nearly 20 years and now has tens of thousands of questions in a dedicated database covering thousands of entry points.
The vast majority of questionnaires completed by the patient take between 5 and 10 minutes to complete. A major feature of IMH are the built-in peer reviewed scales and standard instruments which are provided as referenced materials appended to the output report. Whilst the patient may be unaware that they are answering questions relating to a specific scale or instrument, the relevant answers in the IMH report are structured to clearly reference the scale used. This has many applications and automatically gathers such things as GAD-7 and PHQ-9 scores; Incorporating the Asthma control score and other such scores will facilitate Chronic Disease Management and there are also scores to help with medications management and falls assessment, to name but a few areas covered.
The IMH report is highly structured and easily read and understood by the clinician. Feedback suggests that in the vast majority of cases, clinicians take little more than a minute to absorb the information they need to decide upon next steps – see, call, prescribe, refer, etc.
Engage Health Systems Ltd. (previously known as Wiggly-Amps) has hosted IMH in the UK since 2007 and delivers its services to the following product available in the EU: