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Dr Lowentritt & AI Nurse Florence Partner to Transform Chronic Kidney Disease

Generated Health has announced a groundbreaking collaboration with Dr. Joshua E. Lowentritt, nationally recognized nephrologist and value-based care leader, to launch an AI-powered chronic kidney disease (CKD) protocol for Florence, the company’s AI Nurse. This partnership will improve CKD patient outcomes, prevent avoidable hospital visits, and give patients the tools to better manage their condition […]

Hypertension: 8 Weeks to Control

A Health IT Director’s Journey with Florence “I think all clinicians should consider using Florence for their HTN and pre-HTN patients.” From Assumptions to Action Thanks to participating in one of three Florence programs at Marshall Medical, Lēya Eddy, a 56-year-old Director of Informatics, successfully brought her Stage 2 hypertension under control in just a […]

AI Nurse: Why So Effective for Comorbid Diabetes & Hypertension Patients?

Better managing patients with multiple chronic conditions is becoming critical – both for patients’ quality of life and for purely economic reasons for health plans and ACOs.  Here we explore why Florence the AI Nurse is so successful in managing multimorbid patients with a particular focus on the increasingly large cohort suffering from both diabetes […]

Time savings and improved hypertension diagnosis demonstrated in Ely.  

A 6-month pilot at Staploe Medical Centre (part of Ely North and South PCN) has shown: Better Patient Engagement Since June 2023, Florence has been raising awareness of the importance of blood pressure monitoring, boosting patient confidence and developing a strong platform for significantly improved long-term clinical outcomes. Opt-in rates rose to 72% in the […]

Staff Shortages: Automation of Clinical Care the Only Option

Unless you believe demand for healthcare will fall or nurses will stop retiring, there is no other option.  Yes, you can automate back-office functions.  Yes, AI can do lots of ‘sexy things’ such as reading x-rays more accurately and discovering new medicines faster.  However, consider chronic disease and mental health totaling 90% of all healthcare […]

Transforming patient engagement in Virginia

In the ever-evolving landscape of healthcare, finding the balance between virtual, patient-centered, and outcome-focused care is a widespread goal. Real, sustained behavior change in patients is one of the most challenging things to offer and measure, especially when so many are managing multiple chronic conditions such as hypertension, diabetes, and COPD. Generated Health embarked on […]

Smart With Your Heart improves patient outcomes using Florence

At Generated Health, we recently had the privilege of hosting a discussion featuring Dr. Jonathan Serjeant, Chief Medical Officer at Generated Health, and Sean Davies, Directorate Manager of Cardiology at University Hospitals of North Midlands NHS Trust. The focus of the conversation centered around the innovative use of intelligent health messaging for patients diagnosed with […]

We Can’t Address Hypertension Without Widespread Patient Self-Monitoring

There is a major disconnect between the need for people with hypertension to monitor their blood pressure at home, and the extent to which people do this. The gap is enormous: the prevalence of hypertension in the U.S. and around the world keeps rising. High blood pressure (BP) is a principal cause of cardiac events, […]

Behavioral Change for Hypertension

Hypertension (or high blood pressure) is a common chronic condition, with 47% of people in the United States1, 26% in the United Kingdom2, and 34% of people in Australia3 living with this diagnosis. Florence can support patients and clinicians at all stages of hypertension management by supporting the performance of healthy lifestyle and self-management behaviors. […]

97% say “I found Florence easy to use”

NinetySevenPercent

Our patient Net Promoter Score (NPS) is currently running at 73%.   Bain & Co, the inventors of NPS says that “an NPS score above 0 is good, above 20 is great and above 50 is amazing”. Florence is simply loved by patients because it is so simple.  In a recent survey of 7,525 patients, 97% stated […]

Reduce Post-Hospital Syndrome & Readmissions

The work of a patient and their family is never more important than when going home from the hospital. During the hospitalization, health professionals focus on diagnoses, treatment, and the transfer to home safely. Yet for those going home, it’s a tricky time. There are new issues and medications, special diets, with ongoing symptoms such […]

Heart Failure: Readmissions down 66%

University Hospital of North Midlands (UHNM) using Florence by Generated Health demonstrates a 45% reduction in hospital readmissions and a whopping 66% reduction in emergency care readmissions. Using Florence, UHNM’s heart failure team recruited patients to use digital messaging services to help them understand and manage their own condition with confidence at home, and help […]

Kidney Unit at the Royal Stoke University Hospital Embrace Florence

University Hospitals of North Midlands NHS Trust The Kidney Unit at the Royal Stoke University Hospital have embraced the opportunity to integrate Flo into their hypertension clinic pathway. Enabling patients to become more motivated and engaged in taking their pre-clinic home blood pressure readings whilst more reliably providing valuable diagnostic information for discussion at their appointment. Led […]

Supporting Cancer Patients with Mindfulness-Based CBT

We are excited to share with you that members of the Community of Practice from the Clinical Psychology Cancer Service Team at Sherwood Forest Hospital Foundation Trust, have recently published their proof of concept evaluation of using Flo to support cancer patients undertaking mindfulness-based CBT in the open-access Psycho-Oncology journal. A relatively new service, the […]

Supporting respiratory care in Powys: A Patient Success Story

Jo Allen is the Respiratory Specialist Nurse Team Leader at Welshpool Hospital.  Jo was first introduced to Flo a number of years ago, and has been using Flo to support patients who have a variety of respiratory conditions.  She has recently taken some time to share one of her patient’s stories with us. “ I […]

Asthma – “Very positive results”

Corinne Clark Respiratory Specialist Nurse Many of Corinne’s patients suffer from severe asthma, which requires careful management to avoid asthma attacks that, in the most serious instances, can be life-threatening.   Corinne often worried about her asthmatic patients, specifically how well they were handling their condition, and wanted to do something about this.  Research suggests that […]

Sharing Experiences and Knowledge: Supporting Asthma Care with Flo in a Rural setting

Our Member’s “Network Calls” enable peer to peer sharing across a single area of clinical interest, Asthma, providing clinicians working within specialist fields the opportunity to hear from their peers to discuss their own experiences and learning with Flo.  The third “Respiratory” Member’s Network Call took place in July featuring Corinne Clark, Respiratory Specialist Nurse from […]

54 Year old musician’s life kept in harmony thanks to innovative text system

Innovative text system Lanarkshire’s answer to Johnny Cash has revealed how the power of text has kept his life in harmony during ill health. John Stalker (54), from Hamilton, was a long distance driver who – inspired by the Man in Black – sang and played guitar around local music halls and clubs in his […]

Focus on COPD: Improving quality of life in the Highlands

COPD – Supporting patients to take personal responsibility You may have previously read the inspirational report published by NHS Highland providing a comprehensive analysis of Flo’s impact across a number of services throughout the Highlands region, including hypertension, asthma, low FODMAP diet and weight loss. Feedback around NHS Highland’s COPD pathway has been fantastic.  Patients interacted with […]

Patient’s mental health is transformed after Flo’s help to improve medication adherence

Mental Health: Helen Thompson, Safe Care Lead and Jan Gorman, Health Care Support Worker from the Learning Disabilities Service at South Tyneside NHS Foundation Trust discusses how intervening with Flo has regained the independence of one of their patients with mild learning difficulties, resulting in their mental health stabilizing and removing the need for continuing home […]

Diabetes Care Management Transformed by District Nursing Team in Great Wyrley

After introducing Flo to support their diabetic caseload, the team have renewed a patient’s confidence in managing her diabetes giving the patient freedom to get on with her life. Since September 2014, the patient had been receiving twice-daily visits and phone calls from the district nurse and diabetic team until the district nurse team recognised […]

Heart Failure: Bossy Flossie! Florence becomes a friend to a heart failure patient

Earlier this year, after a period of deteriorating health, much to her surprise, Agnes was diagnosed with cardiomyopathy and advanced heart failure.  After a period of treatment on the mainland she returned home and is now under the supervision of the Heart Failure team in Stornoway. This is her story……….. I have a new friend […]

Hypertension: PLOS Medicine Journal: Integrating Florence into Clinical Workflow at Scale – Uncontrolled Hypertension

Telemonitoring at scale for hypertension in primary care: An implementation study  Uncontrolled hypertension is the largest manageable cause of stroke and myocardial infarction.  Despite the effectiveness of anti-hypertensive medication, many patients still have uncontrolled blood pressure (BP).  Having previously demonstrated that Florence encourages medication use and is effective at lowering BP in this cohort, NHS Lothian’s award winning Scale-Up BP […]

Home and Mobile Health Monitoring Evaluation – Economic case studies

We are delighted to announce another exciting publication, “HMHM Economic Case Studies 2019” by Digital Health & Care Scotland, who have previously published their National 3-year evaluation “Towards Scaling Up Home and Mobile Health Monitoring 2015-2018”.    This report provides us with a detailed analysis of the considerable cost savings across three varying locations in Scotland; […]

Blood Glucose control allowed surgery to go ahead as planned

The patient was a 53 year old with type 2 diabetes, who was found to have a tumor in their bladder.  Surgery was scheduled for 29th August 2017 to remove the tumor, and the patient began to take insulin.  As the patient was going in for surgery, it was key that their blood glucose was […]

795 Clinical hours released by monitoring enteral feeding and blood pressure with Flo

Shropshire Community Healthcare NHS Trust   Kate Perkins  Shropshire Children’s Community Nursing Team  See how clinical hours were released using Florence Children’s Enteral Feeding and Blood Pressure Monitoring – Children’s Community Nursing Team  “Flo has enabled some of our patients to become more autonomous in their own care, with some teenagers even taking the lead in managing their conditions […]

COPD patient avoids ambulance call out and acute admissions through self-management with Flo

Blythe Bridge Surgery – Tean and Blythe Bridge Primary Care   Ann Hughes – Practice Nurse  Flo Helps COPD Patient with a High Frequency of Acute Admissions to Self-Manage and Stay Well  Chronic Obstructive Pulmonary Disease (COPD) describes a number of conditions including emphysema and chronic bronchitis.  It is a condition where the airways become inflamed […]

Collection of 10 Nellie patient stories

The Florence Community of Practice is a unique environment harnessing clinical innovation to rapidly expedite the adoption of safe, innovative digital healthcare.  Over the past 10 years through the passion and commitment of Community of Practice members, a robust foundation of independent evidence has organically grown. This wide ranging evidence base, regardless of Flo’s application […]

Hypertension and Florence in General Practice; exploring evidence successfully supporting sustainable £1.2 million scale-up of services

Hypertension and Florence Since the early days of our Community of Practice, hypertension has proved to be the most successfully evaluated pathway with Florence.  Following our recent news of Scotland’s £1.2 million Scale-up BP Initiative which will see Flo rolled out nationally over the coming 2 years, we’ve compiled below some key articles and case studies which […]

Smoking Cessation: Improved Quit Rates with Flo

As reported by the Public Health Agency in Northern Ireland (NI) “Smoking has been identified as the single greatest cause of preventable illness and premature death in Northern Ireland.”  Data from 2014 showed that approximately 16% or 1 in 6 of all deaths in NI were attributable to smoking, including cancers, lung disease and circulatory diseases.  […]

Chronic Pain Management: 5 to 6 Month Target Plan

Chronic Pain Management: When I began to work with NHS Highland’s Chronic Pain Team, there was an existing Pain Management Group which ran for 6 weeks at a time for 3 hours every Wednesday. Flo was supporting patients after they had attended the Chronic Pain Management sessions to consolidate the learning and motivate them to integrate […]

Mental Health: Beating the Blues (BtB) with Florence

Our Mental Health Member’s Network has recently been launched to support learning and sharing amongst community of practice members, with the first network call taking place on 17th August.  Kylie Dentith, Senior Support Officer for Technology Enabled Care SSHC, began the call by giving an overview of the aims of the Member’s Network, and some […]

Epilepsy: Flo’s simplicity improves medication compliance

Conor Smyth is a Specialist Epilepsy Nurse at The Shrewsbury and Telford Hospital, he works within the neurology team to provide care, advice and support to his patients with epilepsy. Conor has recruited Flo to help his patients for a number of years now, and he recently took some time to share his experiences of […]

Mental Health: Patient Graduates from Nellie after Demonstrating Significant Behavior Change – 100% compliant

Mental Health With the World Health Organisation citing adherence to therapies as a primary determinant of the effectiveness of treatment1 South Eastern Melbourne Primary Health Network (SEMPHN) clinicians have been harnessing Nellie’s unique ability to motivate and engage patients towards positive behavior change. Jennifer, age 50 (not real age or name) living with chronic mental […]

Australia mental health; Nellie makes positive impact with COVID-19 response

Mental Health and COVID-19: During this unprecedented time of uncertainty with the wide scale introduction of social distancing, and the requirement to reduce face-to-face clinical contact to that of the most urgent need, technology is playing a crucial role in enabling the continuation of safe health care provision during the COVID-19 pandemic around the world. […]

Learning Disabilities; Flo’s unique approach brings independence and peace of mind

North Staffordshire Combined Healthcare  NHS Trust  Lisa Taylor  Convenient, personalized and familiar technology helps college student with learning disabilities have more independence and peace of mind  Sally is a young adult with physical and learning difficulties who lives at home with foster parents and also has a catheter in-situ.  Thanks to the intervention of “Flo’ Sally is now independently […]

Significant reduction in diabetes health risks through self-management

Patient self-management is significantly reducing short and long term health risks associated with diabetes By recruiting Flo as part of the team, patients in South Tyneside are becoming more capable and confident to self-manage meaning clinic appointments are able to be reduced, and glycaemic control is demonstrating significant improvement reducing both short and long term […]

Chronic Disease Management: Providing a “convenient” and “relaxed environment” to help patients stabilize blood pressure – Type 1 and 2 Diabetes and Hypertension

Compliance is a major issue in any chronic disease management, combined with the high prevalence of diabetes across Sandwell and West Birmingham, compliance to treatment is a particular challenge to patients achieving their optimum disease control and preventing or delaying further deterioration to their health. Through his clinical practice, Dr Parijat De recognized the impact […]

Success Story: Removal of gastrostomy tube, independence and education are some of the goals achieved by Adult Cystic Fibrosis patient with Flo’s tips and support

Alison Marshall is an Adult Cystic Fibrosis (CF) Specialist Dietitian working within the Tayside Adult CF service.  The team is based at Ninewells Hospital, Dundee, and they are committed to providing specialist care for young people and adults with CF, as well as supporting families of young people with the condition.  The team is made […]

Diabetes; Flo improves efficacy of best practice care – a collection of 10 patient stories

The Diabetes Specialist Nursing (DSN) Team at Derbyshire Community Health Services NHS Foundation Trust (DCHS) provides services for patients with Type 1 & Type 2 diabetes in the north of Derbyshire.  The team supports patients with overall management of their condition, helping to avoid both short and long term complications.  The DSN team assist patients […]

Flo features in The Journal of Innovation in Health Informatics – Vol.24, No.4

The Journal of Innovation in Health Informatics has published a paper (volume 24, no. 4, 2017) describing NHS Lothian’s approach to integrating patient data generated via Flo into their local electronic medical record (EMR). The paper discusses how telehealth systems, such as Flo, are effective in the monitoring of long term health conditions, but can […]

Single Point of Access reduces need for home visits – 4 case studies

The Single Point of Access (SPA) is a one stop shop for referrals between Sheffield Teaching Hospitals’ acute and community services. SPA is an appointment-booking service working in partnership with social workers, mental health nurses and out of hours services, facilitating discharges and avoidance of hospital admissions where possible. Made up of 50 Administrators, 13 Nurse […]

Home Blood Pressure Monitoring: Liverpool Health Trainers – 3 Case Studies

Home Blood Pressure Monitoring: Liverpool Health Trainers is managed by Person Shaped Support, they help to empower and enable referred patients to manage their health better through education and support.  They have been using Florence to help monitor blood pressure and have shared some of their case studies.  CASE STUDY 1Patient X was referred to […]

Podiatry team prevent deterioration and exacerbations with Flo

Podiatry: Flo helps diabetic patients care for their feet  Flo has been supporting patients with diabetes to care for their feet in-between routine clinic visits in Oldham, using her friendly persona to motivate patients to undertake daily foot checks and subsequently providing patients with the capability to identify if, and when, their feet need to […]

Early pulmonary rehabilitation – Sheffield Teaching Hospitals NHS Foundation Trust increase adherence and safety for patients

Cath O’Connor Clinical Specialist Respiratory Physiotherapist Jayne Stocks Clinical Lead Assistive Technology Katie Biggs Lead Trial Manager CTRU  ‘Making Change Happen’ National Showcase; Early pulmonary rehabilitation following AECOPD  This poster was presented as a Community Care workshop at the UK ‘Making Change Happen’ 2017 Conference in Stoke-on-Trent. For more Florence cases studies, visit our florence.community website – members log in

Urinary Continence; dramatically better outcomes with Florence within 2 months

Iain Trayner, TEC Project Manager  Urinary Continence: Using Florence to improve the lives of local people  The NHS Western Isles Continence service provides advice and support to people living with the condition in these islands. Urinary Continence can be a very difficult condition to live with and many people can feel trapped, with everyday life becoming a […]

72% of Orthopedic Patients Discharged Without Needing Clinic Visits

At Sherwood Forest Hospitals, the impact of Florence as a means of reducing unnecessary in-person follow-ups after total hip and knee replacements has been significant. Instead of requiring every patient to return to clinic for their 6- and 12-month reviews, patients were supported remotely using Florence.  The project showed that digital follow-up can safely streamline […]

100% Satisfaction & Nurse Time Halved in Wound Care

In a targeted pilot within a broader community nursing service, Pennine Care tested Florence, a persona-based text‑messaging tool, to support patients in self-managing their wounds between in-person visits.  Key outcomes from the trial included:  This pilot illustrates that even a modest-scale deployment of remote support can meaningfully improve service efficiency, patient satisfaction, and workforce utilization. […]

Diabetes – Florence Delivered Significant 4 month improvements in HbA1c

Derbyshire Community Health Services –  NHS Foundation Trust  Flo Helps Me Take Control of My Diabetes  After being diagnosed with Type 1 Diabetes at the age of ten Naomi has struggled to keep her condition under control throughout her teenage years.  It can be very challenging to manage a condition at this age as work and socializing take […]

Hypertension monitoring improves efficiency and supports clinical decision making in General Practice

Morag Hearty Programme Manager Lesley Aitken Programme Assistant Helen Alexander Report Compilation  Rapid Improvement Study: Hypertension Monitoring in General Practice  Many people are asked to attend their GP or Practice Nurse for the sole reason to have their blood pressure monitored and do not benefit in any other way from the visit. NHS Lanarkshire conducted a study  with the aim to asses […]

Mental Health; Memory Support for Mild Cognitive Impairment or Mild to Moderate Dementia

North Staffordshire Combined Healthcare NHS Trust  Autographer + Flo: A Memory Support Intervention Improving the Quality of Lives for People with Mild Cognitive Impairment (MCI) or Mild to Moderate Dementia  Case Study North Staffordshire Combined Healthcare NHS Trust provides mental health, addictions, children’s services and learning disability services predominantly to people living within Stoke-on-Trent. Lisa Sharrock (Mental […]

Gestational Diabetes Mellitus – Safe full-term pregnancies with Florence

Victoria Bowman Midwife  Anita Brockbank Diabetes Specialist Midwife  Royal Victoria Infirmary – Gestational Diabetes Mellitus  Midwife Victoria in this short video explains how Florence engages women to feel more in control, resulting in reduced anxiety, better use of clinical time and have less need of prescriptions.  Victoria goes on to talk about how there are fewer babies […]

Insulin stopped after three weeks with Florence

Michelle Denyer Diabetes Specialist Nurse  Three weeks with Florence and I could stop taking insulin  Brenda Greaves is a retired Nurse with a good number of years’ experience working in the National Health Service (NHS). So it will be no surprise to find that rather than take a leisurely approach to her retirement, Brenda instead takes […]

Florence helps domestic violence and abuse disclosure

Florence feels more like a friend than a computer system  The diabetes and endocrinology team in Sandwell began using Florence in 2013.  Dr Pete Davies recalls one of the first patients to sign-up; “She was a bubbly, intelligent middle-aged woman and high blood pressure was not the main reason for seeing her in my endocrine […]

Successful Early intervention possible for postural hypotension in Parkinson’s Disease

Sitting and standing blood pressure in patients with Parkinson’s Disease  Led by the Parkinson’s Disease Nurse Specialist Team (PDNS), Florence is reinforcing the shared management plan for patients with Parkinson’s Disease at City Hospitals Sunderland demonstrating a positive impact on patient’s clinical management to reduce the risk of hospitalization due to postural hypertension.   Postural […]

Diabetes: HbA1c down 29 mmol in 6 week programme

Erin meets ‘Flo’  Erin is 16 years old, she was diagnosed with Type 1 diabetes when she was 12 years old. Just like any other teenager Erin has a busy life between school, socializing and like most people Erin’s age, her phone is glued to her fingers. Unfortunately Erin’s blood glucose control has been erratic […]

Novel Methods of Managing Alcoholic Liver Disease

Technology Enabled Service for Alcoholic Liver Disease Supported by the East Midlands Academic Health Science Network, Mark Holmes, Team Leader for Alcohol Related Long Term Condition Nurses, Nottinghamshire Healthcare NHS Trust and Sian Clark, Assistive Technology Innovation and Operational Manager, Mansfield and Ashfield CCG describe how Flo supports the identification of onset ascites. The paper describes the […]

Prevention and early detection of diabetes and complications

Dr Parijat De “Best initiative for prevention and early detection of diabetes and complications” Quality in Care (QiC) National award joint winner October 2015 talks about Florence’s support. Does intensive management of patients with diabetic kidney disease using a protocol-based, nurse-led clinic improve renal and cardiovascular outcomes? Dr Parijat De commented, “Diabetic Nephropathy is a major […]

Effective and Safe Wound Care Self-Management Support with Florence

Community nurses from Pennine Care NHS Foundation Trust have developed an innovative method to provide self-management support for people who require wound care. Flo enables a series of text messages to be sent to service users – providing information and prompts around effectively and safely taking care of their wound.  The nurses provide a detailed […]

Medication Prompts for Patients with Parkinson’s Disease

Nottinghamshire have captured the case studies below, based on implementation of Florence for patients with Parkinson’s Disease. A – The Over the Rainbow Parkinson’s Group recently had a talk about Florence. Keith who is the chairman had difficulty speaking and was using a walking aid at the group talk. Keith called and was keen to […]

Enabling Patients with COPD to Self-Manage and Enable Early Intervention in Lanarkshire

NHS Lanarkshire have integrated Florence as part of the European-wide initiative United4Health, geared towards using new technology to improve healthcare. NHS Lanarkshire partnered with North and South Lanarkshire Council in the initiative and Florence was demonstrated to be a key tool in supporting COPD patients to self-manage at home and increasing their confidence and feeling […]

NHS Lanarkshire support globetrotting Heart Failure patient

Jet-setting businessman retains wanderlust thanks to innovative text support. Graham, diagnosed with heart failure a year ago, has been able to continue his world travels – thanks to Florence linking him to specialist support in Lanarkshire.  Graham Murray from Lanark heads up an international IT trouble-shooting operation, serving major clients in Europe, America and Asia. […]

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