Overview
Initiative type
Service Improvement
Status
Deliver
Published
June 2025
CEQ Showcase 2025 project - Patient Connect: Redefining Healthcare Conversations
Summary
Gold Coast Health is using the Patient Connect platform in partnership with Foxo to transform care coordination - improving responsiveness, visibility, and patient experience while reducing communication burden across multiple services.
Key dates:
Implementation sites
Gold Coast University Hospital
Partnerships:
Foxo
Aim
To implement a secure, cloud-based messaging platform (Foxo) across key services within Gold Coast Health to streamline patient communication, enhance traceability, and support scalable, sustainable models of care allowing chronic patients to communicate with the service to get information using their mobile devices without waiting on the phone for a long time or travelling.
Outcomes
- Faster triage and resolution of patient and family queries
- Improved visibility, traceability, and documentation of communication
- Reduced phone/email volume and admin burden
- Flagging for billing opportunities via categorised, trackable communication
- Over 700 patients already benefiting, with strong feedback on ease of use
- Scalable model in place, with multiple services already onboarded
Background
Effective communication between patients, families, and clinical services is a cornerstone of safe, timely, and person-centred care. However, many Queensland Health services continue to rely heavily on traditional methods such as phone calls, voicemails, and emails. These channels often lack visibility, auditability, and structure—leading to missed messages, duplication, delayed responses, and significant administrative burden. At Gold Coast Health, increasing service demand, growing complexity in patient needs, and heightened expectations around communication accessibility have further strained existing systems. Families have reported frustration with long phone waits, inconsistent follow-up, and difficulty knowing who to contact and when. Staff, in turn, have faced workflow inefficiencies, communication siloes, and increased risk from undocumented or untraceable interactions.
To address these challenges, Gold Coast Health identified the need for a modern, secure, and structured communication platform that could integrate with existing clinical systems and workflows. The solution needed to be easy to use, auditable, and flexible enough to adapt across services with different communication requirements. Patient Connect from Foxo, a secure, cloud-based messaging platform, was implemented to streamline communication, reduce duplication, and enhance visibility and responsiveness. Initially implemented in Rheumatology, Foxo’s benefits quickly became apparent, prompting expansion into Renal, General Medicine, and now, a staged rollout across the Child Development Service (CDS) and School-Based Youth Health Nurses. With over 700 patients already engaged via the platform and overwhelmingly positive feedback, the initiative is demonstrating value at scale.
Methods
Patient Connect was introduced as a digital messaging solution supporting both asynchronous and real-time communication between patients, families, and health services. The platform enables structured communication for common clinical interactions—such as appointment queries, prescription requests, and result follow-up—within a secure, auditable system.
Key implementation components include:
- Secure Messaging: Patients and families submit standardised queries through a simple, mobile-friendly interface. Queries are tagged and triaged by administrative staff, with escalation protocols in place for clinical review. Messages are traceable and documented, improving continuity of care and auditability.
- Structured Onboarding: Families receive onboarding materials, a QR code access guide, and education at first contact. Messaging expectations are clarified early (e.g. response times of 1–5 business days).
- Defined Roles and Escalation Pathways: Admin staff review and triage incoming messages, validate patient information, and assign tasks to the correct specialty or clinician. Clinical responses are documented directly into ieMR.
- Audit and Reporting Framework: Communication volume, response times, query types, and flagged billing opportunities are tracked. Comparative data is gathered pre- and post-implementation to monitor effectiveness.
Discussion
The Patient Connect implementation has proven to be a scalable, efficient, and adaptable model for modernising clinical
communication. Its success is driven by strong clinician engagement, robust governance, and alignment with existing clinical systems and workflows.
Key enablers of success:
- Strong engagement and change management: Teams were involved early in co-designing workflows, categorising common query types, and refining escalation protocols.
- Workflow integration: By embedding this platform into routine communication tasks and linking it to ieMR and ESM, staff could see immediate time savings and accountability improvements.
- Onboarding and support: Families and staff received clear onboarding guidance and ongoing support, ensuring the platform was understood and adopted confidently.
- Structured visibility: Message categorisation, audit trails, and dashboard reporting enabled services to better understand demand, identify gaps, and prioritise effectively.
Lessons learned:
- Onboarding matters: Families needed support to understand response timelines, message appropriateness, and platform navigation.
- Not a live chat: Reinforcing that Patient Connect is not an instant messaging tool was crucial to managing expectations.
- Sustainability needs structure: Ongoing governance, regular review of message categories, and data-informed tweaks were necessary to maintain momentum.
- Billing opportunities exist: Although full billing integration is not implemented, categorised workflows allow services to flag potential revenue-generating interactions—especially important in resource-constrained environments.
Scalability and future potential:
The platform is now in use across four clinical areas and is being evaluated in Rheumatology, Child Development and School-Based Youth Health. Over 700 patients are already using this platform, with families reporting improved access and ease of use. Pre- and post-surveys planned for the rollout will assess satisfaction and system impact, generating evidence to guide future refinement and spread. The Patient Connect platform from Foxo has significant potential for statewide application across community, outpatient, and inpatient services. With strong foundations already in place, future opportunities include linking with digital billing workflows and exploring AI-supported triage functionality.
Key contact
Dr Jenni Ng ; Shaurin Shah
Staff Specialist ID Rheumatology ; Innovation Lead
Gold Coast Hospital and Health Service
Email: shaurin.shah@health.qld.gov.au; jenni.ng@health.qld.gov.au