Patient Platform FAQ

Please find the top asked questions regarding the Patient Platform below. For FAQs focused on the Flow user and how to use the headset and app can be found here.

Using the Patient Platform

• What is MADRS-s?
  MADRS-s is a self-reported depression test with 9 questions: Mood, feelings of unease, sleep, appetite, ability to concentrate, initiative, emotional involvement, pessimism, and zest for life. Flow users take this test on a weekly basis.
  All changes are calculated based on the first MADRs-s test result. The overall score ranges from 0 to 54 points:
  - 0 to 12: normal /symptom absent
  - 13 to 19: mild depression
  - 20 to 34: moderate depression
  - more than 34: severe depression.

• What happens if I add a new patient?
  The patient will receive an email to the email address you added, asking them to either download the Flow app or open the app if they already have an account. Once they signed up or opened the app, they will be asked to connect to your clinic. If they do not connect, they can later change this via the “Connect to your clinic” section in their profile.

• How do I remove a patient?
  If you want to pause the treatment of your patient, you can set their profile to "Inactive". You will no longer see them in the patients overview but have access to any data collected up until now.
  If you want to remove their profile permanently, go to “Remove patient from clinic” in the Treatment Status section in their profile.

• I have added a new patient. Why can’t I see their information?
  You’ll only be able to see their information once they have connected their account to your clinic. They will receive an email and a notification asking them to connect. They can also go to the “Connect to your clinic” section in their profile. If the patient hasn’t received an email or notification, check that their account is using the same email address that you used to add the patient.

• What is an admin and a member role?
  A user with an admin role has additional functionalities, such as adding and removing fellow clinicians.

• Can I have multiple clinic accounts?
  Yes, it is no problem to have multiple clinic accounts.

Stimulation schedule

• How many sessions per week can a user stimulate?
  A standard schedule is 5 sessions for 3 weeks, followed by 2 sessions per week. Missed stimulations are added to future weeks.

• Why does my patient have more than 2 sessions after week 3?
  Missed stimulations are added to future weeks. This is why a patient might have more than 2 sessions after week 3.

• Can I create a custom stimulation schedule for my patient?
  You can create a custom stimulation schedule by going to the card “Treatment status” in the patient’s profile. In the section “Stimulation schedule” you can edit the schedule by either creating a custom schedule or resetting their schedule to the original 5 sessions per week for 3 weeks, followed by 2 sessions per week.
  The stimulation schedule is divided into two parts: Activation and Strengthening.
  In the Activation Phase you can select up to 7 sessions per week for a duration of up to 9 weeks.
  The Strengthening Phase starts at the end of the Activation Phase and can continue as long as you like. This phase should not have more sessions per week than the Activation Phase. Note that if a patient stimulates less than the scheduled number of sessions in the Activation Phase, these sessions will be added to future weeks.
  IMPORTANT: Discuss any planned changes to the stimulation programme with your patient.

• What happens if I reset the schedule?
  If you reset the patient’s stimulation schedule, they will receive the initial stimulation schedule of 5 sessions for 3 weeks, followed by 2 sessions per week. You will still have access to all previously collected information about the patient’s treatment.

Security and GDPR

• Where is the data stored?
  Data is stored in data centers within the European Union. For technical reasons, subcontractors may need to move information to other countries outside of the EU. If this happens, appropriate protection measures and standardized data protection measures approved by the EU Commission are used.
  The servers where data is stored are hosted by Amazon Web Services and physically located within the EU. The hosting provider managing our servers has the following security certifications to ensure that your data stays safe:
  - ISO 27001, 27017, 27018: Security Management Controls, Cloud Specific Controls, Personal Data Protection
  - SOC 1, 2, 3: Security, Availability & Confidentiality Reports

• What security measures have been taken?
  - All communication between our websites, servers and apps are encrypted with industry standard techniques (HTTPS)
  - Two-factor authentication
  - Patient identity data is hidden by default (only initials are shown)