Aim
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Aim. To increase the number of patients enrolled into the Very High Intensive User programme (VHIU) from 120 cases to 600* cases by July 2013. This will result in a reduction in unplanned presentation and admission to Middlemore Hospital. * Goal of 600 includes: GP Referrals: 200 cases

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Aim

Aim

To increase the number of patients enrolled into the Very High Intensive User programme (VHIU) from 120 cases to 600* cases by July 2013.

This will result in a reduction in unplanned presentation and admission to Middlemore Hospital.

*Goal of 600 includes:

  • GP Referrals: 200 cases

  • 5 Flag referrals: 400 cases


Driver diagram

Driver Diagram

- Include Collaborative Driver Diagram


5 flag process change packages

5 Flag Process Change Packages


5 flag process change packages1

5 Flag Process Change Packages


Gp process change packages

GP Process Change Packages


Most successful pdsa cycles

Most Successful PDSA Cycles?

- Include PDSA Tree diagram


Most successful pdsa cycles1

Most Successful PDSA Cycles?

Pt identification by

GP using PARR

(with High score)

GP Heart sink

Patients (list)

Pt identification by GP using PARR (Any score)

Test of 5 flag+PARR+

Heart sink pts

GP identification/

Referral

5 flag generation

for GP

PARR & 5

Flag comparison

Trigger tool

Our prediction before the PDSA:

GP’s can correctly identify the appropriate VHIU patients using the PARR tool.

PDSA data revealed that on its own the PARR tool did not correctly identify patients for the VHIU team

This PDSA led to the embedding of the trigger tool as part of patient identification


Measures summary

Measures Summary

  • Outcome measures

    • Patients enrolled from 5 flags, Primary care & Secondary care

    • Reduction in unplanned presentations & admissions

    • Bed days saved

    • Patient outcome measure (pre and post VHIU programme)

  • Process Measures

    • Number of patients completing the VHIU Programme

    • Number of times patients complete the VHIU Programme

    • Time between presentations at EC & time to next unplanned presentation.

  • Balancing Measures

    • Numbers of re- presenting patients to the programme


Vhiu dashboard

VHIU Dashboard

- Include Collaborative Dashboard


Implementation

Implementation

Adapted from “The Improvement Guide. A Practical Approach to Enhancing Organizational Performance” Gerald Langley et al., 2009, p180.


Highlights and lowlights

Highlights and Lowlights

Highlights

  • The collaborative support from 20,000 days bringing focus and drive that has provided a catalyst for change and increased momentum

  • The mutual respect within the VHIU team of our interdisciplinary skill set

  • Recognition of the importance of a Model of Care which includes home visit and an holistic approach

    Lowlights

  • Confusion due to multiple agendas within Primary and Secondary care

  • Resistance and misunderstanding about integrated care

  • Difficulty in breaking down silos of care


Achievements to date

Achievements to date

  • Do you have a change package, measurement plan?

    • Multiple PDSA have resulted in standardised data capturing and reporting which includes monthly VHIU dashboard.

  • What has changed and what difference have the changes made?

    • The data has allowed us to focus on areas that make a difference and abandon those that don’t.

    • Triage process improved to identify the patient acuity enabling the timely intervention

    • Referral Process leading to identification of patients from across the health sector

    • Patient identification: Increase the appropriateness of referrals received

  • Improvements for patient and family experiences

    • Right service by the right professional to the right patient and at right time


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