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RAPA

RAPA. recurring admission patient alert. Megan Stowe RAPA Project Lead at Imperial. why RAPA. patient experience at Imperial avoid unnecessary tests support and alter the patient. what we know about non-elective cancer admissions. 75% aren’t emergencies

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RAPA

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  1. RAPA • recurring admission patient alert Megan Stowe RAPA Project Lead at Imperial

  2. why RAPA • patient experience at Imperial • avoid unnecessary tests • support and alter the patient

  3. what we know about non-elective cancer admissions • 75% aren’t emergencies • the 25% that ARE emergencies can be misdiagnosed... • Cancer patients are unique

  4. membership • Project Manager of IT Projects • Interface Specialist • Server Specialist • General Manager for Cancer • Director of Information • Service Improvement Manager for Cancer • Network Project Manager • Software Developer • Interface Specialist • Server Specialist • Software Engineer • Network Project Manager • Imperial Project Manager 4

  5. the RAPA project board • a year of meetings • 15 discussions about the interface • four delayed ‘go live’ dates

  6. the BIG hurdles • Information • Caldecott Approval • Accident and Emergency • The Buy-In

  7. however, we were fairly successful • CNSs were included the entire way • Operational policy written in conjunction with CNSs • Feedback was continually sought

  8. RAPA pilot • All tumour sites invited • All Imperial Sites invited • Alert receiver is the CNS (in most cases) • run over 16 weeks: Feb 18th - June 9th

  9. tailor made alerts • can have all patients from a certain tumour site • create your own list of patients • endless potential

  10. why RAPA? • creative and supportive means to facilitate service improvement and change • technology which embeds a link between the MDT and the cancer patient • a tool to do your job better

  11. what are our next steps??

  12. wider dissemination • embedding • include other professions such as AHPs • infection control • Security • other Nursing Groups - chronic conditions • develop more robust interventions for the CNS

  13. the contentious PDA.

  14. Borrowed from Doncaster Royal Infirmary out of hours care

  15. full integration with clinical nurse development and job plan

  16. RAPA data included in Annual Report • create and manage your own group of RAPA patients • create and utilise a use of clinical time option of RAPA • engaged CNS’s leading the development of RAPA to represent their needs

  17. to conclude: • RAPA is a tool only • the most essential aspect to its success is nursing involvement • RAPA is clear opportunity for innovation and leadership

  18. some positive attention! 21

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