1 / 10

Cardiology Facilitated Discharge Program

Implementing a facilitated discharge program for stable cardiology patients to reduce outpatient numbers, improving efficiency and patient care. Strategy overview, implementation plan, and evaluation outlined.

dorie
Download Presentation

Cardiology Facilitated Discharge Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cardiology Facilitated Discharge Program Dr. Paramjit Singh Panesar. Executive Director. Nottingham North and East Clinical Commissioning Group.

  2. Background • CCG level financial productivity targets • QIPP. • Cardiology Spend. • Right Care Analysis. • Spend vs. Outcome • Clinical Contracting Board. • Identification of higher numbers of follow-up patients vs. new referrals.

  3. The Problem….. • “The problem is…” • “…. The number of stable follow-up patients in cardiology outpatients is too high”

  4. The Objective • “To reduce the number of stable follow-up patients in cardiology outpatients by discharging at least twenty percent of dischargeable audited patients within 6 months”

  5. Root Cause Analysis

  6. The selected strategy • Facilitated Discharge Program for stable cardiology patients. • High benefit, low cost and timely strategy. • Stakeholders: • Primary care, Secondary care and Patients. • Overview of strategy. • Using eHealthscope, categorisation of patients into: • A – Active long term follow-up. • B – Being investigated. • C1 – Combined follow up (by GP and Pacemaker clinic). • C2 – Combined follow up (by GP and ECHO clinic). • D – Discharged. • Verification by Secondary Care and Discharge Process.

  7. Implementation plan • Include a list of actions and sequencing. • Be clear on who (group/person) will be accountable for task and overall governance of the plan. • Describe how you will manage resistance.

  8. Evaluation plan • 4 month evaluation point. • Process indicator. • At least 12 out of 21 practices (50%) take part in the discharge program • Outcome indicator. • At least 20% of audited stable cardiology patients are discharged to the community. • So how did we do?

  9. Conclusions • Leadership: • Importance of creating a share vision. • Engagement of a variety of stakeholders. • Responsive leadership to change and challenge. • Problem solving: • Define a problem that achieves stakeholder engagement. • Strategy implementation needs to be dynamic and responsive with timely evaluation. • Stakeholder engagement is key to implementing the strategy.

  10. Working in groups: • Need for clear leadership and common goal. • Clearly defined roles within the team. • Champion the strategy • Implementation team • Stakeholder engagement • Responsive to change and challenge. • Impact on organisation? • Better alignment with longer term strategy having worked on a shared goal. • Proven model for change to be implemented again in the future. • Increased patient access for new referrals and greater financial stability for the CCG.

More Related