Tag Archives: Avoidable Admissions

Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)

Posted on August 10, 2017 by Dementia and Elderly Care News

Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →

On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)

Posted on July 30, 2017 by Dementia and Elderly Care News

Summary The Social Care Institute for Excellence (SCIE)’s “SCIE Highlights No.1” briefing explores the largely untapped potential of intermediate care. It is asserted that intermediate care could deliver better outcomes for patients, while reducing the pressures of demand faced by … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Statistics, UK, Universal Interest | Tagged Accountable Care Systems (ACSs), Acute Hospitals: Bed-Based Services, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoidable Rehospitalisations, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Better Care Fund (BCF), Capitated Budgets, Care Closer to Home, Communication and Information Sharing, Community Hospitals: Bed-Based Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Control and Independence, Cookson's Court (Yeovil), Crisis Home Treatment, Crisis Response Services, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Demographic Time-Bomb, Dependency Levels, Destination on Discharge, Dignified Independent Living With Care, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Economic Sustainability, Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Funding and Payment Mechanisms, Geographical Variations, Health and Social Care Integration, Health and Social Care Reform, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Independence, Independence and Wellbeing, Independent Sector Facilities: Bed-Based Services, Information Resources on Intermediate Care: Social Care Institute for Excellence (SCIE), Information Sharing, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care - Draft Guideline: National Institute for Health and Care Excellence (2017), Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Intermediate Care: Elements of Effective Implementation, Intermediate Care: Evidence of Effectiveness, Intermediate Care: Return on Investment, Intermediate Care: SCIE Highlights No.1, Length of Stay, Length of Stay (LoS), Lessons and Challenges of Intermediate Care: Social Care Institute for Excellence (SCIE), Local Authority Facilities: Bed-Based Services, Local Sustainability and Transformation Plans (STPs), Local Variations, Maintaining Independence, Moving Healthcare Closer to Home, Multi-Disciplinary Case Management, Multi-Disciplinary Teams, Multi-Disciplinary Working, NHS Sustainability, Nursing Homes: Bed-Based Services, Other Bedbased Settings: Bed-Based Services, Partnership Working, Patient Flows, Policy Context and Models of Intermediate Care, Pooled Health and Social Care Budgets, Preventing Avoidable Emergency Admissions, Preventing Future Crises, Prevention, Prevention Agenda, Prevention and Wellbeing, Quality and Sustainability, Rapid Response Services: Intermediate Services, Re-ablement Services, Reablement, Reablement Services, Reablement: Stabilise and Make Safe (Trafford), Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Regaining Independence, Rehabilitation Services, Residential Care Homes: Bed-Based Services, Return on Investment, Services Maximising Independence, Services Reducing Use of Hospitals, Single Point of Access (SPA), Social Care Institute for Excellence (SCIE), Social Care Institute for Excellence (SCIE)’s SCIE Highlights No.1: Intermediate Care, Somerset Care, Somerset Care and Yeovil District Hospital: Cooksons Court, Somerset County Council, Stabilise and Make Safe (SAMS), Stabilise and Make Safe (Trafford), Standalone Intermediate Care Facilities: Bed-Based Services, Staying Independent, Supporting Health Wellbeing and Independence, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Care, Sustainable Health and Social Care, System Leadership, Theoretical Benefits of Intermediate Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trafford Council, Turning the Ship Around (Avoidance of NHS Unsustainability), Unacceptable Variations, Unwarranted Variations, Variations in Service, Waiting Times for Intermediate Care, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches, Year of Care Commissioning, Year of Care Funding Model, Yeovil District Hospital | Leave a comment

Quality Improvement Metrics: a New System For Measuring Whole System Performance (IHI)

Posted on December 3, 2016 by Dementia and Elderly Care News

Summary Analysts at the Institute for Healthcare Improvement (IHI) in the United States have developed an improved set of measures by which to assess the performance of health care organisations and health care systems. Their “Whole System Measures 2.0 (WSM … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Local Interest, Person-Centred Care, Quick Insights, Standards, Statistics | Tagged Access, Access to Care, Access to Healthcare Services, Accountability, Accountability and Integration, Accountability in Health and Social Care, Accountable Care Organisations, Accountable Care Organisations (ACOs), Accountable Care Organisations (in United States and England), Accountable Financial Stewardship, Affordability, Affordability of Care, Avoidable Admissions, Avoidable Harm, Avoidable Hospital Admissions, Clinical Quality Dashboards, Community Wellbeing, Community Wellbeing and Health Equity, Corporate Accountability, Corporate Social Responsibility, Dashboards, Days to Third Next Available Appointment, Disparities in Infant Mortality Rates, Encouraging Healthy Behaviour, End-User Experience, Equity (Stratification of Whole System Measures), Experience of Care, Experience of Care Domain Measures, Financial Stewardship, Functional Health Outcomes Score, Governance and Accountability, Health Care Cost Per Capita, Health Care Costs, Health Care Workforce, Health Inequalities, Healthy Behaviour, Healthy Behaviours, Healthy Lifestyles, Hospital Aquired Conditions, Hospital Days Per Decedent During Last Six Months of Life, Hospital Readmission Percentage, Hospital Standardized Mortality Ratio (HSMR), Hospital-Acquired Infections, IHI Innovation Series, IHI Triple Aim, IHI: Institute for Healthcare Improvement, Improving Patient Experience, Improving Population Health, Incidence of Nonfatal Occupational Injuries and Illnesses, Institute for Healthcare Improvement (IHI), Lifestyle Intervention Programmes, Local Health and Care Economies, Local Health and Care Services, Local Health and Social Care Economies, Local Health and Wellbeing, Local Health Economies, Measuring Whole System Performance, Monitoring Health and Health Care, Mortality Rates, Obesity, Optimal Lifestyle Metrics, Overweight, Patient Experience, Patient Experience Score, Patient Harm, Patient Satisfaction with Care Score, Per Capita Cost of Care Domain Measures, Population Health, Population Health and Prevention, Population Health Domain Measures, Population Health Perspective, Population Health Systems, Population Healthcare, Preventable Adverse Events, Preventable Harm, Preventable Hospital Admissions, Prevention, Prevention Agenda, Prevention Approaches, Quality Improvement, Quality Improvement Metrics, RAND Delphi Procedure, Rate of Adverse Events, Reducing Health Inequalities, Reliability of Core Measures, Serious Reportable Events (SREs), Social Responsibility, Societal Footprints, Toyota Specification, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Unadjusted Raw Mortality Percentage, United States, Unmet Care Needs, Unmet Health Needs, Unmet Needs, Unmet Needs of Family Carers, Unmet Social Care Needs, USA, User Experience, Vital Signs Measure, Whole System Dashboards, Whole System Measures 2.0 (WSM 2.0), Whole System Measures 2.0 IHI White Paper, Whole System Measures 2.0: White Paper (2016), Whole System Measures IHI White Paper (2007), Whole System Measures: White Paper (2007), Whole-System Approaches, Workforce Wellbeing | Leave a comment

Carers UK’s Pressure Points Report: Building on the Role of Carers in Supporting the NHS (Carers UK)

Posted on October 13, 2016 by Dementia and Elderly Care News

Summary A recent Carers UK report examined the potential role(s) of carers in helping to reduce emergency admissions and re-admissions to hospital; and to minimise delayed transfers of care from hospital. Around 40% carers who have taken their dependents to A&E … Continue reading →

Posted in Acute Hospitals, Carers UK, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Ageing and Society, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Building Carer Friendly Communities, Care in the Community, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Friendly Communities, Carer Friendly NHS, Carer Friendly NHS Programme, Carer Friendly Primary Care Services, Carer Isolation, Carer Passports, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers and Families, Carers UK’s Pressure Points Report, Carers’ Rights at Discharge, Case Management, Co-Production, Co-Production in Commissioning, Commissioning for Carers Principles, Community-Based Care, Crisis Resolution Teams, Delayed Discharges, Delayed Transfer of Care to Social Care (DToC), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Services, Experiences of Health Care Services, Experiences of Social Care Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Families, Family Caregivers, Family Carers, Funding, Health and Social Care in the Community, Heléna Herklots: Chief Executive of Carers UK, Informal Caregiving, Informal Carers, Integrated and Community-Based Care, Integrated Approach to Identifying and Assessing Carer Health and Wellbeing (NHS England Toolkit), Integrated Discharge Process, Interface Between Primary and Secondary Care, Listening to Carers, Local Sustainability and Transformation Plans (STPs), Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Proactive Personalised Care in the Community, Readmissions, Reasons for Delayed Discharge, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Emergency Admissions Through Community-Based Interventions, Reducing Re-Admissions to NHS Hospitals, Role of Carers in Supporting the NHS, Sustainability and Transformation Plans (STPs), Sustainable Caring, Undervalued Hidden Workforce, Unnecessary Hospital Admissions, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Valuing Carers, Working Together to Support Carers | Leave a comment

Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)

Posted on June 18, 2016 by Dementia and Elderly Care News

Summary Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT): “ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Royal Wolverhampton NHS Trust, Standards, UK | Tagged A&E, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Hospital Care, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Case Management, Complex Care, Complex Needs, Comprehensive Geriatric Assessment (CGA), Comprehensive Older Person's Evaluation (COPE) Zones, COPE Zones Embedded Within Emergency Assessment Units (EAUs), COPE Zones in Emergency Assessment Units (EAUs), COPE Zones: Comprehensive Older Person's Evaluation, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Department for Ageing and Complex Medicine: Salford Royal NHS Foundation Trust, Department of Acute Medicine: Salford Royal NHS Foundation Trust, East Lancashire Hospitals NHS Trust, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Flow Within Hospitals, Frailty, Future Hospital Commission, Identifying People Living With Frailty, Inappropriate Accident and Emergency Department Attendances, Integrated and Community-Based Care, Integrated Emergency Department (A&E), MDTs: Multidisciplinary Teams, Multi-Disciplinary Team (MDT), NHS Benchmarking, NHS Benchmarking Network, Patient flow, Patient Flow Within Hospitals, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Professor John Gladman: BGS / East Midlands AHSN Frail Older People’s Programme, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Salford, Salford Royal Foundation Trust (SRFT), Salford Royal NHS Foundation Trust, Short Stay Admissions, Team-Based Interventions in A&E, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Vision of Patient Care: Future Hospital Commission | Leave a comment

Care Home Residents’ Access to GPs For Basic Health Care: Far Sighted or Short Sighted GP Contract Changes? (BBC News)

Posted on February 2, 2016 by Dementia and Elderly Care News

Summary Care home residents are generally 50% more likely to be admitted to hospital as an emergency than other older persons, and might be expected to be a high priority for primary care. Paradoxically, there are reports that GPs have … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Access and Equity For Care Home Residents to Local NHS Services, Access to Care, Access to General Practice, Access to GP Services, Access to Hospital Services, Access to Primary Care, Access to Services, Age Discrimination, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Harm, Avoidable Mortality, Avoidable Rehospitalisations, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Older People Accessing Help and Support, Barriers to Support, Barriers: Access to Funding, Barriers: Discrimination, Barriers: Inconsistency in Care Standards, Barriers: Lack of Continuity of Care, Barriers: Lack of Timely and Appropriate Diagnosis, Barriers: Potential Age Discrimination, Care England, Care for Vulnerable Older People, Care Home Residents, Care Home Sector, Care Homes, Care Homes Wellbeing, Care Homes: Quality Indicators, Care of Vulnerable Adults, Charges for GP Visits, Clinical Input Into Care Homes, Consumer Vulnerability, Corporate Self-Interest (Ahead of Patients), Dementia-Friendly Care Homes, Empowering GPs to Help Vulnerable Patients (and Carers) to Access Services, Enhanced Health in Care Homes, Factors Contributing to Vulnerability, General Practice, GP Access, GP Contracts, GPs, Health Care for Older Care Home Residents, Health Care Needs of Care Home Residents, High Quality Health Care for Older Care Home Residents, Improving Standards in Care Homes, Integrated Primary and Acute Care Systems (PACS) Vanguard Sites, NHS Managerial Self-Interest, Nursing Homes, Older Care Home Residents, Patient Experience, Patient Safety, Preventable Harm, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Primary and Acute Care Systems (PACS), Primary Care: GP Consultations / Visits, Quality and Continuity of Care for Vulnerable Patients (New Deal), Rationing, Rationing Care, Residential Homes, Retainer Fees for GPs, Support to Care Home Residents, Supporting Vulnerable People, Targeting Resources on Vulnerable Populations, Vulnerable and Disadvantaged Groups | 1 Comment

Reducing Unplanned Admissions by People Aged 85 Years+ (NIHR / Health Services and Delivery Research / BBC News)

Posted on September 9, 2015 by Dementia and Elderly Care News

Summary Three sites where hospital admission rates for people aged 85 years and over had risen sharply, and three sites where these rates had declined, were studied in order to investigate local differences in strategies for avoiding the need for … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NIHR, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK | Tagged Access to Health and Social Care Support, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Medical Care for Frail Older People, Ageing Population, Ambulatory Care-Sensitive Conditions (ACSCs), Ambulatory Emergency Care (AEC), Avoidable Admissions, Avoidable Hospital Admissions, Better Care Together, Business School: University of Nottingham, Care Closer to Home, Care Homes, Commissioning Home Care, Community Care, Community Care Services, Community Health Services, Community Health Services Ease Winter Pressures on Hospitals, Community Health Services Forum, Community Nursing, Department of Health Sciences: University of Leicester, Department of Public Health: NHS Northamptonshire, Dr Stephanie Machin: Robin Hood Health Centre in Sutton, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Attendances, Emergency Medical Services (EMS), Emergency Readmissions, Emergency Services, ESCAPE 85+: Establishing System Change for Admissions of People 85+, Establishing System Change for Admissions of People 85+ (ESCAPE 85+), Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Health and Care of Older People, Health and Social Care, Health and Social Care Integration, Health Services and Delivery Research, Health Services and Delivery Research (HS&DR) Programme, Health Services and Delivery Research Programme (NIHR), Home Care, Integration of Health and Care, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Leicester, Local Health and Care Economies, Local Health and Care Services, Loughborough, Loughborough University, Matthew Winn: Chair of NHS Confederation Community Health Services Forum, McKinsey 7S Framework, National Institute for Health Research (NIHR), NHS Confederation Community Health Services Forum, NHS Northamptonshire, NHS Service Reconfiguration, NIHR Health Services and Delivery Research Programme, Northampton, Nottingham, Out of Hospital Community Care, Out-of-Hospital Urgent Care, Out-of-Hospital Urgent Care Programme, Out-of-Hours General Practice, Out-of-Hours Primary Care, Pathways for Frail and Vulnerable People, Preventing Avoidable Emergency Admissions, Readmissions, Reducing Early Hospital Readmissions, Reducing Unnecessary Admissions, Reducing Unplanned Admissions in People Aged 85 Years and Over, Reducing Unscheduled Admissions, Residential Care Homes, SPA: Single Point of Access, STARS: Short Term Assessment and Reablement Service, Sutton Homes of Care Vanguard, University Hospitals of Leicester NHS Trust, University of Leicester, University of Nottingham, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Services, Urgent Care Axis (Silver Book), Urgent Care Axis: Points for Intervention (Jay Banerjee’s Silver Book), Urgent Care Centres (UCCs), Urgent Care Centres (Walk-In and Minor Injuries Units), Urgent Care Services Outside of Hospitals, Whole System Change, Whole System Integration, Whole System Partnership, Whole System Patient Flows, Whole Systems Approach, Whole Systems Redesign, Winter Pressures, Winter Pressures: Role of Community Health Services, Wolfson School of Mechanical and Manufacturing Engineering: Loughborough University | Leave a comment

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