Hospital Transfer Pathway Red Bag Scheme: The National View · Hospital Transfer Pathway Red Bag...
Transcript of Hospital Transfer Pathway Red Bag Scheme: The National View · Hospital Transfer Pathway Red Bag...
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17 October, 2017
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Hospital Transfer Pathway Red Bag Scheme: The National View
Rachel Fox : Independent Care Sector Lead,
Midlands and East NHSE
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The journey of the Red Bag
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Outcomes
• Reduced time for ambulance transfer and A&E assessment ?
• Reduced length of stay ?
• Better quality of care
• Reduced loss of personal items
• Quicker discharge
• Clearer communication re. medications
• Improved relationships
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Urgent and Emergency
Care
Delivery Plan
Hospital 2 Home
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Hospital Transfer Pathway Red Bag Scheme: Cambridge and Peterborough CCG
Ellie Addison : Lead Nurse for Care Homes ,
Cambridge and Peterborough CCG
Red Bag Scheme
• Care Homes Support Team
•Cambridgeshire & Peterborough CCG
• The Red Bag initiative has been developed by the Sutton Homes of
Careproject, part of the national Vanguard programme (an NHS England
NewCare Models programme), to improve care in residential and nursing
homes.
• The introduction of a 'red bag' Hospital Transfer Pathway has helped to
improve and speed up the transfer between hospital and care home
settings.
Academy of Fab Stuff
Metrics•Quality
•Experience
•Communication
So far, the Hospital Transfer Pathway has led to:
• improvement in communication and relationships between hospital and care homes
• fewer phone calls and follow ups made by the hospital staff to the Care Homes looking
for health information about the resident
• smoother admission and discharge processes
• better person-centred care for the residents
• future evaluation may also demonstrate a reduction in length of stay but it is too early
to confirm this.
•(NICE, May 2016)
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Hospital Transfer Pathway Red Bag Scheme: Evaluation
Barbara Hercliffe : Improvement Coach
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Measurement for Improvement
“All improvement will require change, but not all change will result in improvement”
Langley et al, The Improvement Guide, 1996
• How do we know that a change is an improvement?
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What are we trying to accomplish ?
The aim of the Hospital Transfer Pathway (Red Bag) is to improve the
quality of care given and patient experience by better communication
and working together across the different services.
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Model for Improvement & 7 Steps to Measurement
www.ihi.org
Aims
Measures
Interventions
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Step 2. Choose measures
1 Decide aim
2 Choose measures
3 Define measures
6 Review measures
5 Analyse & present
7 Repeat steps 4-6
4 Collect data
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Types of Measures
Type Description Example
Outcome Impact on a patient and show the result
of improvement work
Sepsis mortality rates
Rate of MRSA
Number of falls
Survey of staff confidence using SBAR
Process How systems and processes work to
deliver the outcomes
% patients with NEWS calculated
% hand hygiene compliance
Number of training sessions delivered
Balancing Unexpected/Unintended impacts
elsewhere in the system (can be positive
or negative)
999 call outs from a residential home
Staff sickness
Staff turnover
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Measures
So far, the Hospital Transfer Pathway has led to:
• improvement in communication and relationships between hospital and
care homes
• fewer phone calls and follow ups made by the hospital staff to the Care
Homes looking for health information about the resident
• smoother admission and discharge processes
• better person-centred care for the residents
• Future evaluation may also demonstrate a reduction in length of stay
but it is too early to confirm this.
• (NICE, May 2016)
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Group Activity 1 (5 mins).
• Using the template
• Assign some measures across the framework
– Outcome
– Process
– Balancing
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Types of Measures
Type Description Example
Outcome Impact on a patient and
show the result of
improvement work
Process How systems and
processes work to deliver
the outcomes
Balancing Unexpected/Unintended
impacts elsewhere in the
system (can be positive or
negative)
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Step 3. Define measures
1 Decide aim
2 Choose measures
3 Define measures
6 Review measures
5 Analyse & present
7 Repeat steps 4-6
4 Collect data
An operational definition is a description,
in quantifiable terms, of what to measure
and the steps to follow to measure it
consistently
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Group Activity 2 (5 mins).
• Pick one measure and write an operational definition
An operational definition is a description, in quantifiable terms,
of what to measure and the steps to follow to measure it
consistently
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Step 4. Collect data
• What – all people/patients, a portion or a
sample?
• Who – collects the data?
• When – is it collected real time or
retrospective?
• Where – is it collected?
• How – is it obtained computer system or
audit?
1 Decide aim
2 Choose measures
3 Define measures
6 Review measures
5 Analyse & present
7 Repeat steps 4-6
4 Collect data
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Group Activity 3 (5 mins).
• Data collection plan • What – all people/patients, a portion or a
sample?
• Who – collects the data?
• When – is it collected real time or
retrospective?
• Where – is it collected?
• How – is it obtained computer system or
audit?
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Thank you