PPT-Optimising CIT / OPAT in Acute Hospitals for admission avoidance and early discharge

Ms Lorraine Myler OPATCIT Liaison Nurse Beaumont Hospital Presentation Overview What is OPAT and CIT Benefits of service OPATCIT service in Beaumont Referral process Beaumont. Finding early opportunities to access Community Services- . ‘Discharge to assess’ . work stream. Bie. . Grobet. South Warwickshire Foundation Trust. 1. 2. Warwickshire North CCG challenges. Nuneaton and Bedworth : top 1/3 most deprived areas in England. 8 hospitals in southern NSW collected data from July 2010 till September 2011 – all had on site clinical pharmacists. 5 days/. wk. in 5 (7 days/. wk. for some time in 1) 4 days/. wk. in 3. 3 hospitals employed junior medical staff, the remainder were VMO only. , . Governor. Tracy J. Plouck. , . Director. Promoting Wellness and Recovery. Overview. The Ohio Behavioral Health Data (OHBH). What is it?. What is reported?. Who reports?. How does it work?. Web-based Reporting Facility. Dr. Jose Cadena. Dr. Amruta Parekh. University of Texas Health Science Center at San Antonio . San Antonio, TX. E. ducating for . Qu. ality . I. mprovement & . P. atient . S. afety. . Jose Cadena, M.D. Observations and Ideas: Promising Practices From WI Readmission . Collaboratives. What we have learned….. Pre-Admission. During Stay. Post-Discharge. Pre-Admission. Crisis Interventions. Have a diversion program for crisis and detox patients. Overview Promising Practices Observations and Ideas: Promising Practices From WI Readmission Collaboratives What we have learned…. Pre-Admission During Stay Post-Discharge Pre-Admission Crisis Interventions tensive Care . S. yndrome : . P. romoting . I. ndependence and . R. eturn to . E. mployment. Pamela MacTavish. Medicine . R. econciliation. On admission, in ICU, on discharge and at clinic. GP letter. Clinical Nurse Specialist: Maureen Glendinning Margaret Rankin Katie McIntyre Staff Nurses Danielle Godfrey Katie Palmer Sally Speirs _____________________________________ Service hours: 7 days 8a 12Oregon Health Science University Department of Public Health Preventive Medicine 3Oregon Health Science University Division of Infectious Diseases Department of Medicine 4Oregon Health Science w 9/Respiratory Acute Care Unit Core Interventions Operationalization Relationship-Based Care Tactics to hardwire the philosophy of relationship-based care eg patient/family included in patient rounds Exhibit 1 Hospitals by Bed Size CategoriesConnecticut Northeast United StatesBeds/Facility Hospitals Hospitals Hospitals Hospitals Hospitals Hospitals00-99 10 3 x0000x0000 x/Attxachexd /xBottxom x/BBoxx 5x298x24 3x495x6 56x455x2 51x12 x/Suxbtypxe /Fxootexr /Txype x/Pagxinatxion x/Attxachexd /xBottxom x/BBoxx 5x298x24 3x495x6 56x455x2 51x12 x/Suxbtypxe /Fxoote Nestor Sosa MD FACP. Infectious Diseases Division Chief. Outline. History of OPAT. Why OPAT: Pros and Cons. Who does OPAT . . How are patient and antibiotics selected. OPAT Complications, Monitoring and Future. Criteria. Inclusion. Over . 65 years (Under 65 considered on individual basis if hospital admission would be . detrimental). Live . in the Southern . Trust Area. Patients . must have been assessed as requiring acute care i.e. deemed to be at the point of hospital admission.