Exploratory Study on Delayed Discharges Among Inpatients with Learning Disabilities
This online poster presentation discusses the issue of delayed discharges among inpatients with learning disabilities, focusing on reducing delays and improving opportunities for a meaningful life. The study explores dynamic hypotheses developed in collaboration with healthcare professionals and stakeholders, emphasizing the impact of factors like placement breakdowns and the length of delay on bed availability and discharge processes. Feedback mechanisms and potential interventions to address delayed discharges are also highlighted.
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Online Poster Presentation Delayed discharges among inpatients with learning disabilities Exploratory system dynamics study with policymakers Shreya Sonthalia MRC/CSO Social and Public Health Sciences Unit, University of Glasgow 0:00-0:30 @systemdynamics_ #isdc2023 THE 41ST INTERNATIONAL SYSTEM DYNAMICS CONFERENCE Chicago, USA and Virtually
Problem Statement Discharge delayed by up to 5 years Restricted opportunities to lead a meaningful life Service congestion; operate at full capacity Costs 150,000 per year How to reduce delayed discharges? Number affected increasing Reduce bed occupancy Delayed discharges 100% 25 80% 20 60% 15 40% 10 20% 5 0 0% 2015 2016 2017 2018 2019 2020 2021 2022 0:30-2:00 @ systemdynamics_ THE 41ST INTERNATIONAL SYSTEM DYNAMICS CONFERENCE THE 40TH INTERNATIONAL SYSTEM DYNAMICS CONFERENCE #isdc2022 #isdc2023 Chicago, USA and Virtually Virtually everywhere!
Approach or Dynamic Hypothesis Developed in collaboration with the lead clinician at the health board Individual level data Delay length data problematic Some effects built in as assumptions @systemdynamics_ THE 41ST INTERNATIONAL SYSTEM DYNAMICS CONFERENCE THE 40TH INTERNATIONAL SYSTEM DYNAMICS CONFERENCE #isdc2022 #isdc2023 Chicago, USA and Virtually Virtually everywhere!
Results Delayed discharge inflow is determined by placement breakdowns, and the outflow is determined by the length of delay (the additional time to find a new placement). Both of these are determined by actors outside the system - social care & housing Bed capacity is unlikely to impact delayed discharges: considered helpful by stakeholders Feedback mechanisms keeping bed availability at zero Reducing proportions needing a new placement could impact on delayed discharges but doesn t impact bed availability much Changing length of delay will make the biggest impact on bed availability and delayed discharges 3:30-5:00 @systemdynamics_ THE 41ST INTERNATIONAL SYSTEM DYNAMICS CONFERENCE THE 40TH INTERNATIONAL SYSTEM DYNAMICS CONFERENCE #isdc2022 #isdc2023 Chicago, USA and Virtually Virtually everywhere!
