Analysis of Recent HITT Observations and Discharge Planning in Various Wards
Recent High Impact Intervention Team (HITT) observations and findings related to discharge planning in different wards reveal encouraging outcomes, with a focus on ward training, roles and responsibilities, alignment of resources, and input from multidisciplinary teams. The analysis highlights themes such as distinguishing simple and complex discharges, discharge facilitator models, MDT board rounds efficacy, and the role of various professionals in discharge planning.
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Presentation Transcript
Recent HITT(High Impact Intervention Team) Observations/Findings /Themes and Discharge Planning & 80 % Simple Discharges September 2019
Wards Visited COE/Medical/Dementi a Specialist Surgical Emerald L9A Vallance L8AE Jowers L10 AAU Bristol Trafford Chichester
Encouraging findings The Good Stuffs ! Findings from Wards Engagement 80 % 80 100 Appetite for learning 80 Keen to receive guidance 80 Ward Training 100 80 80
Analysis - Themes across wards Ward Training discharge planning Outlining roles and responsibilities Admission initial assessment social aspects Duplication (Discharges) impact on quality Alignment input & output Resources distribution & delivery DISCO/Therapists & safety (governance) MDT-Board Rounds -Ward rounds- process to discharges Respecting professionals input Over assessment Silos working Simple & complex discharges (20 %) distinguish Discharge facilitator on some wards various model Proficient? Culture Documentation MDT Boardrounds Ward rounds efficacy & productivity of process? AAU current model & efficacy DISCO role on wards input in d/c planning?
Discharge planning=Simple Discharges 80 % (who are they?) Initial admission assessment Risk assessment (Therapy) & over ax D2A Ward nurses & HCA input re, discharge planning D2A principle via HF Involving & Setting clear expectations family/carer Re-start of POC and keeping communication live with care agencies at least 24 hours notice (Beware of Fridays !!) Keeping NH & RH up to date re, their residents and problem solving approach with change of needs mainly RH ones ( Physio/OT/Equipment input) Referrals completion such as HF/NORA/NOD PJ Paralysis patient in bed ! MDT clear structure actions & by whom roles & responsibilities Think HF for B & H !
