Royal Brompton Hospital- Improving the hospital to home parent and family experience- PEN 2015
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The document discusses improving communication and the family experience for children requiring long-term ventilation via tracheostomy. It describes using Experience Based Co-Design (EBCD), an adapted approach involving semi-structured interviews and feedback sessions with families and professionals, to identify areas for improvement. Key changes implemented based on this include improved communication materials, dedicated family key workers, expanded multi-disciplinary team meetings, and increased non-medical support. The approach showed that involving users in evaluating services requires adaptability and technology can allow all voices to be heard to continuously improve care.
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Recorded on December 12, 2019.PEN Awards Webinar series 4 of 6
The document describes a webinar series from the Patient Experience Network (PEN) that discusses initiatives that have improved patient experience. The webinars will cover topics like commissioning for patient experience, a patient feedback app used at Birmingham Women's Hospital, transforming complaints handling at United Lincolnshire Hospitals NHS Trust, and a transgender awareness project in Public Health Wales. The webinars aim to share learning about what initiatives have worked well in improving patient experience.
Leena - Care Now - Telepsychiatry
The document discusses a telepsychiatry program implemented in rural nursing homes to improve access to mental healthcare. The program saw success in increasing psychiatric consultations, reducing anti-psychotic drug usage, and gaining acceptance from residents, staff, and psychiatrists. Key benefits included improved quality of care, reduced hospitalizations and transportation costs, and increased psychiatrist productivity through telemedicine. Some technical, administrative, and acceptance challenges were encountered but addressed over time.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...
This document discusses a webinar presented by Community Health Center, Inc. on their postgraduate nurse practitioner and physician assistant residency and fellowship programs. It provides an agenda for the webinar which will discuss the key program staff and their responsibilities, including the program director, clinical director, preceptors, mentors and other faculty. The webinar objectives are to identify drivers for implementing such programs, describe the implementation process, discuss program structure and highlight the roles of program staff.
February 22 2018 team based care webinar 2
The document discusses expanding the role of registered nurses (RNs) in primary care settings. It describes how RNs can take on responsibilities like complex care management, active schedule management, using data to monitor patient outcomes, and conducting co-visits with providers to increase access to care. Co-visits allow RNs to address minor issues while providers briefly review cases. The approach has led to improved access and patient satisfaction at Community Health Center, Inc.
Quality improvement programme launch event slides
The quality improvement programme aims to provide the highest quality mental health and community care in England by 2020 through two stretch aims: reducing harm by 30% each year and ensuring patients receive the right care, in the right place, at the right time. A central QI team coordinates the programme and builds improvement skills within the workforce. Improvement projects use the Model for Improvement and test changes using PDSA cycles. Measurement is key to tracking progress, and successful spread requires patience and not repeating the "seven spreadly sins". The partnership with IHI and BMJ Quality aims to make improvement methods accessible to inspire, innovate, improve and share work across the organization.
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
Join us as we discuss the drivers and processes of implementing a postgraduate nurse practitioner residency program at your health center, the benefits of implementing a postgraduate residency program, and the residency tracks for Family, Psychiatric/Mental Health, Pediatric, and Adult-Gerontology Nurse Practitioners.
We will be joined by Charise Corsino, Program Director of the Nurse Practitioner Residency Program, and Nicole Seagriff, Clinical Program Director of the Primary Care Nurse Practitioner Residency Program, from the Community Health Center Inc.
Measuring Family Experience of Care Integration to Improve Care Delivery
The family perception of care integration is essential in identifying opportunities to improve processes of care coordination and care management. This June 15 webinar introduced the Pediatric Integrated Care Survey (PICS), a validated instrument developed by Richard Antonelli, MD, MS, Medical Director of Integrated Care at Boston Children's Hospital, and his team. The instrument assesses family experience of care integration. It asks family respondents to identify the members of their child's/youth's care team and report on their experiences with integration across disciplines, institutions, and communities.
The Quality and Productivity Challenge : AHPs at DH
Jo Partington, AHP Lead at the Department of Health, Transforming Community Services, addresses AHP Leadership Challenges, Referral to Treatment Project, Service Improvement Project and Transforming Community Services. COT Annual Conference 2010 (22-25 June 2010)
Similar to Royal Brompton Hospital- Improving the hospital to home parent and family experience- PEN 2015 (20)
Dr Arvind Madan Hurley Group & NHS England Primary Care
Dr Arvind Madan Hurley Group & NHS England Primary Care
Annie Laverty on improving processes of care and staff-patient interactions i...
Annie Laverty on improving processes of care and staff-patient interactions i...
Enabling Technology to Improve Quality and Efficiency
Enabling Technology to Improve Quality and Efficiency
Dementia caregiving as a public health priority: how iGeriCare.ca can help? (...
Dementia caregiving as a public health priority: how iGeriCare.ca can help? (...
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
Measuring Family Experience of Care Integration to Improve Care Delivery
Measuring Family Experience of Care Integration to Improve Care Delivery
The Quality and Productivity Challenge : AHPs at DH
The Quality and Productivity Challenge : AHPs at DH
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Dr Louca-Mai Brady- Rhetoric to reality: embedding young people's participati...
This document discusses embedding young people's participation in health services. It begins by defining participation and noting that while there is guidance on participation, the reality often differs from the rhetoric. The research examined how participation is conceptualized and operationalized in practice, and the barriers to embedding participation. Key findings indicated that to be meaningful, participation needs young people and their rights at the center, consideration of who to include, and different approaches for different youth. Professionals and youth need shared understandings of participation and what it looks like done well.
South Staffordshire Shropshire Healthcare NHS FT- Service user involvement an...
The document discusses service user involvement and empowerment in acute mental health and forensic services at an NHS trust. It describes how the trust was successfully involving service users and carers at various levels, but that involvement in forensic services needed improvement. It outlines training developed for service users and carers, and introduces Tyler-Lee Jefferis who has become a forensic service user involvement representative, presenting feedback and experiences to staff and leadership to better represent that group.
Northampton General Hospital NHS Trust- Meet the matron- PEN 2017
The midwifery matrons at the Maternity Unit deliver over 4,700 births per year and offer choices for birth locations. They develop birth plans with women and medical teams, advocating for women to be at the center of their care. When issues arise, they listen, apologize, validate experiences, and provide feedback to staff to implement meaningful changes. This has reduced complaints. They also treat and try to prevent traumatic stress after birth, which impacts around 6-25% of women. Their clinic allows self-referrals and referrals from complaints offices. It provides 45-minute appointments, home visits, and unlimited follow-ups. Staff are encouraged to observe clinic appointments. Patient testimonials praise the care, support
Plymouth Hospitals NHS Trust- Empowering care in partnership #letsbeopen- PEN...
This document discusses a hospital's decision to change from restricted visiting hours to open visiting hours. It provides background on why the change was made, including allowing families to feel fully involved in a loved one's care. The hospital engaged staff, patients, and visitors in the process of introducing open visiting. Feedback was overall positive, with the main benefits cited as increased flexibility in visiting hours and more compassionate care through continued family support and involvement. The hospital will continue seeking feedback on the impact of open visiting.
Great Ormond Street Hospital- Patient experience team of the year including P...
The document outlines the members of the Patient Experience Team at Great Ormond Street Hospital, including Luke Murphy as the PALS Manager. It discusses the work done by the team in 2016, such as handling 474 cases and 400 information requests through the PALS program. The team also developed 500 new information leaflets to improve health information for patients. The overall goals of the team are to provide safer care, improve clinical effectiveness, and enhance the patient experience.
Cardiff and Vale University Health Board- Cardiff and Vale patient experience...
The document provides information about Cardiff and Vale University Health Board in Wales. It cares for over 472,400 people in the Vale of Glamorgan and Cardiff areas and has approximately 14,500 staff. The Patient Experience Team listens to patients and carers to understand their needs and works to improve services.
Derby Teaching Hospitals NHS FT- Derby patient experience team- PEN 2017
This document introduces the Patient Experience Team of the Year and summarizes their achievements. The team is comprised of 6 members, including the Director of Patient Experience and several Patient Experience Managers. They have recruited over 230 patient experience champions across different hospital roles. Some of their key achievements include launching a pledges program, holding their first Patient Experience Week with various activities, developing accessible survey methods winning an award, and launching a new fund to support staff ideas for improving experience. Their secret to success is caring deeply about improving patient experience, inspiring staff, and supporting each other both professionally and personally.
Ipswich Hospital NHS Trust- Frailty care on a surgical ward- PEN 2017
The document discusses efforts at Ipswich Hospital NHS Trust to improve care for frail patients on a surgical ward through a frailty pathway and reablement program. It summarizes that:
- Patient surveys showed improvement in daily goal-setting, involvement in decisions, and satisfaction with rehabilitation after implementing the frailty pathway and reablement activities.
- Frailty assessments are now conducted for all patients and falls precautions, therapy referrals, and support for family caregivers are provided.
- Audits found increased compliance with completing initial assessments, skin and continence assessments, and delirium reassessments for frail patients after the changes.
Plymouth Hospitals NHS Trust- Bereavement bags- PEN 2017
The document describes the development and implementation of "bereavement bags" at a UK hospital to provide more dignified and thoughtful packaging for personal belongings returned to families of patients who have passed away. Key points:
- A nurse named Ali Griffiths developed the idea after her own mother's passing, to avoid using impersonal plastic bags.
- With support from the hospital's Innovations Team and Charitable Funds Committee, a prototype was created and production approved.
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- Stock levels for bereavement bags were established, an order placed with the supplier, and
Milton Keynes University Hospital NHS FT- Dementia initiatives- PEN 2017
The document describes a Dementia Café program at Milton Keynes University Hospital. The monthly café brings together patients with dementia, their family/caregivers, and staff for afternoon tea, music, activities, and socializing. Feedback shows the café improves patients' engagement, appetite, and mood while providing support for family members. Staff from various hospital departments volunteer at the café, which has been successful due to the hospital's dementia awareness efforts and support from leadership.
Mid Yorkshire Hospitals- Improving end of life care experience- PEN 2017
The initiative aimed to improve end of life care experiences by ensuring staff had easy access to dignity items and information for families based on what matters most to patients. They developed a resource capturing multiple comfort items in one space and trialled it on an acute respiratory ward where most patients are palliative. They gained support from various departments and volunteers. Outcomes included positive patient and family feedback, staff finding it released time to care and standardized their approach, and reduction in stock levels.
Investing in Children- Type 1 kidz- PEN 2017
Type 1 Kidz is a peer support project run by Investing in Children that organizes monthly group sessions for families affected by type 1 diabetes. The sessions are planned by a Young People's Steering Group and allow families to learn from each other's experiences managing the condition. Over 180 children and young people with type 1 diabetes have attended sessions in the past two years. Evaluations found that regular attendees had greater diabetes knowledge and independence than less frequent attendees. The project has also received several awards for its work involving families in diabetes care.
Virgin Care- Feel the difference- PEN 2017
This document discusses Virgin Care's approach to customer experience. It outlines potential worries patients may have about various stages of care like booking appointments, the environment, consultations and follow-up. It then lists Virgin Care's commitments to addressing these worries by ensuring things like easy booking, clean and welcoming environments, listening to patients, clear communication and follow-up. The goal is for patients to feel cared for, informed and confident in the care they receive. Examples are given of positive patient feedback that Virgin Care achieved this goal.
Ipswich Hospital NHS Trust- Involving patient leaders in human factors traini...
The document discusses involving patient leaders from Ipswich Hospital User Group (IHUG) in human factors training at Ipswich Hospital NHS Trust. IHUG members provide their perspective in simulation scenarios to make training more realistic. Initially there were reservations, but over three years a strong bond has formed between IHUG and the Simulation Centre. Patient feedback after courses showed statistically significant improvements in areas like feeling listened to and staff awareness of patient information and care plans. IHUG involvement has been so successful that it has expanded to additional human factors training topics.
Healthwatch Essex- 555 model of engagement- PEN 2017
Healthwatch Essex uses its "555 Model of Engagement" to capture the lived experiences of patients and give them a platform to share their stories with health and social care professionals. The model involves working with 5 key partners to conduct 5 focus groups in 5 different areas with 5 participants who tell their stories at a launch event. Recommendations from the reports aim to improve services based on patient feedback. Examples showed how projects on mental health and sensory impairments led to more joined-up services, better information access for patients, and health professionals gaining a greater understanding of patients' conditions and needs.
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
This document introduces a new Birth Reflection Pathway developed through collaboration between patient experience, health psychology, and maternity teams. The pathway includes midwifery-led clinics where mothers can discuss their birth experience with a senior midwife, as well as training for staff and continuous feedback collection. Focus groups informed the service setup. Surveys are used to gather feedback monthly and at various postpartum timepoints. The clinics have been well-received and feedback will be used to further enhance the pathway. The goal is to create a permanent, expanded Birth Reflection service across the Trust.
Plymouth Hospitals NHS Trust- Empowering care in partnership #letsbeopen- PEN...
This document discusses a hospital's decision to change from restricted visiting hours to open visiting hours. It provides background on why the change was made, including allowing families to feel fully involved in a loved one's care. The hospital engaged staff, patients, and visitors in the process of introducing open visiting. Feedback was overall positive, with the main benefits cited as increased flexibility in visiting hours and more compassionate care through continued family support and involvement. The hospital will continue seeking feedback on the impact of open visiting.
Dudley Group NHS Foundation Trust- Improving the experience of patients with ...
Nurse Jacqui Howells created a learning disability pathway at Dudley Group NHS Foundation Trust to address gaps in student nurse education and improve the poor patient experiences of those with learning disabilities. The pathway involved co-production with learning disability experts and patients, learning disability awareness training, and simulations to identify reasonable adjustments nurses can make to provide equal care for all patients. Feedback showed the pathway improved standards of care and had a positive, far-reaching influence on making the hospital more inclusive for those with learning disabilities.
Milton Keynes University Hospital- Peer to peer listening service- PEN 2017
Two-thirds of UK adults report having nobody to talk to about their problems. Milton Keynes University Hospital developed a Peer to Peer Listening Service (P2P) where volunteers are trained to provide confidential listening support to staff. In the first year of the program from 2016-2017, 619 people accessed the service with 47% seeking primarily work-related support. In the first quarter of the second year, 207 people were seen and 25% of issues were work-related. The program aims to continue promoting the service and recruiting volunteers to support all staff at the hospital.
Gloucestershire Hospitals NHS Foundation Trust- Small steps big changes- PEN ...
This document summarizes a project to improve staff engagement and the patient experience on an acute gastroenterology ward. The ward was facing issues like staff vacancies, stress, and incidents of violence. To address this, ward staff were encouraged to anonymously provide ideas to improve their own work experience. Many suggestions were quickly implemented, which empowered staff and improved staff-patient interactions. Surveys before and after showed increased patient ratings in areas like understanding care, staff communication and coordination. The project benefited staff by giving them influence and enjoying their work more as a supportive team. It has now been adopted in other wards across the hospital.
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Dr Louca-Mai Brady- Rhetoric to reality: embedding young people's participati...
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South Staffordshire Shropshire Healthcare NHS FT- Service user involvement an...
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Ipswich Hospital NHS Trust- Frailty care on a surgical ward- PEN 2017
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Plymouth Hospitals NHS Trust- Bereavement bags- PEN 2017
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Mid Yorkshire Hospitals- Improving end of life care experience- PEN 2017
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Ipswich Hospital NHS Trust- Involving patient leaders in human factors traini...
Healthwatch Essex- 555 model of engagement- PEN 2017
Healthwatch Essex- 555 model of engagement- PEN 2017
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Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
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Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
Hypotension and role of physiotherapy in it
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
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Know Latest Hiranandani Hospital Powai News.pdf
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End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
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Royal Brompton Hospital- Improving the hospital to home parent and family experience- PEN 2015
- 1. Communicating effectively with patients and families: Improving the ‘Hospital to Home’ Parent and Family Experience for Children on Long Term Ventilation via Tracheostomy Joanna Keating, Education Lead and Project Manager (Specialist Physiotherapist) Hospital to Home: Children’s Long Term Ventilation Service Royal Brompton and Harefield NHS Foundation trust *All photos used with kind permission of the families
- 2. Children Requiring Long Term Ventilation via Tracheostomy: The Problem
- 3. Hospital to Home: Children’s Long Term Ventilation Service Reduce unnecessary and costly intensive care stay Specialist Outreach Clinical Support Move care closer to home in a more timely manner Specialist Discharge Planning support. Use of web based discharge pathway Improve quality and consistency of local care Deliver specialist skills and knowledge into the wider community
- 4. Experience Based Co-Design (EBCD) “You never really understand a person until you consider things from his point of view-- until you climb inside of his skin and walk around in it.”
- 5. Thematic Mapping Thematic Mapping Family Semi - Structured Interviews Family Semi - Structured Interviews Family feedback service improvement ideas via Web-Ex/teleconference Family feedback service improvement ideas via Web-Ex/teleconference Thematic Mapping Thematic Mapping Professional Semi- Structured Interviews Professional Semi- Structured Interviews Professionals feedback service improvement ideas via Web- Ex/teleconference Professionals feedback service improvement ideas via Web- Ex/teleconference Family & professional requests for service improvements combined Service Improvement Improving the Hospital to Home Experience: Adapted Experienced Based Co-design Participant review & feedback incorporated
- 6. Impact and Results Communication Service leaflets Service standards Business cards Website Key Workers Each family have a dedicated key worker WellChild charity funding for additional post Discharge & Follow Up Replication of approach to evaluate experience of follow up care Non-medical Support Welfare advisory team created Multidisciplinary team meetings Chairing meetings training Meetings facilitated with technology Minutes sent to families securely
- 7. So what..? Why is this important? Unique opportunity to evaluate experience across the entire journey Successful use of technology may be applied to other difficult to reach patient groups EBCD may be successfully adapted to yield valuable results
- 8. The Future: Sustaining success and further development Dissemination of experience On-going 2 way communication with service users Further evaluation of the family journey
- 9. The Future: Sustaining success and further development Continued promotion of health-social integration Shared Learning National engagement strategy has facilitated development of a professional network Application of approach to other complex conditions
- 10. Involving users in evaluating services requires an adaptable approach The use of technology is successful in allowing ALL service users to have a voice and contribute to service improvement
- 11. www.hospitaltohome.nhs.uk With thanks to the team: Annabel Lord, Dr Sharon Fleming, Dr Gillian Halley, Katy Merritt, Miriam Kings, Adrienne Cottam