Simtegr8 presentation patient workshops opu
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This document outlines a project called SIMTEGR8 that was awarded £100k by Loughborough University to develop a computer simulation model to evaluate ways to reduce emergency admissions to hospitals through new integrated interventions. The purpose is to understand the current patient pathway and develop a simulation to evaluate how admissions can be reduced. A workshop was held with stakeholders to discuss the patient journey, current service summary, and computer simulation. The document also provides details on an Older Person's Unit that was established in 2014 to treat patients over 65 experiencing health issues as an alternative to hospital admission. It describes the referral process, inclusion/exclusion criteria, assessments and investigations conducted, and options after assessment. Group discussions were held to discuss perceptions of the service, whether
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Simtegr8 presentation patient workshops opu
- 1. Simulation to Evaluate Great Care (SIMTEGR8)
- 2. Dr Marianne Bamkin Loughborough University Ed Ostler SIMUL8 Corporation
- 4. Background £100k awarded by University’s EPG Reduce A & E admissions 1-year Project
- 5. Purpose of Project • Understand current patient pathway and develop approximate computer simulation • Evaluate how emergency admissions to hospitals can be reduced • Help Improve the patient journey through new integrated interventions
- 6. Purpose of Workshop • Work together to find ways of developing the system from a user perspective
- 7. How? • Summary of the service • Computer simulation • Discuss patient journey – Group work – Discussion – Feed back • Measuring patient satisfaction
- 8. www.leicspt.nhs.uk OLDER PERSON’S UNIT 8 • Established in October 2014 • Based within a Community Hospital • Consultant Geriatrician • Advanced Nurse Practitioner • Health Care Assistant • Project Lead/Administration
- 9. www.leicspt.nhs.uk OLDER PEROSN’S UNIT Opening Hours: • Monday – Friday • 09.00 – 17.00hrs • Not open Bank Holidays • Consultant Geriatrician – currently 3-4 sessions per week •telephone cover thereafter • Nurse practitioner and healthcare assistant cover all sessions • Physiotherapy and OT support • Admin support staff 9
- 10. www.leicspt.nhs.uk OLDER PERSON’S UNIT Referrals accepted from: • GP’s – East and West locality (not city) • Ambulance Service • District Nursing Team • Intermediate Care Teams • Specialist Nurses • Acute Visiting Service (AVS) 10
- 11. www.leicspt.nhs.uk OLDER PERSON’S UNIT Inclusion criteria: • Over 65 • Registered with GP within Leicestershire County • Sudden deterioration or “off legs” • Long term Conditions • Sudden Confusion • Polypharmacy 11
- 12. www.leicspt.nhs.uk OLDER PERSON’S UNIT Exclusion Criteria: • Head Injury • Acute Cardiac problem • Suspected CVA • Acute Psychiatric Issue • Admission to hospital required as not safe to remain in home environment 12
- 13. www.leicspt.nhs.uk OLDER PERSON’S UNIT Referral process: •Telephone call to OPU •Accept/decline/divert to another service Once accepted: •GP summary requested •Contact made to patient/relative •Transport OPU: •2 hour comprehensive geriatric assessment process 13
- 14. www.leicspt.nhs.uk OLDER PERSON’S UNIT Investigations: •Height and Weight •Observation •ECG •X-Ray •Bladder Scan •Bloods using I-Stat machine, using Chem 8+ cartridges •Urine Dip •Samples sent to labs if required. 14
- 15. www.leicspt.nhs.uk OLDER PERSON’S UNIT Following Assessment: •Discharge Home •Admit to Community Hospital •Admit to secondary care •Discharge home with Intensive Community Service (ICS) 15
- 16. Group discussion 1 • Think about – Your opinion of service – Understanding of pathway – Does it make sense? – Are changes needed?
- 17. Group discussion 2 Questions • Do you think that it is reducing admissions? • Does it really provide more appropriate treatment than admission? • Are the resources being used effectively?
- 18. Measuring Patient Satisfaction • Quality • Speed • Dependability • Flexibility
Editor's Notes
- Introduce ourselves
- This is about the project in general
- Ask participants to fill in the cards with “What I hope to get out this workshop” before revealing what is behind the curtain Emphasise that the model is an approximation and part of the analytic process, the system is being analysed this way. Reports to LCC and major report at end of project. Will be widely disseminated Will help decide how the intervention progresses
- What is going to happen during the workshop We are talking about the patient pathway! What is the Older Person’s Unit? What is the NN service? Ed will tell you about the simulation and how it was derived, run the model Put yourself into the patient’s position, think about the progress through the journey Look at what the problems are or may be Work out solutions; decide on how could it be improved? How can patient satisfaction be measured?