Integration of Inpatient and Residential Care In-Reach Service Model and Hospital Resource Utilization: A Retrospective Audit
| Autor: | Paul Yates, Jie-Min Kwa, Megan Storer, Ronald Cw Ma |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
emergency department
Audit Tertiary referral hospital 03 medical and health sciences Residential aged care 0302 clinical medicine Health care Humans Medicine Original Study 030212 general & internal medicine General Nursing Aged Retrospective Studies Service (business) Inpatients business.industry Health Policy Australia General Medicine Emergency department Patient Acceptance of Health Care medicine.disease Service model Hospitals in reach hospital in the nursing home nursing home Residence Medical emergency Geriatrics and Gerontology Emergency Service Hospital business 030217 neurology & neurosurgery Resource utilization |
| Zdroj: | Journal of the American Medical Directors Association |
| ISSN: | 1525-8610 |
| Popis: | Objective In parts of Australia, Residential In-Reach (RIR) services have been implemented to treat residential aged care (RAC) residents for acute conditions in their place of residence to avoid preventable hospital presentation. Our service was initiated in 2009 and restructured in 2014. We compared acute healthcare resource utilization (RIR activity and emergency hospital presentations) by RAC residents under 2 RIR models of care. Design Acute RAC RIR service model of care was changed from existing nurse/emergency physician-led service to nurse/geriatrician-led service and incorporate inpatient liaison nurse consultant into the team. Setting RAC episodes and hospital presentations from a single tertiary referral hospital and its associated RAC RIR service. Methods Retrospective audit comparing RIR activity, hospital presentations, and associated costs from 2 12-month periods, prior to and postimplementation. Data were expressed as a proportion of the total number of RAC beds in the hospital RIR catchment. Results After implementation of the new model of care, RIR episodes of care increased from 589 to 985 (15.3 vs 24.7 episodes/100 RAC beds, P |
| Databáze: | OpenAIRE |
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