Elective Surgery Programme Implementation Support Guide

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References 1. Kerridge, R., Lee, A., Latchford, E. et al. (1995). The perioperative system: a new approach to managing elective surgery. Anaesth Intensive Care 23, 591-596. 2. Anderson, R. P., Guyton, S. W., Paull, D. L. et al. (1993). Selection of patients for same- day coronary bypass operations. J Thorac Cardiovasc Surg 105, 444-451; discussion 451- 2 3. American College of Cardiology Cardiovascular Surgery Committee (1993), “Same-day surgical admission”, Journal of the American College of Cardiology, Vol. 22 No. 3, pp. 946-7. 4. Audit Commission (1990), A Short Cut to Better Services: Day Surgery in England and Wales, HMSO, London. Audit Commission (2001), Day Surgery, HMSO, London. 5. Boothe, P. and Finegan, B.A. (1995), “Changing the admission process for elective surgery: an economic analysis”, Canadian Journal of Anesthesia, Vol. 42 No. 5, pp. 391-4 6. Caplan, G.A., Brown, A., Crowe, P.J., Yap, S.J. Noble, S. (1998), “Re-engineering the elective surgical service of a tertiary hospital: a historical controlled trial”, The Medical Journal of Australia, Vol. 169 No. 5, pp. 247-51. 7. Ryan R, Davoren J, Grant H, Delbridge L (2004) A 23-hour care centre model for the management of surgical patients, ANZ Journal of Surgery, Vol.74 No. 9, pp.754-9. 8. Vijay V, Kazzaz S and Jonathan Refson (2007) The same day admissions unit for elective surgery: a case study International Journal of Health Care Quality Assurance Vol. 21 No. 4, 2008 pp. 374-379 9. National Institute of Health and Clinical Excellence (2006) Nutritional Support in Adults. Clinical Guideline 32, Nice, London 10. Nutrition and Cancer. 2010 Ed C Shaw. John Wiley and Sons Ltd, Chichester 90 Model of Care for Elective Surgery
CHAPTER 5 Discharge Planning Introduction Discharge planning is the development of an individualised discharge plan for a patient prior to their leaving hospital, with the aim of containing costs and improving patient outcomes. Discharge planning should ensure that patients are discharged from hospital at an appropriate time in their care. Cost containment is a feature of all healthcare systems, especially for acute hospital services. In this document we are encouraging the increasing use of day surgery, decreasing the length of stay for inpatient care by the use of day of surgery admissions and discharge planning, so as to contain costs and improve patient outcomes. For example, discharge planning may influence both the length of hospital stay and the pattern of care within the community by bridging the gap between hospital and home. Medical or non-medical reasons may delay a patient‟s discharge from hospital. It has been estimated that 30% of all hospital discharges are delayed for non-medical reasons. (1) But three factors remain common causes of delayed discharge from hospital. (2) Inadequate patient assessment by health professionals resulting in problems such as poor knowledge of the patient‟s social circumstances Poor organisation, for example, late booking of transport services to take a patient home, preventing timely discharge from hospital Poor communication between the hospital and community service providers. In some areas discharge planning combined with additional post-discharge support can reduce unplanned readmission to hospital. A reduction in readmissions will decrease inpatient costs; however, this reduction in costs may be offset by an increase in the provision of community services as a result of planning. A Cochrane Systematic Review has indicated that a structured discharge plan tailored to the individual patient probably brings about a small reduction in hospital length of stay and readmission rates, and an increase in patient satisfaction, but the impact on health outcomes is uncertain. (3) However, the review did not separate out elective surgical practice and nor did it 91 Model of Care for Elective Surgery
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Elective Surgery Programme Implemen
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Overview of the Elective Surgery Pr
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What is AvLOS? It is a sub programm
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How do we know that the HIPE codes
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What is TPOT? It is a sub programme
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What is IASM? It is a part of the S
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MODEL OF CARE FOR ELECTIVE SURGERY
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CHAPTER 3 .........................
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Summary for Patients and Carers Int
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Chapter 5 describes Discharge Plann
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Patients expect to know approximate
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CHAPTER 1 The Elective Surgery Prog
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Executive are aiming to address the
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Improving access to theatre resulti
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tests are performed as expeditiousl
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(MDT) and should outline the antici
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References 1. A short cut to better
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APPENDIX 1 - THE SURGICAL CARE PLAN
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job plans of consultant anaesthetic
Page 39 and 40: The Waiting list/Admission Coordina
Page 41 and 42: Stage four: information collating
Page 43 and 44: Routine screening tests that should
Page 45 and 46: include an ECG and relevant blood t
Page 47 and 48: Risk Reduction and Service Monitori
Page 49 and 50: 9. Reed M, wright S, Armitage F. Nu
Page 51 and 52: APPENDIX 2 - Pre-admission Assessme
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Page 55 and 56: emedies or recreational drugs) Is t
Page 57 and 58: APPENDIX 5 - SAMPLE PRE-ADMISSION A
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Page 61 and 62: targets. It goes without saying tha
Page 63 and 64: Patient Factors: Age - there is no
Page 65 and 66: The safe and comfortable recovery o
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Page 69 and 70: The Clinical Director, commonly a C
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Page 75 and 76: http://www.esraeurope.org/Postopera
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Page 81 and 82: APPENDIX 5 - Diabetic Day Case Pati
Page 83 and 84: Total Score @ __________ (3) Nurse
Page 85 and 86: APPENDIX 8 - Suggested documentatio
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Page 95 and 96: References 1. Selker HP, Beshansky
Page 97 and 98: APPENDIX 2 - Sample Patient Dischar
Page 99 and 100: APPENDIX 4 - Sample Discharge/Trans
Page 101 and 102: CHAPTER 6 Elective Surgery Indicato
Page 103 and 104: Pre-admission assessment is underta
Page 105 and 106: Dr Suzanne Crowe Paediatric Anaesth
Page 107 and 108: 2 GENERAL/UNSPECIFIED TARGETS ICD-1
Page 109 and 110: 4 GENERAL COLORECTAL TARGETS ICD-10
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Page 113 and 114: 8 NEUROSURGERY TARGETS ICD-10-AM Pr
Page 115 and 116: 10 ORAL MAXILLO FACIAL TARGETS ICD-
Page 117 and 118: 12 PLASTIC TARGETS ICD-10-AM Proced
Page 119 and 120: 14 UROLOGY TARGETS ICD-10-AM Proced
Page 121 and 122: Manager for elective surgery patien
Page 123 and 124: Are allied health professionals inc
Page 125 and 126: Are DOSA patients‟ beds ring fenc
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Elective Surgery Programme Implementation Support Guide

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