Elective Surgery Programme Implementation Support Guide

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3. There are important implications for all clinical parties and for patients, their representatives and carers in the expeditious and accurate production of discharge documents. 4. After issue subsequent information may become available and this should be delivered as quickly as possible. 5. The Discharge/Transfer Communication Record is a confidential document containing personal information and is subject to data protection 6. This record should be communicated speedily to the patient‟s GP and Primary Care Team as appropriate. After discharge There should be early notification of the patient‟s in-hospital journey to their general practitioner using the Discharge/Transfer Communication Record by letter, Fax or encrypted e-mail, approved by a senior member of the surgical team. The record should be agreed with GPs to ensure medication changes and instructions for care are clearly highlighted. Clear arrangements should be formalized regarding liaison between hospitals, general practitioners, public health nursing and patients/carers with regard to expected patient recovery and outpatient follow-up or treatment where deemed appropriate by the surgical team. Unexpected readmissions should be direct and streamlined through an admission process, avoiding the traditional emergency department route. Indicators of Quality in Discharge Planning Discharge planning is part of the elective surgical Integrated Care Plan at each stage of the patient‟s journey There is a dedicated Discharge Coordinator All patients are provided with an estimated length of stay There is a policy to discharge patients before 11.00 on the day of discharge The discharge is nurse facilitated All patients receive a uniform and agreed immediate Discharge Document forwarded to primary care. Discharge activity and patient experience is monitored through the Surgery Programme Steering Group using appropriate metrics 94 Model of Care for Elective Surgery
References 1. Selker HP, Beshansky JR,Pauker SG,Kassiter HG (1989) The Epidemiology of Delays in a Teaching Hospital. Medical Care 27:112 2. Barker WH, Williams TF, Zimmer JG, Van Burren C, Vincent SJ, Pickrell SG, (1985) Geriatric consultation teams in acute hospitals; impact on back-up of elderly patients. J Am Geriatrics Society 33(6):422-8 3. Shepperd S, McClaran J, Phillips CO, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras SL. Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD000313. DOI: 10.1002/14651858.CD000313.pub3 4. A Code of Practice for Integrated Discharge Planning. Health Service Executive (2008) Version 1.0. September 2008. 5. The Guideline for Nurse/Midwife Facilitated Discharge Planning. (2009) The Offices of the Nursing Services Director of the HSE; Document Reference no: Version 01. June 2009. 6. The Immediate Discharge Document. (2003) Scottish Intercollegiate Guidelines Network. No. 65. 95 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
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The Waiting list/Admission Coordina
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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
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Page 55 and 56: emedies or recreational drugs) Is t
Page 57 and 58: APPENDIX 5 - SAMPLE PRE-ADMISSION A
Page 59 and 60: Outcome: - Accepted for Day Case Ye
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
Page 67 and 68: Accommodation required for day surg
Page 69 and 70: The Clinical Director, commonly a C
Page 71 and 72: The clinical team should be develop
Page 73 and 74: which provide enhanced services/acu
Page 75 and 76: http://www.esraeurope.org/Postopera
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Page 79 and 80: APPENDIX 4 - Patient conditions uns
Page 81 and 82: APPENDIX 5 - Diabetic Day Case Pati
Page 83 and 84: Total Score @ __________ (3) Nurse
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Page 89 and 90: If patients only give a Group and H
Page 91 and 92: CHAPTER 5 Discharge Planning Introd
Page 93: The patients‟ general practitione
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
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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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