Review of acute hospital services in the Mid - Health Service Executive

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The ‘assumptions’ for pre-hospital services are that: Review of acute hospital services in HSE Mid-West An action plan for acute and community services • The PCCC service has been resourced, developed, and working to recognised international best practice standards for the management of the anticipated demand, both during working hours and out-of-hours, for admissions avoidance and earlier supported discharge for adults and children; • The ambulance service has fully developed its mobile emergency response capabilities, by developing and strategically deploying its Advanced Paramedic (AP) workforce and optimising the air ambulance service across the region; • There is an Advanced Nurse Practitioner (ANP) and Clinical Nurse Specialist (CNS) workforce in place, leading the delivery of the network of Urgent Care Centres, integrated with local APs and duty GP teams and the single regional A&E service; and • There is effective partnership working across all elements of the pre-hospital and hospital systems. Precondition 3: The infrastructure for acute care must be in place The future clinical model of acute care is designed around a robust infrastructure, as illustrated in Figure 3 below, with four key enablers for the provision of an assured quality of care: • Clinical networks, led by formal clinical teams and teamworking, responsible for managing and coordinating care for that specialty or category of care across the region, including emergency care, planned care, cancer, critical care, obstetrics, paediatrics, radiology, pathology, etc; • Assured quality, through systematic clinical governance and peer review, supported by dedicated, ‘state of the art’, undergraduate and post-graduate teaching and research facilities for all specialties; • Clinically relevant information technology and communications (unique patient identification, electronic records, access to diagnostic test results, real time/store and forward transfer of clinical images, teleconsultation, etc); and • Telemedicine and associated technologies. 19
Review of acute hospital services in HSE Mid-West An action plan for acute and community services Figure 3: The infrastructure: clinical networks, assured quality, information technology and telemedicine CLINICAL CLINICAL NETWORKS NETWORKS TELEMEDICINE TELEMEDICINE Regional ‘centre of excellence’ Local ’centre of excellence’ Primary / Community Home Patient In the next section, we use the emerging clinical model of care to determine the ‘gap’ between today’s acute hospital services in the Mid-West and the future services needed to deliver according to international quality standards. 20 INFORMATION INFORMATION TECHNOLOGY TECHNOLOGY ASSURED ASSURED QUALITY QUALITY
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Developing the implementation plan
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Within three years Review of acute
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Appendix 3 - Documents provided Rev
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Current service delivery Regional s
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Consultant Medical Workforce Review
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Future clinical model of care Revie
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The patient at the local ‘centre
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Centralising specialist acute servi
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Specialty British Columbia 100 New
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Table 43: A comparison of specialis
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Critical care network Review of acu
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Tele-medicine Review of acute hospi
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• Picture archiving and communica
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Review of acute hospital services in the Mid - Health Service Executive

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