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VIRTUAL WARD INTERMEDIATE CARE
HUB
Leading the way in cross boundary
working
Andrea Allanach
Lead Advanced Nurse [email protected]
This is us!
Home First • Discharge to assess-MDT supported early discharge (D2A)
• Step up-GPs/ AED-admission avoidance
What's done differently?
One stop assessment, diagnostics and enablement
• Daily ward round MDT- consultant led
• Twice daily board rounds
Blurred Boundary Working
CGA• CGA- NNT =13.16
Comparison
• Aspirin post MI- NNT= 42
• Aspirin in stroke prevention = 120
CGA cheap and causes no harm-only
benefit
Patient outcomes
What do our patients say?
“you denied me a hospital bed-
it’s my right”
Case example 1
Referral from AED to IC Hub 09.10Clinical discussion with IC Hub clinical
coordinator- agreement best place home with wrap around service
92 yes old female. Muddled chest infection known dementia, agitated
MDT Input
Next morning up and washed by 8am sorting breakfast- even had lippy on!
Case example 2
Referral from GP into IC Hub 13.50IC Hub triage clinical decision (MDT) 14.24
80 year old femaleFall # humerus POP
Lives alone, struggling to wash and dress for past 2 daysNot E+D
Adamant “going nowhere”
MDT VW• On discharge only required enablement call x1 day
Patient outcomes
Length of Stay before & after Virtual Ward
Virtual Ward
What do our patients tell us?
I have no complaints about the treatment I
received from the nurses or staff. Just a big thank you to you
all.
There is nothing to suggest.
The team were wonderful, I was
very happy with my treatment.
Thank you
This was a new system to me. I am very impressed
the contrast between hospital care being “home
alone” was eased considerably, anxiety and stress much relieved. 10
out of 10Thank you
At age 85 this is the first time I have ever needed help for myself and the care of the Virtual Ward team has been greatly appreciated.
Top line achievements
• Improved patient outcomes- PREM, EQ5D
• Achieved cross organisational boundary working
• Joint health and social IT systems
• Flexible / blurred boundary working practices
• Economy improvement- LOS, bed days
