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Getting organised - thinking ahead
We all know that many patients need time to organise support for when they get home, and that staff need time to plan and implement some of the very practical steps (transport, meds, domicilary care). So, key to achieving home by noon, is to make sure that we plan from noon the day before. This is a self supporting idea - the more patients that we get home by noon one day, the more we (and patients) will have time in the afternoon to plan for the following mornings discharges and so on. Its really important to remeber that the 'home by noon' initiative is there to bring forward the days discharges, not push them back to the following morning
Thank you for sharing your thoughts Nigel. I think this is really important if we are to ensure people are safely discharged in a timely manager to be home for noon.
I have tagged others here too who will be interested and want to add their thoughts
Users tagged:
Really focusing on this to enable earlier flow at my site.
Already I have been given access to having the late matron dedicated to ensuring golden identified have TTAs and transport ready for discharge lounge/flagged by first AM bed meeting if not DCL suitable. This is a huge step for changing mindset and culture to enable #HomeForNoon
Next steps are an intensive, floor by floor, ward by ward, gold standard to board rounds, EPR workflows and allocated roles post board round training (SHOP)
SOP for DCL being rewritten to have an opt out not opt in to DCL. Strengthening DCL provisions with roles, responsibilities to allow acute inpatient wards to admit earlier to start plans and discharge planning by the PM board round and not have a wasted day of value if admitted later with no senior review.
Will be a long programme but really excited to see what we can achieve for our patients, the community that we are serving and helping external stakeholders to achieve their KPIs (999 mainly for now)
Really focusing on this to enable earlier flow at my site.
Already I have been given access to having the late matron dedicated to ensuring golden identified have TTAs and transport ready for discharge lounge/flagged by first AM bed meeting if not DCL suitable. This is a huge step for changing mindset and culture to enable #HomeForNoon
Next steps are an intensive, floor by floor, ward by ward, gold standard to board rounds, EPR workflows and allocated roles post board round training (SHOP)
SOP for DCL being rewritten to have an opt out not opt in to DCL. Strengthening DCL provisions with roles, responsibilities to allow acute inpatient wards to admit earlier to start plans and discharge planning by the PM board round and not have a wasted day of value if admitted later with no senior review.
Will be a long programme but really excited to see what we can achieve for our patients, the community that we are serving and helping external stakeholders to achieve their KPIs (999 mainly for now)
Really focusing on this to enable earlier flow at my site.
Already I have been given access to having the late matron dedicated to ensuring golden identified have TTAs and transport ready for discharge lounge/flagged by first AM bed meeting if not DCL suitable. This is a huge step for changing mindset and culture to enable #HomeForNoon
Next steps are an intensive, floor by floor, ward by ward, gold standard to board rounds, EPR workflows and allocated roles post board round training (SHOP)
SOP for DCL being rewritten to have an opt out not opt in to DCL. Strengthening DCL provisions with roles, responsibilities to allow acute inpatient wards to admit earlier to start plans and discharge planning by the PM board round and not have a wasted day of value if admitted later with no senior review.
Will be a long programme but really excited to see what we can achieve for our patients, the community that we are serving and helping external stakeholders to achieve their KPIs (999 mainly for now)
Really focusing on this to enable earlier flow at my site.
Already I have been given access to having the late matron dedicated to ensuring golden identified have TTAs and transport ready for discharge lounge/flagged by first AM bed meeting if not DCL suitable. This is a huge step for changing mindset and culture to enable #HomeForNoon
Next steps are an intensive, floor by floor, ward by ward, gold standard to board rounds, EPR workflows and allocated roles post board round training (SHOP)
SOP for DCL being rewritten to have an opt out not opt in to DCL. Strengthening DCL provisions with roles, responsibilities to allow acute inpatient wards to admit earlier to start plans and discharge planning by the PM board round and not have a wasted day of value if admitted later with no senior review.
Will be a long programme but really excited to see what we can achieve for our patients, the community that we are serving and helping external stakeholders to achieve their KPIs (999 mainly for now)
I found by process mapping with all parties including 3rd sector we needed to start planning at least 5 days before.
A great idea and aligns with a lot of the work we've done over the last 7 years.