Recent HITTHigh Impact Intervention Team ObservationsFindings Themes and

Recent HITT(High Impact Intervention Team) Observations/Findings /Themes and Discharge Planning & 80 % Simple Discharges September 2019

Wards Visited COE/Medical/Dementia Emerald Vallance Jowers Bristol Chichester Specialist Surgical L 9 A L 8 AE AAU Trafford L 10

Encouraging findings – The Good Stuffs ! Findings from Wards 80 100 Engagement 80 % Appetite for learning 80 Keen to receive guidance 80 80 80 Ward Training 100

Analysis - Themes across wards Alignment – input & output (Discharges) – impact on quality & safety (governance) Outlining roles and responsibilities Resources distribution & delivery – DISCO/Therapists Admission initial assessment – social aspects Over – assessment Ward Training – discharge planning Respecting professionals input MDT-Board Rounds -Ward rounds- process to discharges Culture Simple & complex discharges (20 %) – distinguish Silos working Discharge facilitator on some wards – various model – Proficient? MDT – Boardrounds – Ward rounds – efficacy & productivity of process? DISCO role on wards – input in d/c planning? Documentation Duplication AAU – current model & efficacy

Discharge planning=Simple Discharges 80 % (who are they? ) Initial admission assessment Risk assessment (Therapy) & over ax – D 2 A Ward nurses & HCA input re, discharge planning – D 2 A principle via HF Involving & Setting clear expectations – family/carer Re-start of POC and keeping communication live with care agencies – at least 24 hours notice (Beware of Fridays !!) Keeping NH & RH up to date re, their residents and problem solving approach with change of needs mainly RH ones ( Physio/OT/Equipment input) Referrals completion such as HF/NORA/NOD PJ Paralysis – patient in bed ! MDT – clear structure – actions & by whom – roles & responsibilities Think HF for B & H !