Question

In what way can we work time-saving, in order to avoid an admission stop and a burn-out of team members?

Problem description

We are a team that provides care at home in a large region and we offer a very low-threshold service. In addition, the fact that we become known results in an increasing number of demands. Therefore we are overwhelmed at some moments and the workload increases

Impact - effect

Because we are so easily accessible, we systematically examine each demand and will organise an intake. We don’t have appointments on telephone permanency: the one who picks up the phone, will just get a increased work load. An intake is done at home, with two team members. This is time intensive, especially when there is no indication to admit the person to our service.

There's also a lot of paperwork involved. Because of the large area, we spend a lot of time in the car. Home visits are not always optimally planned in terms of driving distances

To do

Inspiration from NHN, that is interesting to reflect on:

1) Eventually a team treating all demands and putting indications.  This could allow targeted referrals, the right patient immediately at the right place

2) A secretary doing administration

3) If possible, organise consults at the office. In our region we work with local bases where we can meet people.  However, no use is made of them, so far

4) Synchronised agendas on I-phone.  Make appointments for home visits immediately

5) Telephone permanency: with rotation, keeping an eye on the agendas of team members, building in empty blocks in the agendas to deal with unexpected urgent intakes

6) One-call 'emergency' per region, rather than by service or organisation, also seems an interesting concept for the future (see the work in pairs in the Netherlands, where a psychiatrist and a psychiatric nurse are available in the region between 17 h and 8h and this for psychiatric hospitals, mobile teams, and GPs)

Theme

Starting up and further development/deployment of mobile teams

Topic

critical success factors for starting up and further development/deployment

Reference -  contact

Ellen Beets

Mobile team

2a

Project

Noolim

Intership abroad - place

Noord-Holland-Noord (IHT)

Date

September 2014