Question

How can we, as a concerned ambulatory network, improve coordination to prevent unnecessary hospital admissions?

Problem description

When a crisis occurs this can often lead to panic amongst professional workers and to a quick decision to admit the person to hospital, while this is certainly not always necessary.  Signs of the crisis are lately noticed, and once the crisis occurs there are few tools to deal with the crisis, no one knows really good what to do

Impact - effect

People are unnecessarily and too rapidly admitted to hospital

To do

To do: to invest in a shared prevention plan, with much attention paid to the communication of early signs and related interventions with the client and his complete network.  What is crisis? What means what in a crisis? What are the steps to follow in case of a crisis? 

In Birmingham they work with a shared treatment plan that is communicated across services and in which this information is already included.  It makes that a crisis becomes more predictable

Theme

Hospitalisation

Topic

decision process (leading to an admission, avoiding an admission to hospital)

Reference -  contact

Brecht Noyez, Henk Wylin

Mobile team

2a

Project

Prit

Intership abroad - place

Birmingham (CRHT Solihull)

Date

September 2014