Question

When a referral to hospital must be considered, how to limit  the duration of the hospitalisation?

Problem description

Once a patient, followed by the mobile crisis team, is admitted to hospital, responsibility is taken over by the hospital unit.  Most of the time a short stay in hospital is intended, but often the result is that the persons stays longer than intended at the hospital unit

Impact - effect

Also for persons that could be very rapidly re-transferred to the mobile team, hospitalisation takes longer then intended and they risk to stay in an intra-mural pathway.  This is, by the way, often feared by the patients themselves

To do

To do: to introduce a “bed-on-demand” procedure, where responsibility stays in the hands of the mobile team.  With the intention to support the patient as soon as possible back home, by the mobile team.  Regarding these beds-on-demand, a maximum number of hours could be defined for bed use.  This will give the possibility to the crisis team to evaluate whether the patient could be followed up at home or should stay for a longer period in hospital

Theme

Acute care pathway

Topic

Coordination of an acute care pathway

Reference -  contact

Birgitte Carpentier, Nick Beyens (CKB)

Mobile team

2A

Project

GGZ De Kempen

Intership abroad - place

Aalesund

Date

May 2014