Poor planning, coordination and communication between hospital and staff and between health and social care services are inefficiencies blamed for the close to one third increase in the number of complaints investigated over the previous year.
- Patients being discharged before they are clinically ready to leave hospital
- Patients not being assessed or consulted properly before their discharge
- Relatives and carers not being told that their loved one has been discharged
- Patients being discharged with no home-care plan in place or being kept in hospital due to poor co-ordination across services
In working with healthcare professionals to understand the challenges with discharge planning and to incorporate features such as multidisciplinary assessments, personalised online alerts, and care outcome tracking features into our care-planning software; AssessPatients can an ideal support tool when planning discharges.
More specifically, the AssessPatient’s care planning software will directly address the issue of patients being discharged with no home care plan in place, while also fostering better coordination, and communication between hospital and staff and between health and social care services.
AssessPatients' software application supports an integrated discharge process for older persons, and better seamless coordination and communication across the board through with the following features:
- A detailed multidisciplinary care assessment incorporating different care needs such as frailty, falls, dementia, stroke , quality of living etc
- A current set of care outcomes including what has been achieved and what is in progress
- An ability to securely provide all of this information to the community care team
- and an ability for both the hospital and community teams to share and plan specific discharges.
Also of note is the alerts feature in the AssessPatients mobile application which allows health care professionals to track any event which may happen to an older person and who in the care team is to be alerted. Through this feature online and email updates are immediately sent to the designated care team member if a particular event occurs.
The BBC Online News Report included a concern from the Charity Independent Age that the cases highlighted in the Ombudsman report signaled a health service under strain. Additionally the Royal College of Nursing offered that it was hard for staff to consistently provide high quality, safe patient care without the right resources. We are strongly of the view that technological advances such as AssessPatients care planning application is the key to improving the existing care system and building better integrated care models with seamless communication across care providers and health care professionals.
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Roberts, M. (2016). Ombudsman: Patients Sent Home Afraid and With Little Support. BBC News online. Retrieve from http://www.bbc.com/news/health-36250079