Hospital Transfer Pathway Red Bag Scheme: The National View · Hospital Transfer Pathway Red Bag...

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17 October, 2017

eahsn.org @TheEAHSN

Hospital Transfer Pathway Red Bag Scheme: The National View

Rachel Fox : Independent Care Sector Lead,

Midlands and East NHSE

17 October, 2017eahsn.org | @TheEAHSN


The journey of the Red Bag



Outcomes

• Reduced time for ambulance transfer and A&E assessment ?

• Reduced length of stay ?

• Better quality of care

• Reduced loss of personal items

• Quicker discharge

• Clearer communication re. medications

• Improved relationships


17 October, 2017

eahsn.org @TheEAHSN

Urgent and Emergency

Care

Delivery Plan

Hospital 2 Home


17 October, 2017

eahsn.org @TheEAHSN

Hospital Transfer Pathway Red Bag Scheme: Cambridge and Peterborough CCG

Ellie Addison : Lead Nurse for Care Homes ,

Cambridge and Peterborough CCG

Red Bag Scheme

• Care Homes Support Team

•Cambridgeshire & Peterborough CCG

• The Red Bag initiative has been developed by the Sutton Homes of

Careproject, part of the national Vanguard programme (an NHS England

NewCare Models programme), to improve care in residential and nursing

homes.

• The introduction of a 'red bag' Hospital Transfer Pathway has helped to

improve and speed up the transfer between hospital and care home

settings.

Academy of Fab Stuff

Metrics•Quality

•Experience

•Communication

So far, the Hospital Transfer Pathway has led to:

• improvement in communication and relationships between hospital and care homes

• fewer phone calls and follow ups made by the hospital staff to the Care Homes looking

for health information about the resident

• smoother admission and discharge processes

• better person-centred care for the residents

• future evaluation may also demonstrate a reduction in length of stay but it is too early

to confirm this.

•(NICE, May 2016)




17 October, 2017

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Hospital Transfer Pathway Red Bag Scheme: Evaluation

Barbara Hercliffe : Improvement Coach


Measurement for Improvement

“All improvement will require change, but not all change will result in improvement”

Langley et al, The Improvement Guide, 1996

• How do we know that a change is an improvement?


What are we trying to accomplish ?

The aim of the Hospital Transfer Pathway (Red Bag) is to improve the

quality of care given and patient experience by better communication

and working together across the different services.


Model for Improvement & 7 Steps to Measurement

www.ihi.org

Aims

Measures

Interventions


Step 2. Choose measures

1 Decide aim

2 Choose measures

3 Define measures

6 Review measures

5 Analyse & present

7 Repeat steps 4-6

4 Collect data


Types of Measures

Type Description Example

Outcome Impact on a patient and show the result

of improvement work

Sepsis mortality rates

Rate of MRSA

Number of falls

Survey of staff confidence using SBAR

Process How systems and processes work to

deliver the outcomes

% patients with NEWS calculated

% hand hygiene compliance

Number of training sessions delivered

Balancing Unexpected/Unintended impacts

elsewhere in the system (can be positive

or negative)

999 call outs from a residential home

Staff sickness

Staff turnover


Measures

So far, the Hospital Transfer Pathway has led to:

• improvement in communication and relationships between hospital and

care homes

• fewer phone calls and follow ups made by the hospital staff to the Care

Homes looking for health information about the resident

• smoother admission and discharge processes

• better person-centred care for the residents

• Future evaluation may also demonstrate a reduction in length of stay

but it is too early to confirm this.

• (NICE, May 2016)



Group Activity 1 (5 mins).

• Using the template

• Assign some measures across the framework

– Outcome

– Process

– Balancing


Types of Measures

Type Description Example

Outcome Impact on a patient and

show the result of

improvement work

Process How systems and

processes work to deliver

the outcomes

Balancing Unexpected/Unintended

impacts elsewhere in the

system (can be positive or

negative)


Step 3. Define measures

1 Decide aim

2 Choose measures

3 Define measures

6 Review measures

5 Analyse & present

7 Repeat steps 4-6

4 Collect data

An operational definition is a description,

in quantifiable terms, of what to measure

and the steps to follow to measure it

consistently



• Pick one measure and write an operational definition

An operational definition is a description, in quantifiable terms,

of what to measure and the steps to follow to measure it

consistently


Step 4. Collect data

• What – all people/patients, a portion or a

sample?

• Who – collects the data?

• When – is it collected real time or

retrospective?

• Where – is it collected?

• How – is it obtained computer system or

audit?

1 Decide aim

2 Choose measures

3 Define measures

6 Review measures

5 Analyse & present

7 Repeat steps 4-6

4 Collect data



• Data collection plan • What – all people/patients, a portion or a

sample?

• Who – collects the data?

• When – is it collected real time or

retrospective?

• Where – is it collected?

• How – is it obtained computer system or

audit?

17 October, 2017eahsn.org @TheEAHSN

Thank you

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