scholarly journals 266 Patient and Carers Experience of an Acute Care at Home Team: A Service Evaluation

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Deborah Toal ◽  
DrPatricia McCaffrey

Abstract Background The Aim of the Acute Care at Home Team is to provide acute care to over 65's in the patient's own home, providing assessment and treatment of acute conditions such as pneumonia, urinary sepsis and heart failure. It is a multidisciplinary team that works together to streamline services to enable a patient to stay safely in their own home. A full comprehensive geriatric assessment is carried out in all patients to help improve patient outcomes. The patients have full access to in patient services such as scans, and x-rays. All blood tests are treated as urgent to ensure the patient is in no way disadvantaged by being treated by acute care at home compared with hospital care. The aims and objectives are to explore patient and family experiences and identify any areas for improvement. Methods A service users and carers experience Questionnaire (N=31) was used to gain insight into how satisfied the patient or family were with the service and what the experience was like having the team come into their home. Results Patient satisfaction with this Acute Care at Home Team was reported at 100%. Patients were happy with the care they received, 100% of patients were happy with staff's knowledge of their condition and treatment plan. All of the respondents stated they would both recommend the service and use it again. The qualitative responses were in keeping with 100% satisfaction in that they were positive in nature. Conclusion This service evaluation has shown that patient and carer experience of this Acute Care at Home Team is a positive one, with 100% satisfaction levels. There are some small areas to be improved upon, however the results show this service is providing the over 65 population with a good experience of being treated at home as an alternative to hospital care when acutely unwell.

2018 ◽  
pp. 79-98
Author(s):  
Liz Haggard ◽  
Egbert Bosma
Keyword(s):  

2019 ◽  
Vol 172 (2) ◽  
pp. 145 ◽  
Author(s):  
John B. Wong ◽  
Joshua T. Cohen
Keyword(s):  

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii1-iii12
Author(s):  
Ann McCann ◽  
Patricia McCaffrey ◽  
Gail Nicholson ◽  
Eamon Farrell

2001 ◽  
Vol 49 (8) ◽  
pp. 1123-1125 ◽  
Author(s):  
Bruce Leff
Keyword(s):  

2021 ◽  
Vol 35 (6) ◽  
pp. 281-283
Author(s):  
Kevin Worth ◽  
Laure Lisk ◽  
Elizabeth Ann Scruth
Keyword(s):  

2021 ◽  
pp. bmjinnov-2020-000592
Author(s):  
David M Levine ◽  
Meghna P Desai ◽  
Joseph B Ross ◽  
Natalie Como ◽  
Steve Holley

PurposeHospital-level care provided at home improves patient outcomes, yet nearly all programmes function in urban environments. It remains unknown whether rural home hospital care can be feasibly delivered.MethodsBased on prior stakeholder learning and detailed landscape analyses of various rural areas across the country, we re-engineered the workflows, personnel and technology needed to respond to many of the challenges of delivering acute care in rural homes. We performed a preliminary ‘mock admission’ in a simulation laboratory with actor feedback, followed by mock admissions in rural homes in Utah of chronically ill patients who feigned acute illness. We employed rapid cycle feedback from clinicians, patients and their caregivers and qualitative analysis of participant feedback.FindingsFollowing rapid cycle feedback in the simulation laboratory and rural homes, mock admission, daily rounds and discharge were successfully conducted. Technology performed to laboratory-determined specifications but presented challenges. Patients noted significant comfort with and preference for rural home hospital care, while clinicians also preferred the model with the caveat that proper patient selection was paramount. Patients and clinicians perceived rural home hospital as safe. Clinicians noted rural home hospital workflows were feasible after streamlining remote and in-home roles.ConclusionsRural home hospital care is technically feasible, well-received and desired. It requires testing with acutely ill adults in rural settings.


2016 ◽  
Vol 64 (12) ◽  
pp. 2572-2576 ◽  
Author(s):  
Karen A. Abrashkin ◽  
Jonathan Washko ◽  
Jenny Zhang ◽  
Asantewaa Poku ◽  
Hyun Kim ◽  
...  

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