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QI 1195 Improving Flow of Care Needs Through Urgent Community Response (UCR)
Abstract
Aim: Improve patient flow from UCR Care into Adult Social Care (ASC) and staff to generate referrals to ASC within 3 to 5 days of assessment by October 2023.
UCR (Urgent Community Response) is a dedicated crisis response team of Advanced Clinical Practitioners, Nurses, Therapists, Advanced Practitioners, Health Care Assistants and Admin who work with patients to prevent unnecessary admission to hospital by providing a rapid intervention delivered within two hours.
The team wanted to use QI tools to improve their service. They wanted to meet their target of 3-5 days for referral to adult social care and they wanted to reduce over-prescription of care. Average length of stay at the start of the project was 6 weeks+; the team aimed to reduce this to 7 days.
Tools Used:
PDSA Cycles - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf;
Driver Diagram - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-driver-diagrams.pdf;
SPC Charts - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-statistical-process-control.pdf;
Process Mapping - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-conventional-process-mapping.pdf;
Mapping the Last 10 Patients - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-mapping-the-last-10-patients.pdf.
Project Impact:
• Average LOS for UCR Care reduced from 6 weeks in July 2022 to 2 weeks in October 2023.
• The average time taken to refer to ASC was within the 3-5 day target by June 2023.
Citations
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Date
2024
Type
Internal Poster
Subject
Health services. Management
Citation
Sekher, Saju; Fisher, Ellen. QI 1195 Improving Flow of Care Needs Through Urgent Community Response (UCR). Coventry and Warwickshire Partnership NHS Trust, 2024.
Journal / Source Title
DOI
PMID
Publisher
Coventry and Warwickshire Partnership NHS Trust