TY - JOUR
T1 - A new tool to measure acuity in the community: a case study
AU - Baker, Edward
AU - Loreto Facultad, Jose
AU - Slade, Harriet
AU - Lee, Gerry
PY - 2021/10
Y1 - 2021/10
N2 - The provision of acute healthcare within patients own home (i.e. hospital in the home) is an important method of providing individualised patient-centred care that reduces the need for acute hospital admissions and enables early hospital discharge for appropriate patient groups. The Hospital in the Home (HitH) model of care ensures that this approach maximises patient safety and limits potential risk for patients. As HitH services have seen record numbers of patient referrals in the past 2 years, there is now a greater need to measure and understand the acuity and dependency levels of the caseload. Through an expert clinician development process at one NHS trust, aspects of procedural complexity, interdisciplinary working, risk stratification and comorbidities were used to quantify acuity and dependency. This paper uses a case study approach to present a new method of measuring this important concept.
AB - The provision of acute healthcare within patients own home (i.e. hospital in the home) is an important method of providing individualised patient-centred care that reduces the need for acute hospital admissions and enables early hospital discharge for appropriate patient groups. The Hospital in the Home (HitH) model of care ensures that this approach maximises patient safety and limits potential risk for patients. As HitH services have seen record numbers of patient referrals in the past 2 years, there is now a greater need to measure and understand the acuity and dependency levels of the caseload. Through an expert clinician development process at one NHS trust, aspects of procedural complexity, interdisciplinary working, risk stratification and comorbidities were used to quantify acuity and dependency. This paper uses a case study approach to present a new method of measuring this important concept.
UR - http://www.scopus.com/inward/record.url?scp=85117073895&partnerID=8YFLogxK
U2 - 10.12968/bjcn.2021.26.10.482
DO - 10.12968/bjcn.2021.26.10.482
M3 - Article
SN - 1462-4753
VL - 26
SP - 482
EP - 492
JO - British Journal of Community Nursing
JF - British Journal of Community Nursing
IS - 10
ER -