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| '''Please do not discuss this project
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| with other staff except collectors
| | |ProjectActive=legacy |
| at your sites. '''
| | |ProjectProgram=Med |
| This project will observe staff
| | |ProjectRequestor=Linda Hathout |
| behaviour and we are concerned about a
| | |ProjectCollectionStartDate=2012-11-05 |
| [https://secure.wikimedia.org/wikipedia/en/wiki/Hawthorne_effect Hawthorne effect].
| | |ProjectCollectionStopDate=2013-09-30 |
| | |Project={{PAGENAME}} |
| | }} |
| | Legacy only, see history for details |
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| ==Purpose==
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| To determine how many allied health consults patients are getting, in part to determine the effect of the [[Overstay Predictor Project]] on this variable.
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| We want to collect ''whether a consult was requested'', not what sort of delays happen. That is something we know we need to consider, but it is not part of this temporary collection. We assume that most patients get allied health consults but we need numbers to back up the assumption.
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| ==Audit Dates==
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| * all medicine''' sites
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| * Starting: 2012-11-05
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| * Ending: 3 - 4 weeks after start date
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| == Collection Instructions ==
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| Generate a tmp entry for the '''first''' relevant allied health discipline if they had a consult
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| :: - while admitted to your ward (ie after admission, before discharge)
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| :: - in the ER immediately prior to admission to your ward
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| * Project:AlliedHC
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| * Item (as appropriate):
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| ** Home Care
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| ** Physio
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| ** OT
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| ** Social work
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| * '''''no other fields need to be filled''''', i.e. no times etc.
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| == Data use and analysis ==
| | [[Category: L_TmpV2 Data]] |
| The data will be analyzed as part of the Overstay project. Tina is involved with that and can provide it directly.
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| ===Collector observations and comments that might help interpretation of this data===
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| '' I will treat these as comments only, unless you put a <nowiki>{{discussion}}</nowiki> tag and a question I could address. ''
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| At the Vic, non-teaching medicine spends much of its time on discharge planning. PT and OT are often consulted in emerg and patients are usually assessed in emerg. If a patient does not pass the function assessment, the patient will be admitted to a ward. The patients here are sometimes admitted for failure to cope in the community. They are followed up on the ward usually the next day or when the patient's medical condition improves enough for the patient to participate. I notice that a patient may be medically stable but not able to perform ADL (activities of daily living)due to deconditioning. Discharge will be delayed till the patient has plateaued or gained a prior level of ADL functioning. This is the first significant delay in patient discharge that I see and holds up discharge planning for weeks. It can take weeks or more for the patient to regain strength. PT and OT work together and will consult each other on the patient's progress. Once PT feels that the patient is mobilizing well, OT will complete their assessment and determine the type of supported needed in the home if home is the goal. Home Care (HC) becomes involved once the patient has plateaued and makes the needed arrangements. The home care process seems fast and efficient in my opinion; usually a matter of 2-3 days approx. this is of course when the patient is returning to a prior living arrangement. When a patient fails to meet the criteria to return home or needs supportive housing a second delay begins. Paneling is the third time consuming process and waiting for placement seems to take months. These are the three main delays I see here at the Vic on my non-teaching units. What do others see happening? [[User:Jkublick|Jkublick]] Nov 1, 2012.
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| * Decided to include consults in ER immediately prior to ward admission. Ttenbergen 15:59, 2012 November 1 (EDT)
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| ** I agree with Judy. Just to let you know consults to physio and or occupational health can be filled out by a nurse /doctor /or allied health care service. Many patients who come to our wards are already recieving homecare which is cancelled and then has to be reviewed again to see if they require more treatments /adls at home. Do you want 1st timer to homecare services ? I have found out some services (Home care) are being delayed because information is not being relayed to them ie from ER They are not faxing the information to Home care and they are unaware that the pt needs follow up on the ward, until someone asks them what is happening? This just happened last week The pt wasnt seen for 7 days.
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| ***Why would you not want the time/day of the consults, we are looking for the consult anyway, would you not want to know how long pt had been in prior to consult--[[User:PStein|PStein]] 09:32, 2012 November 5 (EST)
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| [[Category: Special_Short_Term_Projects]] | |
| [[Category: All Projects]]
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| ****I agree with all comments made. Maybe we could capture if consults were made in ER or on Ward.--[[User:FLindell|FLindell]] 09:44, 2012 November 5 (EST)--[[User:FLindell|FLindell]] 09:44, 2012 November 5 (EST)
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