B1 Venie Dettmers - Integrated Care for High Users of the Emergency Department
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Transcript of B1 Venie Dettmers - Integrated Care for High Users of the Emergency Department
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Integrated Care for High Users of the Emergency Department
Venie Dettmers and Misty BathQuality Forum 2013February 28, 2013
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Presentation Overview
• Provincial and VCH Context
• Target Population
• Aim and Measures
• Integrated Care Process
• Successes, Challenges and Emerging Themes
• Next steps
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All health authorities in BChave committed to a common goal
“British Columbians have the majority of their health needs met by high-quality community-based health care and support services.”
…to be achieved through the creation of an integrated system of primary care and community care services.
Development of Integrated Primary and Community Care (IPCC) system in all of VCH communities by 2015
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Enhance Integration/ Care Coordination Across the Continuum of Care
VCH True North Goals and Integration Strategy
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Target Population
General Population:• High incidence of poverty & homelessness• Open air drug trade• Higher morbidity• Higher use of services
IPCC Target Population:• High ED Users - People who visit St. Paul’s Hospital ED 10+ during the year & known to VCH GP or NP
Downtown Eastside
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What we are trying to accomplish – integrate/connect/coordinate
services
Downtown Community Health Centre
St. Paul’s Hospital Emergency Department
Strathcona Mental Health
Team
Primary Outreach Services
Vancouver Native Health Clinic
PenderCommunity Health Centre
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How do we know that change is an improvement
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July2012
July2013
What We Are Testing - Integrated Care Process
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Registry Summary/Tracking Tool – Integrated Care for High ED Use Clients (DTES IPCC)Last Updated: Jan. 31, 2013
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# of
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Number of ED Visits at SPH by DTES Core Residents Known to VCH GP/NP (Active Clients n=59)FY 2012/13 FY 2011/12 FY 2011/12 Average FY 2012/13 Average
Period 1 2 3 4 5 6 7 8 9 10 11 12 13 TotalFY 2011/12 73 86 76 92 101 93 91 84 126 99 74 58 68 1121FY 2012/13 51 87 71 55 68 63 87 73 33 57 645
July Dec
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Num
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Number of SPH ED Admissions by DTES Core Residents Known to VCH GP/NP (n=59)
FY 2012/13 P1-P10 FY 2011/12 FY 2012 Average FY 2012/13 P1-P10 Average
July Dec
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What’s Working/Success
• Multi-level engagement of stakeholders – Steering Committee , Working Group and Site Team Leads
• Buy-in from Directors and Managers
• Clear vision of integrated care
• Development of supporting clinical tools: registry, care plan template, case conferencing guidelines
• Integrated care process start-up and regular updates of registry
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Challenges and Mitigating Strategies
Challenges Mitigating Strategies
Competing priorities e.g. accreditation
•Timeline adjusted
Some clients hard to find •Primary Outreach Services made available to help
Slow implementation/Resources needed
•Funding provided for additional RN•Fine-tuning of approach •Ongoing messaging and attention from senior leadership team
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Emerging Themes
• Emergence of specific population cohorts with un-met needs
- Clients with excessive alcohol misuse
- Clients attending ED for socialization
- Clients with complex & unstable MH issues
- Clients with combination Addiction/Trauma/Axis II histories
- Aboriginal clients with addictions/trauma
• Lack of clarity i.e. program services, roles and time spent engaging high needs clients
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Next Steps
• Provide team education to dispel cross programs myths and misconceptions i.e. scope, roles etc.
• Examine how project work can transition to everyday clinical work = developing sustainability
• Continue to examine and explore solutions to system wide issues arising from this project work:
- Need for after hours community based service?
- Developing out-patient infusion clinics for soft skin infections?
- Liaising with existing community based outreach resources for wrap around support for complex clients?
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Thank YouYour Questions?