GP OOH Project with SouthDoc poster
1
Authors: Annette Heffernan (SouthDoc), Dr Terence Adendorff (SouthDoc), Dr Eamonn Shanahan (GP, SouthDoc region), Dr Fiona Kiely, Dr Paul Gregan (GP and Pall Care Consultant), Marie Lynch (IHF), Tony Duffy (IHF), Deirdre Shanagher (IHF) 96% of Irish GPs stated that they would value a standardised means of palliative care information transfer to the Out Of Hours (OOH) team (Kiely, 2013). This was also identified as a key priority in the 2011 Irish Hospice Foundation (IHF), Irish College of General Practitioners (ICGP) and the Health Service Executive (HSE) report, Primary Palliative Care in Ireland . • In 2012, the Primary Palliative Care Programme commenced a project with SOUTHDOC OOH service to develop such an information transfer process. A GP OOH Palliative Care handover form was developed and pre-piloted by SouthDoc in 2013. This poster will outline the results of the pre-pilot addressing form usage; process mapping and views of stakeholders Refining the GP Out-of-Hours Palliative Care Handover Form Introduction Next Steps 1. A full pilot project is planned in SouthDdoc (April – Sept 2014). 2. A guidance document & leaflet will be developed to support implementation • The handover form has been redesigned. Version 2 has been condensed from three pages to one. • The number of data items to complete has been reduced from 59 to 34. (Data may still be completed on the form in the ‘additional information’ section • The overall operating process has been streamlined. Outcomes Pre Pilot Results Pre Pilot Methods 1.To undertake a process mapping exercise to ensure quality & safety & outline the steps of the process. 2. Analysis of data field completion 3. Qualitative feedback from stakeholders. Quantitative Results • 17 forms were received by SouthDoc • 12 forms were activated (ie patient contact with SouthDoc) • Field completion rate varied. Diagnosis completed 88% of time & CPR status 88% of time. • Information on forms: For further details contact [email protected]; [email protected] or www.hospicefoundation.ie May 2014 3. A full evaluation of the work will be designed for pilot 4. An awareness campaign will be undertaken to encourage national roll out. Qualitative Results • GPs in the pre pilot expressed the need for a user friendly form that could be sent via fax. • GPs requested a shorter form be developed. • SouthDoc requested that a mechanism be introduced to minimise transciber error that would support efficiency also. Place of Death 6 RIP @Home 1 RIP in nursing home 10 Death not indicated Intervention 8 Medication management 5 No intervention 4 symptom management
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The adaptation of a GP Out of Hours Palliative Care handover form
Transcript of GP OOH Project with SouthDoc poster
Authors: Annette Heffernan (SouthDoc), Dr Terence Adendorff (SouthDoc), Dr Eamonn Shanahan (GP, SouthDoc region), Dr Fiona Kiely, Dr Paul Gregan (GP and Pall Care Consultant), Marie Lynch (IHF), Tony Duffy (IHF), Deirdre Shanagher (IHF)
96% of Irish GPs stated that they would value a standardised means of palliative care information
transfer to the Out Of Hours (OOH) team (Kiely, 2013). This was also identified as a key priority in the 2011
Irish Hospice Foundation (IHF), Irish College of General Practitioners (ICGP) and the Health Service
Executive (HSE) report, Primary Palliative Care in Ireland .
• In 2012, the Primary Palliative Care Programme commenced a project with SOUTHDOC OOH
service to develop such an information transfer process. A GP OOH Palliative Care handover form
was developed and pre-piloted by SouthDoc in 2013.
This poster will outline the results of the pre-pilot addressing form usage; process mapping and
views of stakeholders
Refining the GP Out-of-Hours
Palliative Care Handover Form
Introduction
Next Steps
1. A full pilot project is planned in SouthDdoc (April – Sept 2014).
2. A guidance document & leaflet will be developed to
support implementation
• The handover form has been redesigned. Version 2 has
been condensed from three pages to one.
• The number of data items to complete has been reduced
from 59 to 34. (Data may still be completed on the form in the ‘additional
information’ section
• The overall operating process has been streamlined.
Outcomes
Pre Pilot Results Pre Pilot Methods
1.To undertake a process mapping
exercise to ensure quality & safety &
outline the steps of the process.
2. Analysis of data field completion
3. Qualitative feedback from
stakeholders.
Quantitative Results
• 17 forms were received by SouthDoc
• 12 forms were activated (ie patient contact with SouthDoc)
• Field completion rate varied. Diagnosis completed 88% of
time & CPR status 88% of time.
• Information on forms:
For further details contact [email protected]; [email protected] or www.hospicefoundation.ie
May 2014
3. A full evaluation of the work will be designed for pilot
4. An awareness campaign will be undertaken to
encourage national roll out.
Qualitative Results
• GPs in the pre pilot expressed the need for a
user friendly form that could be sent via fax.
• GPs requested a shorter form be developed.
• SouthDoc requested that a mechanism be introduced to
minimise transciber error that would support efficiency
also.
Place of Death 6 RIP @Home 1 RIP in
nursing home
10 Death not
indicated
Intervention 8 Medication
management
5 No
intervention
4 symptom
management
