Cargando…

Home at last

INTRODUCTION: Our practice-oriented question was ‘how can the community sector work with their local hospitals to smooth the patient's transition home from hospital’. Our answer was Home At Last, an innovative hospital-community collaboration in the Greater Toronto, Ontario, Canada. OBJECTIVE:...

Descripción completa

Detalles Bibliográficos
Autores principales: Gordon, Linda, MacDonald, Veronica
Formato: Texto
Lenguaje:English
Publicado: Igitur, Utrecht Publishing & Archiving 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2430280/
_version_ 1782156387063693312
author Gordon, Linda
MacDonald, Veronica
author_facet Gordon, Linda
MacDonald, Veronica
author_sort Gordon, Linda
collection PubMed
description INTRODUCTION: Our practice-oriented question was ‘how can the community sector work with their local hospitals to smooth the patient's transition home from hospital’. Our answer was Home At Last, an innovative hospital-community collaboration in the Greater Toronto, Ontario, Canada. OBJECTIVE: To ensure that when seniors have had a hospital stay or emergency department visit, they are discharged in a timely manner and transitioned back to the community quickly with the right supports. THE PROGRAM: The hospital changes its discharge processes to achieve a pre-determined discharge time, usually 11:00 am, at which time transportation arrives along with a community worker who rides home with the patient and then stays to get them settled until a family member arrives home or 9:00 pm at the latest. The worker can pick up groceries and prescriptions if necessary, prepare small meals, perform light housekeeping, do laundry, and provide toileting assistance. The Home At Last Care Coordinator follows-up with the patient the next day, and designs and arranges a package of community services and follow-up visits. RESULTS: The program has enabled participating hospitals to achieve expected discharge time for patients; increase patient satisfaction with the discharge process and greater compliance with discharge plan orders. In addition, patient throughput has been improved by at least 6 hours and social readmissions have decreased.
format Text
id pubmed-2430280
institution National Center for Biotechnology Information
language English
publishDate 2008
publisher Igitur, Utrecht Publishing & Archiving
record_format MEDLINE/PubMed
spelling pubmed-24302802008-06-18 Home at last Gordon, Linda MacDonald, Veronica Int J Integr Care Conference Abstract INTRODUCTION: Our practice-oriented question was ‘how can the community sector work with their local hospitals to smooth the patient's transition home from hospital’. Our answer was Home At Last, an innovative hospital-community collaboration in the Greater Toronto, Ontario, Canada. OBJECTIVE: To ensure that when seniors have had a hospital stay or emergency department visit, they are discharged in a timely manner and transitioned back to the community quickly with the right supports. THE PROGRAM: The hospital changes its discharge processes to achieve a pre-determined discharge time, usually 11:00 am, at which time transportation arrives along with a community worker who rides home with the patient and then stays to get them settled until a family member arrives home or 9:00 pm at the latest. The worker can pick up groceries and prescriptions if necessary, prepare small meals, perform light housekeeping, do laundry, and provide toileting assistance. The Home At Last Care Coordinator follows-up with the patient the next day, and designs and arranges a package of community services and follow-up visits. RESULTS: The program has enabled participating hospitals to achieve expected discharge time for patients; increase patient satisfaction with the discharge process and greater compliance with discharge plan orders. In addition, patient throughput has been improved by at least 6 hours and social readmissions have decreased. Igitur, Utrecht Publishing & Archiving 2008-06-04 /pmc/articles/PMC2430280/ Text en Copyright 2008, International Journal of Integrated Care (IJIC)
spellingShingle Conference Abstract
Gordon, Linda
MacDonald, Veronica
Home at last
title Home at last
title_full Home at last
title_fullStr Home at last
title_full_unstemmed Home at last
title_short Home at last
title_sort home at last
topic Conference Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2430280/
work_keys_str_mv AT gordonlinda homeatlast
AT macdonaldveronica homeatlast