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Engaging Medical and Rehabilitation Support for TWGHs Wong Cho Tong Enhanced Home & Community Care Services : the KWH Experience Dr. Lorna Ng, SMO, Dept.

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Presentation on theme: "Engaging Medical and Rehabilitation Support for TWGHs Wong Cho Tong Enhanced Home & Community Care Services : the KWH Experience Dr. Lorna Ng, SMO, Dept."— Presentation transcript:

1 Engaging Medical and Rehabilitation Support for TWGHs Wong Cho Tong Enhanced Home & Community Care Services : the KWH Experience Dr. Lorna Ng, SMO, Dept of Family Medicine, KWH Dr. M.H.Chan, COS, Department of Medicine & Geriatrics, KWH Ms. Mariana Wong, Superintendent, TWGHs Wong Cho Tong Social Service Building Mr. Eva Liu, Executive Manager, Dept of Allied Health & Community Support, KWH Mr. Lawrence Fung, Department Manager (Physiotherapy), KWH Ms. Florence Lee, Department Manager (Medical Social Service), KWH

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8 Any Best Practice and Service Model?

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15 No. of clients seen = 120 Sex : Female = 83 Male = 37 Mean Age = 81 Demographics Results: FM Clinic - EHCCS (Oct 05 to Jul 06)

16 Clinic Statistics Results: FM Clinic - EHCCS (Oct 05 to Jul 06) Total no. of sessions52 No. of clinic visits per patient< 3 visit = 86 3 visit = 32 Total no. of patient consultations252

17 Clinic Statistics Results: FM Clinic - EHCCS (Oct 05 to Jul 06) Referral to other clinical specialties9 Referral to Allied Health Services4

18 Clinic Statistics Results: FM Clinic - EHCCS (Oct 05 to Jul 06) Investigations done65

19 Health Status Results: FM Clinic - EHCCS (Oct 05 to Jul 06) Top chronic diseases presenting at clinic visit : CVA73Musculoskel etal disease 32 HT70Dementia31 IHD47Depression21 DM32COAD15 Total no. of active clinical problems543 Average no. of active problems per patient4.6

20 Physical Status Results: FM Clinic - EHCCS (Oct 05 to Jul 06) No. of clients dependent in functional mobility65 No. of clients totally dependent in ADL9 No. of clients totally dependent in IADL28

21 Hospital Admission Results: FM Clinic - EHCCS (Oct 05 to Jul 06) Baseline Period (Oct 04 – Sep 05) Intervention Period (Oct 05 – Jul 06) No. of pat with hosp adm147 No. of hosp adm episode2812 Prevalence rate of hosp adm11.6%5.8%

22 Results: FM Clinic - EHCCS (Oct 05 to Jul 06)

23 Performance Indicator 1 : Fall-related Injuries

24 Results: FM Clinic - EHCCS (Oct 05 to Jul 06)

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26 Reasons Led to Unplanned Hospital Admission

27 Prevent Unplanned Hospital Admission / Prevent Hospital Admission (Oct 2005-July 2006) Results: FM Clinic - EHCCS (Oct 05 to Jul 06) Reasons Prevent Hospital Admission Prevent Unplanned Hospital Admission Total Chest infection and other respiratory problems 5 49 Stroke & neurological problems 22 Cardio-vascular problems 314 Urinary tract infection 88 GI illness (eg. Diarrhea/GI bleeding) 11 Arthritis/non-injury musculoskeletal illness 33 Other infection/sepsis 11 Fall-related injuries 11 Total Total consultations for acute problems: 132 Prevent hospital admissions/unplanned hospital admissions: 22%

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