1. “Collaborative to improve the patient experience”
Anna McGivney
4/9/2018
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

2. LEADING & PROMOTING THE SECTOR
NHI members:
Provide care for nearly 24,000 residents nationwide in a ‘Home away form Home’
Account for more than 80% of all long term care beds in the country, and,
Employ more than 28,000 staff
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

3. LEADING & PROMOTING THE SECTOR
Our role in care flow:
Facilitating timely and safe discharges from hospital
Health promotion and health care in a home from home setting
Facilitating the extension of community acute care management
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

4. LEADING & PROMOTING THE SECTOR
Important to consider
Nursing homes a key part of the solution and are willing and able to do more
44% of fair deal applicants from hospital
Nursing home also are step down units for those who need more support before going home and a step up for respite care
Not all nursing home offer the same services.
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

5. LEADING & PROMOTING THE SECTOR
The good news:
In ,930 patients were approved for funding for discharge to private and voluntary nursing homes under ‘Transitional Care Bed Initiative’
At December 2014 – 79.7% of the 719 persons delayed discharged were awaiting ‘long-term nursing care’ (573 people).
At December 2017 – 57.9% of the 480 persons delayed discharged were awaiting ‘long-term nursing care’ (480 people).
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

6. LEADING & PROMOTING THE SECTOR
The challenges:
Access to IV administration in nursing homes
GP access
Silos in community based supports
Access to therapies/ rehabilitation in Private Nursing homes
Access to nurse prescribing
Consultant outreach in nursing homes
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

7. LEADING & PROMOTING THE SECTOR
What can be done:
Development of acute care management in nursing homes e.g. IV Fluids
A Geriatric Early warning score based on individualised baseline credentials
Supporting early discharge and consultant outreach/ community supports
Working groups in hospitals with MDT and community input and Stakeholder engagement
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

8. LEADING & PROMOTING THE SECTOR
What an be done:
Patient Passport to improve communication
Single Assessment Tool
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

9. LEADING & PROMOTING THE SECTOR
Contact us
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY

10. LEADING & PROMOTING THE SECTOR
Thank you!
EMPOWERING MEMBERS
LEADING & PROMOTING THE SECTOR
INFLUENCING POLICY