Quality Assurance and Verification Division
|
|
- Clarissa Lesley Newman
- 8 years ago
- Views:
Transcription
1 Quality Assurance and Verification Division HEALTHCARE AUDIT SUMMARY REPORT Title Number Audit of compliance with the HSE Model of Care for the Diabetic Foot in high risk diabetic patients in selected acute hospitals QAV003/2015 Timeframe March July 2015 Audit Team Members Ms Mary Greene, Auditor, Quality Assurance and Verification Division (Lead) Ms Anne Keane, Auditor, Quality Assurance and Verification Division Ms Catherine Timoney, Auditor, Quality Assurance and Verification Division Approved by Dr Edwina Dunne, Assistant National Director, Quality Assurance and Verification National Audit Contact Ms Marie Tighe, Programme Manager, National Diabetes Programme/Primary Care until 20 March 2015 Ms Caroline Mc Cusker, National Lead Podiatrist from the 20 March 2015 Source of Evidence Type Request for Evidence University Hospital Waterford Louth County Hospital Sligo Regional Hospital Date Evidence returned 16 April 2015 Evidence returned 16 April 2015 Evidence returned between 24 April - 25 May 2015 Issue Date 23 July 2015 Site Visit University Hospital Waterford Louth County Hospital Sligo Regional Hospital 28 April May June 2015
2 Report Distribution Date: 23 July 2015 Name Mr Patrick Lynch Mr Liam Woods Dr Ronan Canavan Ms Caroline Mc Cusker Dr. Edwina Dunne Title National Director, Quality Assurance and Verification Division National Director Acute Hospitals Clinical Lead, National Diabetes Programme Podiatrist, National Audit Contact Assistant National Director, Quality Assurance and Verification Division
3 1. BACKGROUND / RATIONALE The National Diabetes Programme of the Health Service Executive (HSE) developed the Model of Care for the Diabetic Foot (2011). Diabetic foot disease is a common complication of diabetes and by its nature patients often have a long documented history in the healthcare record (HCR) regarding their care. The Model of Care (MOC) for the diabetic foot defines a risk categorisation method in foot care management, i.e., high risk is defined as an abnormality that predisposes a patient to foot ulceration and active foot disease is defined as the presence of an active foot ulcer. This integrated MOC is based on three categories of risk and is intended to provide a structured approach to the management of foot care needs of patients with diabetes. The National Programme Lead for Diabetes has sought assurance that the integrated model of foot care for diabetic patients in the high risk category was in use and being managed by multidisciplinary foot care services. The hospitals selected for audit were Louth County Hospital (LCH), Sligo Regional Hospital (SRH) and University Hospital Waterford (UHW). 2. AIM AND OBJECTIVES The aim of the audit was to establish the level of foot care management for high risk diabetic patients in selected acute hospitals as per the model of care for the diabetic foot based on the following objectives: To determine that diabetic patients who are categorised as high risk have scheduled annual care reviews by members of the foot protection team. To determine that diabetic patients with active foot disease are referred to the diabetic foot clinic urgently and are seen within 24 hours or at the next clinic by the multidisciplinary foot care service. To establish the process of referral for rapid access to a multidisciplinary team in a tertiary centre (vascular or orthopaedic) where required. 3. KEY FINDINGS Categorisation of risk and annual reviews: Foot assessments are carried out predominately by the podiatrist. A risk category for each patient was documented on a foot assessment tool but the audit team found that this was not always completed. Annual reviews occur however records were limited as the audit period defined was from January to March In the HCRs audited all high risk and active foot disease patients were assessed and followed up regularly. Active foot disease patients referred within 24 hours: In the model four hospital visited the majority of active foot disease patients referred were seen within 24 hours or the next working day. Active foot disease patients are managed in the model three hospital; this is not in keeping with the MOC. A limited number of patients were seen within 24 hours or the next working day. Referral to the tertiary centre from the model three hospital only occurs for vascular assessment. The model two hospital referred all patients with active foot disease to the model three and four hospital for management. Multidisciplinary Team (MDT): Foot protection teams were in operation in each hospital. The teams comprised mainly of the endocrinologist, podiatrist and diabetes nurse specialist (DNS). Meetings were held regularly often jointly with another group hospital. Formal MDT meetings in the tertiary centre occurred infrequently due to non attendance of the surgical specialities.
4 Rapid access and referral to the tertiary centre: Referral by the foot protection service to the tertiary centre and or other hospital specialties is informal and the audit team found that documentation of referrals was limited in the healthcare record (HCR). Communication regarding discharge of patients in the tertiary centre back to the host hospital was poor and frequently not documented. Podiatry service: The audit team was informed that all hospitals have a podiatry service. In two hospitals the podiatrists were only in place in the last twelve months. The podiatry clinic was held daily in the model four and three hospitals and weekly in the model two hospital. The podiatry and endocrinology clinics are mostly held concurrently and review all high risk and active foot disease patients in the model four and three hospitals. In the model two hospital patients were seen by the podiatrists initially in order to manage their referral to the model four or three hospital. The audit team found that communication between hospitals was informal and lacked structure. The hospital based podiatrist works closely with the community podiatrist in their area. Diabetes Nurse Specialist: The DNS screens diabetic patients and provides education on the importance of good foot care. The DNS also provides education on foot assessment to practice nurses based in GP practices. Documentation of the care provided by the DNS was noted in the HCR or electronically in the model three and two hospitals visited. In the model four hospital DNS nursing notes were kept separate from the HCR. All patient documentation must be recorded in the HCR in accordance with the HSE Standards and Recommended Practices for Healthcare Record Management V3 (2011). Database: There is a need for a national database to record activity data on the foot protection service. Two hospitals held records of referral and attendances at the podiatry service and the team found that this data varied in content and needed updating on a continual basis. Diabetic and podiatry consultations in two hospitals were predominately paper based while one hospital had an electronic IT system for all out patient attendances. There is no formal record of podiatry attendances in the model two hospital. The audit team was informed that the model three and two hospitals had a high level of DNA s to the foot protection service. 4. CONCLUSION In all three hospitals compliance with the MOC was variable. The audit team found that the model four and two hospitals were in the main compliant and can provide reasonable assurance that the MOC has been implemented. The model three hospital was partially compliant, the audit team provide partial assurance as the MOC has not been fully implemented. Key deficits found by the team were the timeliness of referral from model three and two to the model four hospital, the lack of communication between hospitals resulting in the absence of discharge information from the model four hospital. A national database for all high risk diabetic foot patients is required in order to demonstrate the activity and outcomes for patients. 5. RECOMMENDATIONS 1. A national database must be developed to accurately record standardised data on high risk and active foot disease patients which is accessible to all disciplines 2. To develop a structured approach to the communication of discharge information between hospitals for the diabetic foot patient. The audit team wish to acknowledge the co-operation and goodwill afforded to them by the management and staff at all hospitals involved.
5 Lead Auditor Ms Mary Greene Signature Date 23 July 2015 AND QAVD Dr. Edwina Dunne Signature Date 23 July 2015
6 APPENDIX A: RECOMMENDATIONS ISSUED TO THE HOSPITALS Recommendations issued to the sites in respect of Objective 1 Hospital Recommendation UHW SRH LCH 1. Ensure that all foot assessment screening tools are fully completed and a risk category is documented in the HCR. 1. Create a summary report from the Prowellness system on each high risk diabetic foot patient and include this information in the patients HCRs biannually. 1. Develop a database that accurately records the high risk and active foot disease category of patients. Recommendations issued to the sites in respect of Objective 2 Hospital Recommendation UHW SRH LCH 1. Ensure as a matter of urgency that all documentation of the care provided by the diabetic nurse specialist to the diabetic foot patients is recorded in the health care record in accordance with the HSE Standards and Recommended Practices for Healthcare Record Management V3 (2011). 1. Sligo Regional Hospital must develop a podiatry database that accurately records the high risk and active foot disease category of patient who attend the diabetic foot service within a 24 hour period or the next working day. None Recommendations issued to the sites in respect of Objective 3 Hospital Recommendation UHW SRH LCH 1. Ensure that the Model of Care for the Diabetic Foot (2011) is implemented across all departments including the Emergency Department. 2. Hold multidisciplinary foot care team meetings on a regular basis to formalise the Model of Care for the high risk diabetic foot patient across all departments. 1. Agree with UHG a clear process of documentation of care for the diabetic foot patient. 1. Agree with the BH and OLOLH a clear process of documentation of care for the diabetic foot patient.
Expression of Interest Piloting Falls and Bone Health Integrated Care Pathway for Older Persons (65 years and older)
Expression of Interest Piloting Falls and Bone Health Integrated Care Pathway for Older Persons (65 years and older) BACKGROUND HSE and the State Claims Agency are inviting persons working in the following
More informationPRESENT: IN ATTENDANCE:
Minutes of the 58th Meeting of the Belfast Local Commissioning Group held at 2.00 pm on Thursday 19 February 2015 in The Enler Complex, Unit 9, Craigleith Drive, Dundonald BT16 2QP PRESENT: Dr T Maguire
More informationNorth East Diabetes Footcare Network v3
North East Diabetes Footcare Network v3 1. Background NHS Diabetes is working with local healthcare professionals to develop regional footcare networks, designed to share ideas and good footcare practice
More informationDiabetes Foot Screening and Risk Stratification Tool
Diabetes Foot Screening and Risk Stratification Tool Welcome to the Diabetes Foot Screening and Risk Stratification Tool This tool is based on the work of the Scottish Foot Action Group (SFAG). It has
More informationAPPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS
APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS Template: Regional Foot Programs should develop a list of available health professionals in the following
More informationNational Clinical Programmes
National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission
More informationNZSSD PodSIG Michele Garrett, Steve York, Claire O Shea, Leigh Shaw, Fiona Angus, Judy Clarke and Karyn Ballance
Welcome to the Diabetes Foot Screening and Risk Stratification Tool. This tool is based on the work of the Scottish Foot Action Group (SFAG). It has been adapted (with SFAG permission) by the New Zealand
More informationMain Specialty/Treatment Function Codes. Human Behavioural Guidance
Human Behavioural Guidance Version No: 0.1 Purpose of this document This document comprises the Human Behavioural Guidance for NHS Organisations in relation to the changes to the Main Specialty and Treatment
More informationPolicy Non Ambulance Patient Transport Services
Policy Non Ambulance Patient Transport Services Document reference number Revision number NASP002 Document developed by 1 Document approved by National Ambulance Service HSE Board Approval date 3 rd October
More informationAccessing Outpatient, Inpatient and Day Case Services in Acute Hospitals in Ireland
Accessing Outpatient, Inpatient and Day Case Services in Acute Hospitals in Ireland January 2014 an ciste náisiúnta um cheannach cóireála the national treatment purchase fund Contents Introduction 2 Accessing
More informationCLINICAL PROTOCOL FOR THE MANAGEMENT OF FOOT CARE FOR DIABETIC PATIENTS
CLINICAL PROTOCOL FOR THE MANAGEMENT OF FOOT CARE FOR DIABETIC PATIENTS RATIONALE Clinical evidence suggests that there is considerable potential to improve the quality of foot care for people with diabetes.
More informationOlder Persons Metadata 2016. Social Care Division - Older Persons KPI Metadata based on Division Operational Plan 2016. Primary Care Division
Older Persons Metadata 2016 Social Care Division - Older Persons KPI Metadata based on Division Operational Plan 2016 Health Service Executive Primary Care Division Key Performance Indicator Metadata 2016
More informationAudit of the implementation of recommendations made following investigation of complaints under Part 9 of the Health Act 2004.
QUALITY & PATIENT SAFETY AUDIT FINAL AUDIT REPORT EXECUTIVE SUMMARY Audit Title: Audit Number: Audit Requester: Audit Team Members: Audit of the implementation of recommendations made following investigation
More informationNational Diabetes Inpatient Audit
National Diabetes Inpatient Audit 2013 We are the trusted source of authoritative data and information relating to health and care. www.hscic.gov.uk enquiries@hscic.gov.uk Prepared in collaboration with:
More informationImproving the Compliance of the Annual Foot Examination and Monofilament Testing in
Improving the Compliance of the Annual Foot Examination and Monofilament Testing in Diabetic Patients at Centromed Principal Investigator: Velen Tat, Physician Assistant Student 2016, University of Southern
More informationTowards an Integrated Health Service or More of the Same?
Towards an Integrated Health Service or More of the Same? Based on the findings of the Acute Bed Capacity Review, an outline of the options, opportunities and challenges in developing the right balance
More informationDirector Clinical Services. Clinical Administrator
JOB DESCRIPTION CLINICAL NURSE SPECIALIST- REFERRAL AND DAY HOSPICE COORINATOR Date: September 2015 Responsible to: Responsible for: Functional Relationships: Director Clinical Services Clinical Administrator
More informationJOB DESCRIPTION. Rowcroft Hospice at Home Bank Staff Nurse. Rowcroft Hospice at Home Sisters/Charge Nurse
JOB DESCRIPTION 1. JOB DETAILS Job Title: Rowcroft Hospice at Home Bank Staff Nurse Band: 5 Hours: Department: Reports to: Location: Tenure: Day Shifts varied hours Rowcroft Hospice at Home Rowcroft Hospice
More informationMeasuring quality along care pathways
Measuring quality along care pathways Sarah Jonas, Clinical Fellow, The King s Fund Veena Raleigh, Senior Fellow, The King s Fund Catherine Foot, Senior Fellow, The King s Fund James Mountford, Director
More informationSouthwark Clinical Commissioning Group Lambeth Clinical Commissioning Group
Getting the Vision Right: A multi-disciplinary approach to providing integrated care for respiratory patients Dr Noel Baxter, GP NHS Southwark CCG Dr Irem Patel, Integrated Consultant Respiratory Physician
More informationThe National Clinical Effectiveness and Network Marketing Commission (NCEC)
Prioritisation and Quality Assurance Process for National Clinical Audit Consultation Submission Report 8 th September 2015 0 Table of Contents Glossary 1. National Clinical Effectiveness Committee...
More informationRoyal Australasian College of Surgeons submission to NSW Health concerning the Performance of Podiatric Surgery in New South Wales
Royal Australasian College of Surgeons submission to NSW Health concerning the Performance of Podiatric Surgery in New South Wales Introduction NSW Health is considering amendment of the Day Procedure
More informationHSE Procedure for developing. Policies, Procedures, Protocols and Guidelines
HSE Procedure for developing Policies, Procedures, Protocols and Guidelines Document reference number Revision number Approval date OQR029 Revision date November 2011 Document developed by 2 Document approved
More informationSLIGO GENERAL HOSPITAL Outpatient Department Management Policy Information for General Practitioners. Sligo General Hospital Mission Statement
SLIGO GENERAL HOSPITAL Outpatient Department Management Policy Information for General Practitioners Sligo General Hospital Mission Statement Sligo General Hospital is committed to the delivery of a high
More informationEvolving New Practices in Hip & Knee Arthroplasty: It Takes A Team! CCHSE National Healthcare Leadership Conference June 11-12, 2007 Toronto
Evolving New Practices in Hip & Knee Arthroplasty: It Takes A Team! CCHSE National Healthcare Leadership Conference June 11-12, 2007 Toronto Focus of Presentation Toronto Central LHIN is developing a new
More informationAppendix II - Outpatient settings worksheets
Key Policy Elements for Best Appendix II - Outpatient settings worksheets The following worksheets are intended to increase awareness within public health agencies of the authorities currently in place
More informationSurgical and Ambulatory Service Orthopaedic RMO Staffing Increase and Roster Impact
Surgical and Ambulatory Service Orthopaedic RMO Staffing Increase and Roster Impact Project / Brief Name: Orthopaedic RMO Staffing Increase and Roster Impact Release date: 31 July 2015 Version: Second
More informationGuidance for Hospital Consultants Referring Public Patients for Funding under the HSE Treatment Abroad Scheme
Guidance for Hospital Consultants Referring Public Patients for Funding under the HSE Treatment Abroad Scheme Dear Colleagues This guidance is issued in connection with access to and the operation of the
More informationREPORT ON STOMA SERVICE AND PRACTICE. MM / YY to MM / YY. Name: Title: Centre:
REPORT ON STOMA SERVICE AND PRACTICE MM / YY to MM / YY Name: Title: Centre: 1 Contents 1.0 Introduction 2.0 Aims of the Stoma Care Service 3.0 Clinical Activity 4.0 Cost Saving Measures 5.0 Education
More informationSpecial Report. September 2015
Special Report September 2015 Serious Reportable Events Thursday 26 th November 2015 Contents Section Page 1. Summary 2 2: Introduction 3 3: Establishing the SRE Framework 4 4: Analysis of SREs reported
More informationHow To Manage A Cancer Oncology Clinic
GYNAECOLOGICAL ONCOLOGY MULTIDISCIPLINARY TEAM MEETINGS: OPERATIONAL POLICY Version 3 Policy agreed Sept 2009 (updated Jan/Feb 2013) Agreed by: SCAN gynae group 2009 Update agreed SCAN gynae group May
More informationNegative Pressure Wound Therapy (VAC Therapy) Guidelines
Negative Pressure Wound Therapy (VAC Therapy) Guidelines This is a living document and will be updated as required March 2013 Negative Pressure Wound Therapy Negative Pressure Wound Therapy (NPWT), also
More informationSpecialist Vascular Nursing. Information for students. Tina Dufour July 2011 1
Specialist Vascular Nursing Information for students. Tina Dufour July 2011 1 Introduction Welcome to your Vascular nursing placement. We hope that your placement will be both educational and enjoyable,
More informationNational Overview Meeting on Addiction Services. in Mental Health Services
National Overview Meeting on Addiction Services in Mental Health Services Introduction In 2011 as in other years, the Inspectorate was interested in looking at a range of mental health services on a national
More informationLead Responsibility authority and accountability see. Finish date. Commencement date. Ongoing. Ongoing. Ongoing. Ongoing. NHO Ann Doherty.
Action Plan based on recommendations arising from the report of the HIQA investigation into the provision of services to Ms A by the Health Service Executive at University Hospital Galway in relation to
More informationPrimary Health-care, Adult Services and Children Services in Westminster
Primary Health-care, Adult Services and Children Services in Westminster In Westminster over 4,000 people receive Supporting People services provided by 44 different organisations. The Supporting People
More informationCase study: Pennine MSK Partnership
Case study: Pennine MSK Partnership Dr Alan Nye is a GP in Oldham, GPSI in Rheumatology, Director of Pennine MSK Partnership, Associate Medical Director of NHS Direct and Associate Medical Director of
More informationConsultation: Two proposals for registered nurse prescribing
Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council
More informationEASTER ROSS ORTHOPAEDIC TRIAGE PILOT
EASTER ROSS ORTHOPAEDIC TRIAGE PILOT SUE KING EXTENDED SCOPE PRACTITIONER PHYSIOTHERAPIST COUNTY COMMUNITY HOSPITAL INVERGORDON AUGUST 2009 INTRODUCTION A 12 month pilot project to test out a model of
More informationGreater Manchester and Cheshire HPB Unit Guidelines for the Assessment & Management of Hepatobiliary and Pancreatic Disease Chapter 4
Greater Manchester and Cheshire HPB Unit Guidelines for the Assessment & Management of Hepatobiliary and Pancreatic Disease Chapter 4 Contents 4. Manchester Cancer Pathways 32 4.1. Manchester Cancer 33
More informationReport and Recommendations on Patient Referrals from General Practice to Outpatient and Radiology Services, including the National Standard for
Report and Recommendations on Patient Referrals from General Practice to Outpatient and Radiology Services, including the National Standard for Patient Referral Information 23 March 2011 About the The
More informationPatient Access Policy
Patient Access Policy NON-CLINICAL POLICY ACE 522 Version Number: 2 Policy Owner: Lead Director: Assistant Director of Operations Director of Operations Date Approved: Approved By: Management Executive
More informationConsultation: Two proposals for registered nurse prescribing
Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council
More informationCoversheet for Network Site Specific Group Agreed Documentation
Coversheet for Network Site Specific Group Agreed Documentation Document Title Clinical Management Protocol Children s Hepatic Tumours Document Date July 2010 Document Purpose Authors Modalities of treatment
More informationSharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012
Sharp HealthCare ACO Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare Not-for-profit serving 3.1 million residents of San Diego County Grew from one hospital in 1955 to an integrated
More informationCARDIFF HEALTH SOCIAL CARE AND WELL BEING STRATEGY NEEDS ASSESSMENT COMMUNITY SERVICES/INTERMEDIATE CARE (6.6.2)
CARDIFF HEALTH SOCIAL CARE AND WELL BEING STRATEGY NEEDS ASSESSMENT COMMUNITY SERVICES/INTERMEDIATE CARE (6.6.2) COMMUNITY SERVICES Cardiff and Vale NHS Trust, with its partners is reviewing Community
More informationGeneral Practitioner
Palliative Care/End of Life Related Fees Service Type Fee code When to use General Practitioner Palliative Care Planning 14063 Once a patient living in the community (own or family home or assisted living;
More informationTobacco Free Campus Policy
Tobacco Free Campus Policy Guidance on Implementation The implementation of the Tobacco Free Campus (TFC) Policy will require a number of resources and supports. In some cases, a local TFC Implementation
More informationTackling insulin safety using a multifaceted multidisciplinary regional approach
Tackling insulin safety using a multifaceted multidisciplinary regional approach First report from The North East Regional Insulin Safety and Knowledge (RISK) project N. J. Leech 1 G. Johnson 2 R. Nayar
More informationHow To Be A Nurse Practitioner
NURSE PRACTITIONER PROGRAM THE PENNSYLVANIA STATE UNIVERSITY College of Nursing Preceptor Evaluation of Student Clinical Performance: Adult Gerontology Acute Care Nurse Practitioner Option Nursing 863
More informationPROTOCOL THE MANAGEMENT OF OUTPATIENT SERVICES
Outpatient Performance Improvement Programme, 2012-2015 PROTOCOL THE MANAGEMENT OF OUTPATIENT SERVICES JANUARY 2013 EDITION 1.0 Authors DOCUMENT CONTROL PROTOCOL FOR THE MANAGEMENT OF OUTPATIENT SERVICES
More informationPATIENT ACCESS POLICY V3
PATIENT ACCESS POLICY V3 State whether the document is: x Trust wide Business Group Local State Document Type: x Policy Standard Operating Procedure Guideline Protocol APPROVAL & VALIDATION Assurance Risk
More informationMID STAFFORDSHIRE NHS FOUNDATION TRUST
MID STAFFORDSHIRE NHS FOUNDATION TRUST Report to: Report of: Joint Health Scrutiny Accountability Session Antony Sumara Chief Executive Date: 20 April 2011 Subject: Mid Staffordshire NHS Foundation Trust
More informationGuildford and Waverley Programme NHS Surrey Board 4 August 2009
Guildford and Waverley Programme NHS Surrey Board 4 August 2009 Agenda The proposed consultant led clinical model of care Mr Edward Palfrey, Medical Director, Frimley Park Investment in Cranleigh, then
More informationInspectorate of Mental Health Services. National Overview of Psychologists Working in Mental Health Services Ireland 2012
Inspectorate of Mental Health Services National Overview of Psychologists Working in Mental Health Services Ireland 2012 As part of the inspection of mental health services in 2012, the Inspector of Mental
More informationConsultation: Two proposals for registered nurse prescribing
Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council
More informationCAROLINAS REHABILITATION
CAROLINAS REHABILITATION CURRENT LANGUAGE ORGANIZATIONAL MANUAL OF BYLAWS OF CAROLINAS REHABILITATION (TAB 2) New Language ORGANIZATIONAL MANUAL OF BYLAWS OF CAROLINAS REHABILITATION (TAB 2) ARTICLE II
More informationHealth Service Executive. National Service Plan 2015
Health Service Executive 2014 National Service Plan 2015 Service Priorities Improve quality and patient safety with a focus on: - Service user experience - Development of a culture of learning and improvement
More informationInsulin Pump Therapy for Type 1 Diabetes
Insulin Pump Therapy for Type 1 Diabetes Aim(s) and objective(s) This guideline has been developed to describe which patients with Type 1 Diabetes should be referred for assessment for insulin pump therapy
More informationUpdate on New Coordination of Care and Transition of Care Coding
Update on New Coordination of Care and Transition of Care Coding Michele Olivier ACP Colorado Chapter February 5, 2015 (303) 801-0123 Agenda Introduction Chronic Care Management Coding Advanced Care Planning
More informationConsultation: Two proposals for registered nurse prescribing
Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council
More informationIHCA Submission on Clinical Indemnity to the Joint Committee on Health and Children
IHCA Submission on Clinical Indemnity to the Joint Committee on Health and Children Thursday 22 nd January 2015 1 I thank the Chairman and other members of the committee for the opportunity to address
More informationGuideline for the Follow Up of Patients Following Treatment for Breast Cancer
Guideline for the Follow Up of Patients Following Treatment for Breast Cancer Date Approved by Network Governance July 2012 Date for Review July 2015 Page 1 of 6 1 Scope of the Guideline This guideline
More informationDiabetes. C:\Documents and Settings\wiscs\Local Settings\Temp\Diabetes May02revised.doc Page 1 of 12
Diabetes Introduction The attached paper is adapted from the initial background paper on Diabetes presented to the Capital and Coast District Health Board Community and Public Health Advisory Committee
More informationGP Communications Action Plan Update. Alex Crawford, Deputy Head of Commissioning and Planning
GP Communications Action Plan Update Alex Crawford, Deputy Head of Commissioning and Planning Communication Lead for this aspect: Julie Marshall Julie.Marshall@uhbristol.nhs.uk Communication Difficulty
More informationGuidelines for the Operation of Burn Centers
C h a p t e r 1 4 Guidelines for the Operation of Burn Centers............................................................. Each year in the United States, burn injuries result in more than 500,000 hospital
More informationCommissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare
Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare Although Primary Care Trusts (PCTs) and East Midlands Specialised Commissioning Group (EMSCG) were abolished
More informationPre-hospital Emergency Care Key Performance Indicators for Emergency Response Times
Pre-hospital Emergency Care Key Performance Indicators for Emergency Response Times November 2010 1 About the The is the independent Authority which has been established to drive continuous improvement
More informationStatewide Respiratory Clinical Network
Statewide Respiratory Clinical Network Steering Committee Terms of Reference May 2012 Table of Contents 1. Purpose... 3 2. Principal Functions... 3 3. Reporting Responsibilities... 4 4. Steering Committee...
More informationRegulatory Compliance Policy No. COMP-RCC 4.52 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.52 Page: 1 of 19 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
More informationShort Term Disability Income Benefit. Employee s Guide
Short Term Disability Income Benefit Employee s Guide Short Term Disability Income Benefits This guide contains the forms you need to apply for disability benefits and some important information about
More informationSTATEMENT BY ALAN RAPAPORT, M.D., M.B.A. PHYSICIAN SURVEYOR THE JOINT COMMISSION BEFORE THE NEW MEXICO HEALTH AND HUMAN SERVICES COMMITTEE
STATEMENT BY ALAN RAPAPORT, M.D., M.B.A. PHYSICIAN SURVEYOR THE JOINT COMMISSION BEFORE THE NEW MEXICO HEALTH AND HUMAN SERVICES COMMITTEE AUGUST 13, 2012 Background I would like to take this opportunity
More informationCommunity Stroke Rehabilitation Team. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Community Stroke Rehabilitation Team An information guide Community Stroke Rehabilitation Team Who are we? The community stroke rehabilitation
More informationREFERRAL. Single Point of Referral for CLDTs (Meets weekly) LD Forensic Panel (Meets monthly) Triage. Access Assessment.
REFERRAL Tier 1 to 3 service Tier 4 service Single Point of Referral for CLDTs (Meets weekly) LD Forensic Panel (Meets monthly) Triage (Follow Core Pathway Guidelines) Access Assessment Regional Guidance
More informationNZS8134.2:2008 & NZS8134.3:2008
Winchcombe Healthcare Limited CURRENT STATUS: The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance audit conducted against the Health and
More informationThe End of Life Care Strategy promoting high quality care for all adults at the end of life. Prof Mike Richards July 2008
The End of Life Care Strategy promoting high quality care for all adults at the end of life Prof Mike Richards July 2008 The End of Life Care Strategy: Rationale (1) Around 500,000 people die in England
More informationDevelopment of strategies for maximising the benefits of the Medicare Benefits Schedule multidisciplinary care item numbers SUMMARY REPORT
Development of strategies for maximising the benefits of the Medicare Benefits Schedule multidisciplinary care item numbers SUMMARY REPORT Project Sponsor: Associate Professor John Seymour Project Officers:
More informationADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS
ADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS i. Summary The National Service Framework for long-term neurological conditions categorises neurological conditions as: Sudden-onset conditions
More informationWhat you should know about Data Quality. A guide for health and social care staff
What you should know about Data Quality A guide for health and social care staff Please note the scope of this document is to provide a broad overview of data quality issues around personal health information
More informationINDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES
CLOSING THE GAP tackling disease INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES November 2012 CONTENTS 1. Introduction... 3 Program Context... 3 Service
More informationSPECIALIST PALLIATIVE CARE DIETITIAN
SPECIALIST PALLIATIVE CARE DIETITIAN JOB PROFILE Post:- Responsible to: - Accountable to:- Specialist Palliative Care Dietitian Clinical Operational Manager Director of Clinical Services Job Summary Work
More informationGuideline: Medical supervision of Diabetes Registered Nurse Prescribing 2014
Guideline: Medical supervision of Diabetes Registered Nurse Prescribing 2014 The Nursing Council of New Zealand has adapted this Guideline which was developed by the New Zealand Society for the Study of
More informationWat te doen met het diabetes guidance document anno 2015 in de praktijk? : Samen Sterk & Samen SNEL.
Wat te doen met het diabetes guidance document anno 2015 in de praktijk? : Samen Sterk & Samen SNEL. Dr. Kristien Van Acker, diabetoloog Chimay, Voorzitter IWGDF & IDF Consultative Section on the Diabetic
More informationCarelink CaroMont Provider Directory
Carelink CaroMont Product Service Area: Cleveland, Lincoln, and Gaston Counties November 2013 Carelink from Coventry benefit plans are underwritten and administered by Coventry Health Care of the Carolinas,
More informationThe Role of the MDT Coordinator. Laura Throssell
The Role of the MDT Coordinator Laura Throssell NHS Cancer Plan (2000) the care of all patients with cancer should be formally reviewed by a specialist team. all patients have the benefit of the range
More informationHow To Understand An Accountable Care Organization
Accountable Care Organizations and Wound Centers No Disclosures Peter F. Lawrence, MD Professor and Chief Division of Vascular Surgery University of California Los Angeles Accountable Care Organization
More informationPRINCIPLES FOR COLLABORATION, COMMUNICATION AND COOPERATION BETWEEN PRIVATE MENTAL HEALTH SERVICE PROVIDERS
PRINCIPLES FOR COLLABORATION, COMMUNICATION AND COOPERATION BETWEEN PRIVATE MENTAL HEALTH SERVICE PROVIDERS The Principles for Collaboration, Communication and Cooperation between Mental Health Providers
More informationEarly Supported Discharge (in the context of Stroke Rehabilitation in the Community)
Early Supported Discharge (in the context of Stroke Rehabilitation in the Community) Gold Standard Framework This document was produced with reference to national standards for best practice (e.g. NICE
More informationLC Paper No. CB(2)399/15-16(01)
LC Paper No. CB(2)399/15-16(01) Annex The Manpower Situation of Doctors and Nurses in the HA As at end August 2015, there were 5 736 doctors and 24 072 nurses 1, in terms of full time equivalent (including
More informationGeneral Practice Information Technology (GPIT) Group
General Practice Information Technology (GPIT) Group Scanning and Shredding Documents: impact statement File Name: Scan_Shred_v0_7.pdf Version number: 0.7 Date: 25/02/2009 Status: impact statement Authors:
More informationNorth Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board
North Middlesex University Hospital NHS Trust Annual Audit Letter 2005/06 Report to the Directors of the Board 1 Introduction The Purpose of this Letter 1.1 The purpose of this Annual Audit Letter (letter)
More informationPatient Access User Manual
Patient Access User Manual Table of Contents. 1 Summary 7 2 Key Principles 7 3 Corporate Roles and Responsibilities 9 4 National Access Targets and Standards 10 4.1 Referral to Treatment (RTT) Standard
More informationCLINICAL AUDIT STRATEGY
St Helens & Knowsley Teaching Hospitals NHS Trust CLINICAL AUDIT STRATEGY Recommending Committee: Approving Committee: Signature: Designation: Clinical Standards and Patient Focus Council Trust Governance
More informationDocument Details Title. Early Warning Score Protocol for Community Hospitals and Prisons to detect the Deteriorating Patient
Document Details Title Early warning Score Protocol for community Hospitals and Prisons to Detect the Deteriorating Patient Trust Ref No 1558-29748 Local Ref (optional) Main points the document This protocol
More informationOutpatient and Inpatient Waiting Times. & Patients Access Policy
Outpatient and Inpatient Waiting Times & Patients Access Policy Date Approved by Version V2 Procedure/Policy Number Procedure/Policy type Date Equality impact assessment completed: Issue Date September
More informationUsing the EHR for Care Management and Tracking. Learning Objectives 9/4/2015. Using EHRs for Care Management and Tracking
September 10, 2015 Using the EHR for Care Management and Jean Harpel, MSN, RN, GCNS-BC, CPASRM Lorraine Possanza, DPM, JD, MBE Paul Anderson Learning Objectives Learn why it is important to have good tracking
More informationCHAPTER 535 HEALTH HOMES. Background... 2. Policy... 2. 535.1 Member Eligibility and Enrollment... 2. 535.2 Health Home Required Functions...
TABLE OF CONTENTS SECTION PAGE NUMBER Background... 2 Policy... 2 535.1 Member Eligibility and Enrollment... 2 535.2 Health Home Required Functions... 3 535.3 Health Home Coordination Role... 4 535.4 Health
More informationJOB DESCRIPTION. ellenor. Head of Adult Community Services Director of Patient Care
JOB DESCRIPTION ellenor Clinical Nurse Specialist Responsible to: Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist palliative care provider for
More informationNeath Port Talbot and Bridgend Local Health Boards Stroke Services Action Plan 2008-11
as outlined in the Sentinel Audit Co-location of beds May-08 designated stroke beds co-located Neutral Agreement and possible public consultation (NPT) on configuration of acute services Sep-08 Staff Time
More information