Optimising Rapid Access Clinics for Admission Avoidance by Dr. Des Fitzgerald
Explore the strategies presented by Dr. Des Fitzgerald on optimising rapid access clinics as an admission avoidance option. Gain insights into the benefits, target patients, conditions treated, and the role of healthcare professionals in this efficient care model.
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Presentation Transcript
Optimising Rapid Access Clinics as an Admission Avoidance Option Dr Des FitzGerald EM Consultant, UHW ED Taskforce Unscheduled Care Forum 4thSeptember 2018
Rapid Access (to) Clinics Dr Des FitzGerald
Why? For Who? For What? By Who? How?
Why Admission avoidance Shorter PET Good for patients
For Who Ambulatory Patients (GP/ED/AMAU) Acute episode Physiologically well Negative screening tests Low risk +/- initial treatment
What Chest Pain TIA TLoC / syncope First Seizure Falls Older persons / Frailty DVT / PE Speciality Specific slots MSK Review Fracture Clinic Surgical Admission Avoidance - POCUS EPAU ENT Endoscopy
Chest Pain TIA TLoC / syncope First Seizure Falls Older persons / Frailty DVT / PE Speciality Specific slots MSK Review Fracture Clinic Surgical Admission Avoidance - POCUS EPAU ENT Endoscopy
By Who Grade/Title Doesn t matter Interested Trained Experienced Supported
HOW? Time & Interest Biggest factors instead of not as well as Or else it is their dedicated role only Diagnostics Clerical Physical space
How many bed days are lost to. Rapid access patients Vs In-patient Consults
Rapid access patients? 1 or 2 day LOS each 3-4 patients per day
Consults? I don t know
Consults? I don t know But I do know I have 11 in-patients > 48 hours for a medical consult Versus one patient who could have gone to RACPC
They are a different patient group But their acute episode is over Why can t we let them go? They need a different type of clinic But those clinics do not exist
There is no trust in the system If we both believed the appointment/scan would happen in the next 10 days... Would I let you go home? Would you go home?
So in summary Rapid Access Clinics are good for patients Rapid Access TO Clinics is good for Flow
