Summary of Actions Action Owner Timeline Action Timeline 3.1 CAPACITY - Optimising Existing Hospital and Community Capacity 3.1.1 Reducing Delayed Discharges Agree what is meant by a delayed discharge so that it HSE, Social Care Immediate Set and maintain NHSS wait time of 4 weeks HSE, Social Q2 2015 can be appropriately measured and targeted at through the provision of adequate funding in 2015 Care hospital and community level Enforce regulatory guidelines for submission of Set and enforce timelines for processing of HSE, Social Care Immediate HSE, Social Immediate financial and CSAR information to NHSS in conjunction financial information by Nursing Home Section Care with AHD Set and oversee individual Hospital targets to ensure HSE Social Immediate Set targets, by Hospital, for delivery of Home HSE, Social Immediate that the total number of Delayed Discharges does not Care/Primary Support services to ensure minimum delay for Care exceed 500 in 2015 and that no hospitals delayed Care in patients in Hospitals accessing appropriate discharges are in excess of 10% of its available beds. conjunction supports. It is recognised that home support is not This should include individual Hospital weekly with AHD a demand led scheme but is budget capped and discharge targets for Social/Primary Care as identified must meet the requirements of those in hospital by the SDU. and in the community Define and implement a menu of appropriate clinical HSE Q4 2015 Define Community/Acute Hospital Catchment HSE AHD & Q2 2015 pathways using the information that is already Areas for older person’s services specifically Social Care& available i.e. 27 Clinical Programmes each of which Care DOH describe in detail an evidence based clinical pathway Develop and implement agreed metrics to ensure Develop Integrated care pathways across the HSE AHD/Social Q2 2015 HSE AHD/CCP Q4 2015 that agreed targets for delayed discharges are being Care/Primary acute hospitals/community interface in the met consistently at national and hospital level Care context of the newly created Divisional structures
Summary of Actions Action Owner Timeline Action Timeline 3.1 CAPACITY - Optimising Existing Hospital and Community Capacity 3.1.1 Reducing Delayed Discharges Agree what is meant by a delayed discharge so that it can be appropriately measured and targeted at hospital and community level HSE, Social Care Immediate Set and maintain NHSS wait time of 4 weeks through the provision of adequate funding in 2015 HSE, Social Care Q2 2015 Enforce regulatory guidelines for submission of financial and CSAR information to NHSS HSE, Social Care in conjunction with AHD Immediate Set and enforce timelines for processing of financial information by Nursing Home Section HSE, Social Care Immediate Set and oversee individual Hospital targets to ensure that the total number of Delayed Discharges does not exceed 500 in 2015 and that no hospitals delayed discharges are in excess of 10% of its available beds. This should include individual Hospital weekly discharge targets for Social/Primary Care as identified by the SDU. HSE Social Care/Primary Care in conjunction with AHD Immediate Set targets, by Hospital, for delivery of Home Support services to ensure minimum delay for patients in Hospitals accessing appropriate supports. It is recognised that home support is not a demand led scheme but is budget capped and must meet the requirements of those in hospital and in the community HSE, Social Care Immediate Define and implement a menu of appropriate clinical pathways using the information that is already available i.e. 27 Clinical Programmes each of which describe in detail an evidence based clinical pathway HSE Care Q4 2015 Define Community/Acute Hospital Catchment Areas for older person’s services specifically HSE AHD & Social Care& DOH Q2 2015 Develop and implement agreed metrics to ensure that agreed targets for delayed discharges are being met consistently at national and hospital level HSE AHD/Social Care/Primary Care Q2 2015 Develop Integrated care pathways across the acute hospitals/community interface in the context of the newly created Divisional structures HSE AHD/CCP Q4 2015
Draft-ED-Task-Force-Report-020415-0914-FINAL-COPY.docx