Institute of Population Health Sciences, University of Liverpool, Waterhouse Building B Block, Brownlow Street, Liverpool, L69 3GL, England.
NIHR ARC NWC, Liverpool, England.
BMC Health Serv Res. 2020 Feb 6;20(1):94. doi: 10.1186/s12913-020-4945-9.
Older care home residents frequently attend emergency departments with a high conversion to admissions. For this purpose, a novel Care Home Innovation Programme (CHIP) was introduced with the aim of reducing potentially avoidable hospital admissions by 30%. The aim of this study is to evaluate the implementation of this innovative service in practice.
A total of 32 care homes with 1314 beds in South Sefton, Merseyside were invited to sign up to CHIP which was launched in April 2015 and continued in its entirety until June 2018. As part of the CHIP, care home matrons were introduced, new protocols were developed to address common presentations, a 24-h 7-day a week televideo system installed across all homes, and a quarterly training collaborative brought care homes together to learn and share good practices together. Data on emergency calls and calls resulting in conveyances were recorded over a four-year period, and analysed using frequency analysis.
In comparison to the 12 months prior to launch, over a four-year period, implementation of the CHIP resulted in a 15% reduction of emergency calls, and in a 19% reduction of conveyances to hospital.
The South Sefton CHIP demonstrated itself an effective programme in reducing conveyances and consequently, hospital admissions of care home residents. This model will be superseded by the enhanced health in care homes being promoted by the NHS Long Term Care Plan.
老年疗养院的居民经常因高转化率而前往急诊部门。为此，引入了一项新的疗养院创新计划（CHIP），旨在将潜在可避免的住院人数减少 30%。本研究的目的是评估该创新服务在实践中的实施情况。
共有 32 家拥有 1314 张床位的疗养院被邀请参加 CHIP，该计划于 2015 年 4 月启动，并持续到 2018 年 6 月。作为 CHIP 的一部分，引入了疗养院护士长，制定了新的协议来解决常见的表现，在所有疗养院都安装了 24 小时 7 天每周的电视视频系统，并举办了季度培训合作，让疗养院聚集在一起学习和分享良好实践。在四年的时间里，记录了紧急呼叫和导致转运的呼叫的数据，并使用频率分析进行了分析。
与启动前的 12 个月相比，在四年的时间里，CHIP 的实施导致紧急呼叫减少了 15%，转运到医院的人数减少了 19%。
南塞夫顿的 CHIP 证明了自己是一项有效的计划，可以减少疗养院居民的转运和住院人数。该模式将被 NHS 长期护理计划推广的增强型疗养院健康所取代。
