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Innovation in Community based Practice
Caredoc Community Intervention Team Margaret Curran & Dorcas Collier
13th November 2013
A collaboration between Caredoc GP’s, HSE, St Luke's Hospital Kilkenny and Public Health Nursing.
The service is built around the patient requirements and responds rapidly on a 24/7 basis, 365 days of the year.
Delivering the highest standards of safe and appropriate care to patients in the appropriate setting.
Hospital
GP
CIT
High quality health services in Carlow/Kilkenny delivering care independently
Need for an appropriate alternative for GP referrals to hospital Need to unburden acute hospitals of clinically stable patients Need for patient education, coaching & empowerment Need for integrated & interoperable systems for improved
communication between services
Break away from the traditional approach & think differently
Public Health Nursing
CAREDOCAMBULANCEGP’s
ACUTE
HOSPITAL
HSE
CARE of the ELDERLY IT
PLATFORMS
Build on existing infrastructure & expertise to deliver patient care in a new way
Public Health
Nursing
CAREDOC
AMBULANCE
HSE
ACUTE HOSPITAL
GP's
Care of the Elderly
IT
Platforms
The clinical records of the CIT patients are managed via an electronic record system linked to the Caredoc IT platform.
Patient consultation notes are captured, while with the patient, on an electronic device that is securely connected to the main Caredoc patient database, to ensure that patient information is with the appropriate clinician in a timely manner.
GP SURGERYCAREDOC
HSE PUBLIC HEALTH /
COMMUNITY CARE
St. LUKE’S HOSPITAL
INTEGRATED COMMUNICATION
FLOW
Supports General Practice
3,883 Interventions
2,304 Bed Days
Saved
215 Ambulance avoidance
50% savings
"I sincerely
appreciated the
excellent care they
provided. A big
thank you to all the
team."
"Very pleased with the care and flexibility of
service provided by the Nurses"
"I found the whole week of I.V. treatment perfect in every way. So glad I
did not have to be admitted to Hospital, well
done“
“Great idea, I would have been in St Luke’s Hospital for four days for my treatment”