Transcript Interactive Integration Diagram

Mental Health Integration Diagram
*Interactive version
For further information please contact:
David Thomson
NHS Quality Improvement Scotland.
Mental Health Projects Manager,
Directorate of Implementation, Improvement and Support &
National ICP Coordinator,
Patient Safety and Performance Assessment Unit
[email protected]
Mental Health Integration Diagram
*Interactive version
The following presentation is a PowerPoint based version of
an interactive diagram which helps focus on where key
drivers and work streams in mental health align, crossover
and run parallel.
The diagrams are generated from the developments and
successful role out to mental health of
‘Releasing Time to Care’.
These diagrams will evolve as services develop and progress
towards excellence. This capacity for change reflects and
promotes the principles of quality improvement and the
necessity for on-going cycles of improvement as key.
If you would like additional information to be added to the diagrams, please contact
David Thomson - [email protected]
Quality Infrastructure
A key requirement to realise our Quality Ambitions is for our systems
and actions to be integrated and aligned across the whole NHS system.
We need to identify and remove any hurdles and barriers presented by
the current approaches to policy development and delivery across
Scottish Government and NHSScotland.
(The Healthcare Quality Strategy for NHSScotland, The Scottish Government, May 2010 )
By developing diagrammatic representations of key initiatives in mental health,
it is intended that promoting better comprehension of integration contributes to
removing obstacles to progress and further more, encourage increased
confidence from individuals and organisations from all aspects of health care to
participate and contribute to service improvement.
Key areas of consideration.
*It should be noted that this
list is not exhaustive and may
alter through time
Best Practice Statement
Admissions to
adult mental
health
inpatient services
(BPS)
Releasing Time
to Care
(RTC)
Standards for
integrated
care pathways
for mental health
(ICP)
HEAT Targets
Mental Health
Collaborative
Considerations
to integration
in mental
health
Scottish Recovery
Indicator
(SRI)
Tissue Viability
Rights, Relationships &
Recovery
Nutritional
Care
Scottish Patient
Safety Programme
(SPSP)
Falls
Clinical Quality
Indicators
(CQIs)
Consider the 10 Essential
Shared Capabilities for
Mental Health Practice
Click for further information
on ESC
Healthcare Associated
Infections
(HAI)
Mental Health Act
(MHA)
Joanna Briggs
Institute
(JBI)
Better Together/
Patient experience
Consider Leadership
Click for information
on leadership
Releasing Time to Care: Modular Content
•
The Productive Mental Health
Ward Modules:
•
The Productive Mental Health:
Community Hospital
•
•
•
•
•
•
•
•
•
•
•
Patient Wellbeing
Therapeutic Interventions
Ward Round
Safe and Supportive Observations
Admissions and Discharges
Shift Handover
Meals
Medicines
Knowing How We’re Doing
Well Organised Ward
Patient Status at a Glance
•
•
•
•
•
•
•
•
•
•
Admissions and Discharges
Forward Planning
MDT Working
Handover
Patient Flow
Managing Drug Administration
Good Stock Management
Patient Involvement
Clinical Leadership
Knowing How We are Doing
Click for examples of practice
*All modular houses are underpinned with Project Leader’s and
Executive Leader’s Guides
Productive Community Services
•
•
•
•
Strategic Positioning
Technology
Team Leaders Guide
Well Organised Working
Environment
• Patient Perspective
• Knowing How We are
Doing
• Patient Status at a
Glance
• Toolkit
• Managing Caseload and
Staffing
• Planning our Workload
• Working Better with Our
Key Care Partners
• Agreeing the Care Plan
with the Patient
• Standard Care
Procedures
• Perfect Intervention
*All modular houses are underpinned with Project Leader’s and
Executive Leader’s Guides
Pre admission considerations
RTC
Community
Services
Advanced statements
and existing care plan
Click for RTC information
BPS Section 1(a,b,c,d) p8-12
Pre admission statement
MH(C&T)(S)A – Section 275 p216
Advance statements
Click for BPS
Click for MH(C&T)(S)ACT 2003
Key Points:
ICP P9 Referral and Triage
Click for ICP Toolkit
Well Organised Ward (RTC)
Click for RTC information
ICP P1-8 (Process Standards)
Click for ICP toolkit
Clear benefit
from admission
identified
Consider all potential
options to aid
recovery
Knowing How We’re Doing (RTC)
Click for RTC information
l
Click to view
improvement
methodologies
associated with
Process
Mapping
ICP 21
(Measures of need & outcome)
Click for ICP toolkit
Patient Status At a Glance (RTC)
ICP 11
Click for RTC information
(Risk assessment
and management)
Click for ICP toolkit
Click for examples of practice
Considerations
following admission
to inpatient services
ICP Standard 20
(Admission and Discharge Pathway)
Click for ICP toolkit
Best Practice Statement
Admissions to adult mental health
inpatient services
(Risk assessment key points)
ICP Standards 10-17
(Generic Standards applicable to all
e.g. Risk assessment, diagnosis. etc)
Click her for ICP toolkit
(Section 2 – p13)
Risk assessment and management plans
(Subsections 2a-f)
RTC Process
Modules
Admissions and Discharge
Click for RTC information
Exchange of information
(Section 3 p20)
Click for BPS
HEAT
Reduction of re-admissions
Click here for information
on HEAT Targets
RTC Safe &Supportive
Observations
Click for RTC information
BPS Section 2(f) (p19)
(Risk assessment and
management
plans in relation to
observation levels)
&
Section 4 (p27)
(Assessment and
planning for recovery)
Click for BPS
Scottish Patient
Safety Programme
ICP Standards
10 (Holistic assessment)
Click here for ICP toolkit
Click here for ICP toolkit
HEAT
Reduction of suicide
&
17 (Single care plan)
Click here for information
on HEAT Targets
11 (Risk assessment)
Click her for ICP toolkit
Click here for information on the
Scottish Patient
Safety Programme
RTC
Patient Wellbeing
Click for RTC information
ICP
Standard 13(Physical
health assessment
& management)
Click here for ICP toolkit
&
BPS Section 5
(Holistic assessment:
psychological
/occupational
/physical
needs & strengths)
Tissue viability
click for tissue
viability online
Nutritional Care
Click for information on
nutritional care
Falls
Click here for
information on falls
16 (Person
centred care)
Click for BPS
Click here for ICP toolkit
Pressure Area Care
CQI
Food, fluid & nutrition
CQI
Click for information
on the CQI
Click for information
on the CQI
Falls CQI
Click for information
on the CQI
RTC Medicines
Click for RTC information
Click for information on
improvement
methodologies - LEAN
BPS
Assessment and
Planning Recovery
Section 3(e)p27
Click for BPS
ICP
Standard 18
(Recording Medications)
Condition Specific Standards
15,16 &32
(considers medication monitoring)
Click for ICP toolkit
Scottish Patient
Safety Programme
Click here for information on the
Scottish Patient
Safety Programme
RTC
Shift Handovers
Click for RTC information
Consider principles
of
SBAR
(Situation-BackgroundAssessmentRecommendation)
Click here for information on
SBAR
BPS
ICP
Standards
7&38
(applying use of variance reporting
and how information is conveyed)
Click for ICP toolkit
Section 2a (p15)
(conveyance of risk information)
Section 2f
(ensuring robust systems of communication)
Click for BPS
RTC
Therapeutic
Interventions
Click for RTC information
Click for examples
of practice
Consider the 10
Essential Shared
Capabilities for
Mental Health
Practice
Click for further information
on ESC
BPS
ICP
Standard 15
(Psychological/Psychosocial interventions)
Click here for ICP toolkit
Section 5 (p31)
(Holistic assessment of psychosocial,
occupational and physical
needs and strengths)
Click for BPS
RTC
Meals Module
Also consider guidance within
Click for RTC information
Health Facilities Scotland
Click here for information on HFS
ICP
Standard 13(Physical health
assessment & management)
Click here for ICP toolkit
&
16 (Person centred care)
BPS
Section 5b (p33)
(Guidance on physical
needs assessment)
Click for BPS
Tissue Viability
click for tissue
viability online
Nutritional Care
Click for information on
nutritional care
Click here for ICP toolkit
Click here for information on
improvement methodologies PDSA
Pressure Area Care
CQI
Food, fluid & nutrition
CQI
Click for information
on the CQI
Click for information
on the CQI
RTC
Ward Round
Click for RTC information
ICP
Standard 7
(Recording & sharing information)
Click here for ICP toolkit
& 17 (Single care plan)
Click here for ICP toolkit
BPS
Section 3 (p20)
(Admission to hospital/exchange
of information)
Click for BPS
Consider principles
of
SBAR
(Situation-BackgroundAssessment-Recommendation)
Click here for information on SBAR
RTC
Admissions and
Discharge
Pre and Post
Discharge
Considerations
Click for RTC
information
Consider quality
measures and
monitoring patient
experience via for example
‘my view’ & SPSP
SPSP
Better Together
Click here for information on
patient experience
Click to hear
about patient
experiences
RTC
Community
Services
Click for RTC
information
Click here for information on the
Scottish Patient
Safety Programme
Click for improvement
tools re stories
MHA Chapter 5
Section 227 (p82)
Assessment of need for
community care
Chapter 7 (p122)
Assessment of Need
Click for MH(C&T)(S)ACT 2003
BPS
Section 6 (p35)
Pre/post discharge arrangements
Section 4
(Measures of
quality & experience)
Click for BPS
Scottish Recovery
Indicators
(Informing service
improvements)
Click for information on SRI/
ICP
Standards 38 & 39
(Use of variance
reporting to inform
service improvements
Click for ICP toolkit