Inpatient care to community care

improving clinical handover in the private mental health setting.

Susan K. Wood, Allison K. Campbell, Judith D. Marden, Lavinia Schmidtman, George H. Blundell, Noella J. Sheerin, Patricia M Davidson

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. DESIGN, SETTING AND PARTICIPANTS: A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. MAIN OUTCOME MEASURES: Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. RESULTS: Both community practitioners and patients believed the intervention was positive. Between Cycle 2 and Cycle 3, documentation of the discharge date at least 48 hours before discharge remained unchanged at 50%; the proportion of discharge summaries faxed within 48 hours of discharge went from 0 to 82% in Cycle 2 and fell to 65% in Cycle 3. Telephone follow-up of patients within 7 days and within 14 days improved by 10% and 6%, respectively, between Cycle 2 and Cycle 3. CONCLUSIONS: A standardised discharge communication strategy improved the timeliness, content, and format of information provided to community practitioners. The intervention was well accepted by patients and providers.

Original languageEnglish (US)
JournalMedical Journal of Australia
Volume190
Issue number11 Suppl
StatePublished - Jun 1 2009
Externally publishedYes

Fingerprint

Patient Handoff
Inpatients
Mental Health
Documentation
Telephone
Private Hospitals
New South Wales
Patient Discharge
Psychiatric Hospitals
Quality Improvement
Patient Satisfaction
Communication
Outcome Assessment (Health Care)
Interviews
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wood, S. K., Campbell, A. K., Marden, J. D., Schmidtman, L., Blundell, G. H., Sheerin, N. J., & Davidson, P. M. (2009). Inpatient care to community care: improving clinical handover in the private mental health setting. Medical Journal of Australia, 190(11 Suppl).

Inpatient care to community care : improving clinical handover in the private mental health setting. / Wood, Susan K.; Campbell, Allison K.; Marden, Judith D.; Schmidtman, Lavinia; Blundell, George H.; Sheerin, Noella J.; Davidson, Patricia M.

In: Medical Journal of Australia, Vol. 190, No. 11 Suppl, 01.06.2009.

Research output: Contribution to journalArticle

Wood, SK, Campbell, AK, Marden, JD, Schmidtman, L, Blundell, GH, Sheerin, NJ & Davidson, PM 2009, 'Inpatient care to community care: improving clinical handover in the private mental health setting.', Medical Journal of Australia, vol. 190, no. 11 Suppl.
Wood SK, Campbell AK, Marden JD, Schmidtman L, Blundell GH, Sheerin NJ et al. Inpatient care to community care: improving clinical handover in the private mental health setting. Medical Journal of Australia. 2009 Jun 1;190(11 Suppl).
Wood, Susan K. ; Campbell, Allison K. ; Marden, Judith D. ; Schmidtman, Lavinia ; Blundell, George H. ; Sheerin, Noella J. ; Davidson, Patricia M. / Inpatient care to community care : improving clinical handover in the private mental health setting. In: Medical Journal of Australia. 2009 ; Vol. 190, No. 11 Suppl.
@article{b62c16269c66493cb0a7e0c4119f2a82,
title = "Inpatient care to community care: improving clinical handover in the private mental health setting.",
abstract = "OBJECTIVES: To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. DESIGN, SETTING AND PARTICIPANTS: A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. MAIN OUTCOME MEASURES: Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. RESULTS: Both community practitioners and patients believed the intervention was positive. Between Cycle 2 and Cycle 3, documentation of the discharge date at least 48 hours before discharge remained unchanged at 50{\%}; the proportion of discharge summaries faxed within 48 hours of discharge went from 0 to 82{\%} in Cycle 2 and fell to 65{\%} in Cycle 3. Telephone follow-up of patients within 7 days and within 14 days improved by 10{\%} and 6{\%}, respectively, between Cycle 2 and Cycle 3. CONCLUSIONS: A standardised discharge communication strategy improved the timeliness, content, and format of information provided to community practitioners. The intervention was well accepted by patients and providers.",
author = "Wood, {Susan K.} and Campbell, {Allison K.} and Marden, {Judith D.} and Lavinia Schmidtman and Blundell, {George H.} and Sheerin, {Noella J.} and Davidson, {Patricia M}",
year = "2009",
month = "6",
day = "1",
language = "English (US)",
volume = "190",
journal = "Medical Journal of Australia",
issn = "0025-729X",
publisher = "Australasian Medical Publishing Co. Ltd",
number = "11 Suppl",

}

TY - JOUR

T1 - Inpatient care to community care

T2 - improving clinical handover in the private mental health setting.

AU - Wood, Susan K.

AU - Campbell, Allison K.

AU - Marden, Judith D.

AU - Schmidtman, Lavinia

AU - Blundell, George H.

AU - Sheerin, Noella J.

AU - Davidson, Patricia M

PY - 2009/6/1

Y1 - 2009/6/1

N2 - OBJECTIVES: To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. DESIGN, SETTING AND PARTICIPANTS: A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. MAIN OUTCOME MEASURES: Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. RESULTS: Both community practitioners and patients believed the intervention was positive. Between Cycle 2 and Cycle 3, documentation of the discharge date at least 48 hours before discharge remained unchanged at 50%; the proportion of discharge summaries faxed within 48 hours of discharge went from 0 to 82% in Cycle 2 and fell to 65% in Cycle 3. Telephone follow-up of patients within 7 days and within 14 days improved by 10% and 6%, respectively, between Cycle 2 and Cycle 3. CONCLUSIONS: A standardised discharge communication strategy improved the timeliness, content, and format of information provided to community practitioners. The intervention was well accepted by patients and providers.

AB - OBJECTIVES: To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. DESIGN, SETTING AND PARTICIPANTS: A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. MAIN OUTCOME MEASURES: Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. RESULTS: Both community practitioners and patients believed the intervention was positive. Between Cycle 2 and Cycle 3, documentation of the discharge date at least 48 hours before discharge remained unchanged at 50%; the proportion of discharge summaries faxed within 48 hours of discharge went from 0 to 82% in Cycle 2 and fell to 65% in Cycle 3. Telephone follow-up of patients within 7 days and within 14 days improved by 10% and 6%, respectively, between Cycle 2 and Cycle 3. CONCLUSIONS: A standardised discharge communication strategy improved the timeliness, content, and format of information provided to community practitioners. The intervention was well accepted by patients and providers.

UR - http://www.scopus.com/inward/record.url?scp=68949132994&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68949132994&partnerID=8YFLogxK

M3 - Article

VL - 190

JO - Medical Journal of Australia

JF - Medical Journal of Australia

SN - 0025-729X

IS - 11 Suppl

ER -