Hospital to Home; an Extension into Intermediate Care and Universal Interoperability

NHS和成人社会护理面临的压力是英国新闻的每日特写。入院的轮候名单、住院的额外床位数目，以及出院后的轮候护理名单，这些都是我们非常熟悉的话题。当我们想到我们日益老龄化的人口时，压力只会成倍增加，毫无疑问，在出院后，让老年人在家中康复是他们康复的最好机会。H2H将出院评估过程数字化，允许一个人从医院出院到在家接受评估的单一真实版本。如果您是路径1、2或3上的人，则家庭评估是您下一次护理旅程的开始，通常是为期六周的一揽子护理，涉及委托提供者、成人社会护理、社区和志愿组织。该项目的第一阶段将扩展H2 H的功能，包括四种中间护理途径：*修复*危机应对*基于家庭*基于病床的老年人，护理包需要迅速到位并高效交付，然而，由于涉及多个组织的人员数量复杂，这一过程受到效率低下和延误的困扰。如果这是通过电子表格、电子邮件、电话和人工流程来管理的，那么延迟就不足为奇了。BBC网站上的这篇报道举例说明了这些延误的影响；[社会护理危机：92岁的女性，等了四个月才出院。][0]H2H本可以识别出这名妇女正在等待她的护理包裹，并在仪表板上显著地显示她的延误，以便所有参与者都能不断地提醒谁需要护理，他们正在经历的延误。人们在等待护理包裹时不会迷失在行政流程中。该项目的第二阶段将解决互操作性问题。互操作性是我们客户的一项关键要求，该项目将为H2 H开发一个互操作性平台，使解决方案能够不受偏爱地进行互操作。这将使过氧化氢成为医院电子病历和成人社会护理解决方案之间缺失的一环。[0]：https://www.bbc.co.uk/news/uk-wales-59010673

The pressure on the NHS and Adult Social Care is a daily feature of the news in the United Kingdom. Wait lists to go into hospital, excess bed nights in hospital and wait lists for care after discharge from hospital are topics with which we are all very familiar with. The pressures only multiply when we think of our ageing population and there is no doubt that after being discharged from hospital allowing elderly people to recover in their home environment gives them the best chance of getting better.Hospital to Home (H2H) was a response to these pressures. H2H digitises the discharge to assess process allowing one single version of truth for a person's discharge journey from hospital through to them being assessed at home.If you are a person on pathway 1, 2 or 3 then the home assessment is the start of the next journey of your care which is usually a six-week package involving commissioned providers, adult social care and community and voluntary organisations.The first stage of this project will extend the functionality of H2H to include the four pathways of intermediate care:* Reablement* Crisis Response* Home Based* Bed BasedFor elderly people, care packages need to be put in place quickly and delivered efficiently however the process is beset by inefficiencies and delays because the number of people involved across multiple organisations is complex. If this is being managed on spreadsheets, emails, telephone calls and manual processes, it is no wonder that delays are common place. The effects of these delays are exampled by this report on the BBC website; [Social care crisis: Woman, 92, waited four months to be discharged.][0] H2H would have identified that this woman was awaiting her care package and displayed her delay prominently on a dashboard so that all involved have a constant reminder of who is needing care and the delays they are experiencing. People do not get lost in administrative processes when they are waiting for care packages.The second phase of the project will address the problem of interoperability. Interoperability is a key requirement of our customers and this project will develop an interoperability platform for H2H which will allow the solution to interoperate without favour. This will allow H2H to be the missing link between hospital Electronic Patient Records and Adult Social Care solutions.[0]: https://www.bbc.co.uk/news/uk-wales-59010673