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ESF 4.174: Training Health Care Professionals for Integrating Acute and Community Care

Project Cost: €536,466
Beneficiary: Department of Health
Line Ministry: Ministry for Energy and Health
Start Date: 2012
End Date: 2015

Non Technical Short Summary Of Project

Research was carried out to identify the training required to address gaps in the skills and competencies of Healthcare Professionals to provide a seamless and optimal institutional to community service. Training was then addressed the identified gaps whilst guidelines and policies developed.

Operational Programme: OPII Empowering People for More Jobs and a Better Quality of Life ESF
Fund: European Social Fund
Operational Objective: To strengthen the efficiency and effectiveness of the public sector.
Priority Axis: PA4 Strengthening of institutional and administrative capacity
Focus Area Of Intervention: OPIIPA4 Supporting Public Sector Reform
Focus Area of Intervention: OPIIPA4 Lifelong learning for the Public Sector

Project Objectives

• To increase the level of competence of the health professionals’ regarding discharge planning• To bridge the gap between acute care and community health care sector and thus improve quality of care for patients and their families.

Project Results

a) Length of stay and Re-admission to MDH/Gozo General HospitalThe length of stay for patients/mothers in the eleven (11) Medical/General wards and three (3) Obstetric Wards at MDH and GGH (average of 6.2 days in 2012)will be reduced by an average of 5%. This will be calculated by obtaining and recording data of admissions and length of their stay .. The initial study will collect the numbers of all Patients readmission episodes in the nine (9) Medical Wards at MDH and in the in the two (2) Medical Wards and GGH from a readily available system for the period of 1st August 2013 till 31st October 2013. Patients’ readmissions shall means those patients readmitted with the same condition within 30 days of their hospital discharge) Once the discharge liaison services are implemented, it is envisaged that the readmission rate will be reduced around of 5% for MDH and GGH collectively compared to the data collected by the initial study. Both actions will be measured after the training completion (July/August 2014) .b) Transfer to other institutionsAn increase by around 5% in the nine (9) Medical Wards at MDH from baseline rate of elderly patients (65 + years) being transferred to the community rather then other institutions. This action will be measured after the training completion (July/August 2014)c) Patients’ SatisfactionLately, MDH has embarked in a process to gather information regarding patients’ satisfaction in certain areas of care. Such process is still ongoing. The dissertation studies known were qualitative and not quantitative, and hence, here again, statistical rates of a patients’ satisfaction are not available. No further statistics could be identified so patient satisfaction tool will be designed, validated and executed in the initial study. Such tool will be distributed to a minimum of 70% of all patients discharged from MDH from the nine (9) Medical Wards and two (2) Obstetric Postnatal Wards and to a minimum of 70% of all patients discharged from GGH from the two (2) General Wards and one (1) Obstetric Postnatal Ward for the period of 1st August 2013 – 31st October 2013. A comparative study with be repeated using the same tool and research methodology with a comparative sample population size during the period of 1st August 2014 and 31st October 2014 (after training). The expected outcome will be of an increase in patients’ satisfaction levels equating to 10%. 3.6.1 Results - GozoPlease list separately any results that are specific to Gozo.Around 5% reduction with length of stay in the 2 General Medical Wards and 1 Obstetric Ward GGH will be reduced together with an average of 5% in the readmission rates. However the latter (readmissions) will not include the obstetric ward as postnatal women and neonate are readmitted in other wards and are mostly readmitted with other conditions. Patient satisfaction will be expected to increase by 10%The 5% increase to community rather then other institutions at GGH will not be applicable for Gozo due to the small number of patients’ transfers to residential institutions; however it is not expected that given the current trends for long term residential request that this will increase.

Project Purpose

• Research to identify existing gaps in the current practice and skills of nurses and midwives• To create a custom made training programme to address the gaps• To educate health professionals to provide patient care based on integrated and continuity of care and evaluate the project results