Last post today…
Rumours of a return visit policy leading to automatic admission….
Rumours!!
Returning ER patients within 7 days have clearly higher morbidity and Mortality relating to what ever issue is brining them back!!! Just a reminder to all and consider always seeing these patients yourself as staff and don’t just leave to resident/PA/NP etc if patient identified. Still hard to pick out the issue perhaps but a heads up always helps!!
John
An official welcome to Adam and Kirsten as well as Evan and Kelly!!!
So glad to have you all officially aboard both SMMH and HDMH teams.
John
1) Bracebridge new CT scanner destruction/construction to begin feb 29/2016. Portable CT to be on site and working while changeover.
2) Please write orders AS SOON as you plan to admit someone to facilitate transfer to floor/icu/etc. Gridlock policy being revised and hopeful to have deliverables to include expected times to admit. If MRP In hospital consider asking them to come and write orders! I just wore the MRP hat for a week for orphan inpatients in Huntsville. We should ask them to come admit more.
3)ER charts for admitted patients – process being worked through to have this scanned too into cerner….It is happening some…..Nancy (SMMH) and Kathy (HDMH)…working on.
4)MRP signover at end of shift on cerner!!! Coming….will help stop some unnecessary duplication of test results to you for patients that you never saw.
Merry Christmas to all!
John
Hi all,
Please see the attached email about CCAC reduction in service in our communitty as of nov 30th…
“Subject: NSM CCAC update
As you are aware, our financial position this year remains challenging. At this time, one-time LHIN funding has not been confirmed and further cost containment actions are required to ensure a balanced budget by fiscal year end.
As of November 30, 2015 all new patients referred from the community for personal support will be placed on the personal support waitlist. This will not apply to patients at end of life. Please note: there are no changes in access to nursing or therapy services at this time. Please note that this affects patients referred from the community and not the hospital.
We are committed to supporting system priorities and are doing everything possible to ensure hospital access to personal support services. We are doing this in an effort to avoid impacting hospital flow and ALC. Nevertheless, we do appreciate that hospitals may experience pressures in the emergency department as community patients with equal needs are being waitlisted.
We will continue to monitor our utilization closely based on the best available information and may need to take additional action. I will keep you apprised as more is known.
Once again, thank you for your understanding.
Karen Taillefer
Vice President, Patient Services; RN, BScN, MN
North Simcoe Muskoka Community Care Access Centre
Phone: 705-721-8010 x2303 / Fax: 705-792-6294
Email: Karen.Taillefer@nsm.ccac-ont.ca
Web: www.nsm.ccac-ont.ca”
!!!!! We have already contacted the LHIN and a letter being sent too to document our concerns with this. Hospital admin ( including Natalie) is aware!!!
We will keep advocating for our patients care.!!!
John
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