EMPACT is working with Royal Derby Hospital to use InterQual®, a utilisation review (UR) software tool to continually monitor day-to-day admissions, care and discharge.
In the first EMPACT programme of its kind, we have trained seven hospital staff to use the McKesson review tool to assess whether the right care is being provided in the right place at the right time.
This approach is called an 'embedded programme', and provides a longer-term assessment of bed use and care than the regular 'snapshot review' visits undertaken by our UR team at many East Midlands hospitals.
The first phase of the Royal Derby Hospital embedded programme involved working with the newly trained reviewers to undertake a snapshot review together.
To illustrate the versatility and benefits of the system, the combined team undertook 168 reviews of unplanned admissions, which included urgent and emergency cases. A further 168 patients had a continued stay review as part of the initial study. The output from the first phase has been a report of the findings plus an identification of other clinical areas in which to use the tool.
Future possibilities include embedding the UR tool along certain clinical pathways, such as stroke, fractured neck or femur or frail elderly.
The latest phase of the Derby project involves the hospital installing an interface between their patient admission system and InterQual® to enable ongoing monitoring and assessments.