HIV inpatient February 2015 Penny Lewthwaite. HIV inpatients June 30 th 2014- February 2 nd 2015 43 inpatients.

Slides:



Advertisements
Similar presentations
Seaton Hospital Pursuing Perfection Discharge Project Pursuing Perfection means raising standards to ensure patients have the right care at the right time.
Advertisements

For primary and secondary care settings
SAFER Patient Flow Bundle The patient flow bundle is similar to a clinical care bundle. It is a combined set of simple rules for adult inpatient wards.
Suffolk Care Homes An Integrated Approach
A Seamless Service..  Recognition that COPD and asthma a significant problem for our health economy  Data: 1800 admissions in 1996  1995: COPD and.
Marc Hopkinson Gateshead Care Home Programme. Our Mission & Vision Mission: Working together to improve the health of Gateshead Vision:  Care for people.
Baseline Model of care for proposed community wards Appendix 1.
Version 11Page 1 of 6 Improving Identification of Patients Infected with HIV Using Rapid Testing in the Emergency Department: A Systems-Based Approach.
Wessex BASHH regional audit 2008 Dr Emma Rutland.
Adult Hospital at Home Service Sue Gibbs 27 th March 2014.
Physiotherapy Management of Malignant Spinal Cord Compression Suzanne Hodson Senior Physiotherapist at WPH October 2013.
Acute Medicine Programme A clinician-led initiative of the Royal College of Physicians of Ireland (RCPI), the Irish Association of Directors of Nursing.
Peter Ward Senior Physiotherapist Acute Medicine Driving Healthcare Change Through HSCP Research February 28 th, 2014 Carole Murphy Senior Occupational.
Ebola Virus Disease (EVD) Updated 11:30 a.m
Central Receiving Center (CRC) System of Care Donna P. Wyche, MS, CAP Manager, Mental Health and Homeless Issues Division Orange County Family Services.
23 hour surgery Beth Jackson Senior Clinical Nurse Specialist Breast Unit The Royal Marsden Hospital NHS Foundation Trust.
Calculating & Reporting Healthcare Statistics
Overview of services provided in Fareham and Gosport by Southern Health NHS Foundation Trust Fareham and Gosport Voluntary Sector Health Forum May 2015.
Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants.
KEEPING BUGS AT BAY Clinical Nurse Specialist Infection Prevention & Control.
Alcohol related liver disease George Abouda Gastroenterology and Hepatology consultant Alcohol awareness day September 2013.
The diabetic vascular foot (a 20 week snap shot review) Martin Arissol Vascular podiatrist.
Though the administration of intravenous antimicrobials in Ireland has traditionally occurred in in-patient settings/acute hospitals, there is a growing.
0 Prepared by (15pt Arial) [Insert name of presenter 15pt Arial Bold] [Insert title] [Insert Hospital name] Month 200X (12pt Arial Bold) Understanding.
The Big Puzzle Evolving the Continuum of Care. Agenda Goal Pre Acute Care Intra Hospital Care Post Hospital Care Grading the Value of Post Acute Providers.
Cost-Conscious Care Presentation Follow-up Chest X-Ray in Patients Admitted for Community Acquired Pneumonia Huy Tran, PGY-2 12/12/2013.
Both Partners:  Healthy life style  No Smoking  Alcohol ▪ Female: Avoid alcohol altogether ▪ Male: maximum of 12 units per week.
DECREASING HOSPITAL ACQUIRED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) THROUGH ACTIVE SURVEILLANCE Confidential: For Quality Improvement Purposes.
1 Case year-old White UK male Lived with wife Living in urban area in England.
Mental Health, Community and Child data Supplier Forum, February 2013 Netta Hollings – Programme Manager.
Acute Quality Standards Dan Beckett Acute Physician CMO Advisor for Acute & General Medicine.
The Acute Oncology Project
Hospital at Home for COPD Dr Tarek Saba Consultant Chest Physician Sister Pauline Berry Respiratory Nurse Specialist.
25 January 2013 Dr Ian Arnott UK Inflammatory Bowel Disease (IBD) audit Audit of inpatients with ulcerative colitis 1st January 2013 – 31st December 2013.
Improving the quality of medical and surgical care NCEPOD SEPSIS STUDY.
Case 1: 23-year-old Male Student Clinical Director, Division of Infectious Diseases Brigham and Women’s Hospital Professor of Medicine Harvard Medical.
The Health Roundtable Central Network Respiratory Coordinated Care Program Innovation Presenter: Benjamin Kwan Staff specialist respiratory and sleep medicine.
By OPAL & Memory Team Improving the Individual Experience – Getting the System Right EARLY DIAGNOSIS INTEGRATED CARE PATHWAY RBCH Model.
The OPAT experience in Nottingham
MORTALITY AUDIT Dr S Callin SpR Palliative Medicine Dr L Russon Consultant Palliative Medicine BRI Palliative Care Team.
Heart Failure: a community-based diagnostic clinic & service
David Praill Chief Executive, Help the Hospices Hospice and Palliative Care An Introduction and Overview.
1 Shaping a new mental health liaison service for older people Colin Hughes Consultant Nurse - Older People (Mental Health)
Frail Elderly Pathway Walsall Healthcare NHS Trust.
VConnolly Acute Medicine – an out-patient specialty? Dr Vincent Connolly The James Cook University Hospital Middlesbrough.
Version: 1.1 Dated: 04/10/ ,000 Days Campaign Dashboard September 2012 Campaign Manager : Diana Dowdle Clinical Leader: David Grayson Improvement.
During 2011 COPD in Christchurch accounted for: 1,256 admissions (3.5 per day) 5,952 bed days (two wards in winter) 1 in 4 being readmitted within 28.
Community Intervention Team – the role it plays in integrated patient centred care Noreen Curtin 6th October 2015.
ED Capacity Management Admissions Flow through ED Tim Parke ED Consultant through ED.
Implementing a 24 hour telephone triage system for Haematology patients following chemotherapy and bone marrow transplant. Presented by: Paul Hickey.
Emergency Access Information Network - May 2009 ‘Why do people attend’ NHS Forth Valley A&E and what do we need to do to better manage demand’ Kathleen.
Date of presentation Name of presenter UK IBD audit 3rd round Primary care questionnaire.
Level 6 Discharges from Bradford Teaching Hospitals: Destination and Survival Dr Kath Lambert SpR in Palliative Medicine BRI.
Right Care in the right place, human centred care at home and in the community Sally King MSc MCSP NMP Respiratory Specialist Physiotherapist.
Candidaemia in Critically Ill Patients Dr Bunny Saberwal, Mrs Rakhee Patel, Dr Seng Zhi Quan and Dr A. Gonzalez ICE 2.
Collaboration to Reduce Hospitalizations at Rivington House and Beth Israel Medical Center AMDA LTC Conference March 22, 2013.
Forward Thinking Birmingham FTB. Saturday 02.00hrs.
DIABETES & VASCULAR FOOT REFERRAL GUIDANCE 2013 Ver4.0 With keys points adapted from NICE Guidelines - The Prevention and Management of Foot Problems in.
RADAR Rapid Access to (alcohol) Detoxification: Acute hospital Referrals.
‘Environment’ Glossary Administrative categories from UK National Health Service.
End of Life Care Pathways – an emergent picture Michael Muirhead NSS ISD.
ICPs for HIV care in NHS Tayside Morgan Evans Clinical lead.
FY 2016 GPRA/GPRAMA update: CA Urban December 2015.
The Next Five Years.  No national service framework  Patchy quality of care  Over 200,000 patients  Not topical  Lack of evidence for commissioning.
Older People’s Services South Tyneside Annual Update
Survey of acute hospital resources for patients with COPD T McCarthy, M O’Connor, on behalf of the National COPD (Respiratory) Strategy Group Population.
Hepatitis C in MSMs; a review of testing practices in the GUIDe clinic & a description of recent cases N. Lynn*, J Dean**, e quinn**, G Farrell*, C Murray*
HIV acutely unwell pathway Sussex HIV Network This pathway applies to all patients other than those listed in non-acute pathway All HIV+ patients with.
Dan Clutterbuck Consultant GUM March 2013
CRE prevalence among patients with no prior history of carriage
Presentation transcript:

HIV inpatient February 2015 Penny Lewthwaite

HIV inpatients June 30 th February 2 nd inpatients

HIV patient admissions to J20 June 30 th -October 31 st 2014 n=19 Nov 1 st – February 3 rd 2015 N=24

In patient bed days 43 patients 653 inpatient bed days to date – Includes 5 current in patients – Range 1-83 days – Average length of stay 15 days, Median 7 days

Length of stay by CD4 CD4Number of patients Mean length of stay (days) Range (days) < (1 to 83) 200-<350712(4 to 44) >350104(1 to 9) No data24(1 to 6)

Length of stay by CD4 CD4Number of patients Mean length of stay (range) Range <501025(4 to 83) 50-<100410(7 to 19) 100-< (1 to 73) 200-<350712(4 to 44) >350104(1 to 9) No data24(1 to 6)

CNS other: 2 headache, 1 cerebellar infarct, I muscular neck pain Infection other: 2 UTI, 1 otitis externa, 3 URTI/LRTI, 1 Exacerbation of COPD1 non- specifically unwell Non-infection: 1 Alcoholic Liver Disease, 1 haematemesis, 1 malignant hypertension, 1 arthritis flare after infliximab

Additional notes 15 patients newly diagnosed 2 patients representing after loss to follow up 1 patient transferred after HIV +ve screen and negative confirmatory test not included CD4 count on admission or closest CD4 count prior to admission used.

Acute Medicine Clinical Service Unit Referral and Reversal Pathway- ”Right place at the right time”

Information for network partners intranet: contact details Please update contact information for return of referred inpatients- document being circulated Information for local intranets: All HIV patients needing admission or inpatient review for specialist HIV care should now be referred to the Infectious Diseases Consultant-led team based on Ward J20 at St James’s University Hospital, LTHT via : Routine working hours ID secretaries 0113 (20)66614 WardJ (20)69120 ID Fax 0113 (20)66984 Out-of-hours ID Consultant via switchboard at LTHT