1. GOMER

2. Admitting a patient to hospital Processes Policies Roles and responsibilities Communication Documentation Transition planning

3. Where do they come from? Non-urgent referrals Emergency Department Inter-hospital transfer Intra-hospital transfer

4. Transfer of care Considerations Healthcare team leader Bed availability Other resources (eg theatre lists) Urgency Money?

5. Handover communication Accurate medication reconciliation Complete history Management plan Informing the patient and family Hospital paperwork

6. Bureaucratic hurdles Policy and process hell Health insurance fine print Internal budgets Politicking Sheer bloody-mindedness

7. Further reading? Going to hospital Medication reconciliation during transitions of care House of God Qld Health Admission policy Guidelines for preadmission processes, discharge planning,... Guidelines for preadmission processes, discharge planning,...