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       #Post#: 79--------------------------------------------------
       Reduce excess bed days and delayed discharge from hospital of st
       roke patient
       By: admini5 Date: May 11, 2015, 5:15 am
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       How to reduce excess bed days and delayed discharge from
       hospital of patients with stroke using Stroke REDS Initiative?
       To discharge patients, post stroke, within 24 hours. The Stroke
       REACH Early Discharge Scheme (Stroke REDS) is a specialist
       interdisciplinary team that can assess, facilitate and complete
       the discharge of patients post stroke, within 24 hours
       (sometimes same day) from receipt of referral. REACH is the
       community rehabilitation team. Stroke REDS helps to prevent
       unnecessary long admissions and, following 6 weeks of intensive
       intervention at home, reduces social care needs and dependence
       on ongoing rehabilitation. Ultimately the aim of the Stroke REDS
       team is to provide the same intensity of therapy that a person
       would receive on the stroke unit, but provide it at home
       instead.
       For further information, please visit :
  HTML http://arms.evidence.nhs.uk/resources/qipp/116737/attachment
       #Post#: 80--------------------------------------------------
       Re: Reduce excess bed days and delayed discharge from hospital o
       f stroke patient
       By: admini5 Date: May 11, 2015, 5:15 am
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       Audit data indicate that over two-thirds of London hospitals do
       not have access to an early supported discharge (ESD) pathway
       for their patients with stroke. In the remaining hospitals that
       may have access to ESD teams, some of these may not be staffed
       with specialist stroke-skilled team members, and some may be
       standalone teams that are not integrated with community
       difficult and may be detrimental to the long-term care and
       rehabilitation of patients with stroke.
       The Stroke REDS team was developed from a fully functional
       community rehabilitation team, Camden REACH, with the
       commissioning of new posts integrating stroke-skilled staff into
       a new ESD pathway. Camden REACH provides stroke rehabilitation
       and Stroke REDS is seen as an add-on to an existing stroke
       pathway. The team accepts patients from acute and inpatient
       stroke units who are suitable for ESD, and assists in
       identifying patients requiring further inpatient stroke
       rehabilitation. The team aims to meet the needs of the Camden
       patients with stroke while abiding by the Department of Health’s
       (2007).
       ‘National stroke strategy’, the National Collaborating Centre
       for Chronic Conditions (2008) stroke guidelines, Healthcare for
       London’s (2009) ‘Stroke rehabilitation guide’ and the National
       Institute for Health and Clinical Excellence (2010) stroke
       quality standard. This case study demonstrates implementation of
       the NICE stroke quality standard.
       The team operates an ‘in-reach’ model to assess, facilitate and
       complete a discharge within 24 hours of referral, including
       escorting the stroke survivor home using Stroke REDS transport.
       The team has also been able to facilitate discharges from the
       Hyper Acute Stroke Unit (HASU) on the same day as referral.
       Through facilitating the discharge process, the team enables
       seamless transfer of care from the hospital to the patient’s
       home. The team work with enabling carers from Carelink and
       discuss/review the package of care weekly to make sure that
       enabling care is focused on the rehabilitation goals that were
       set with each client. The team has access to medical input from
       REACH, the community team.
       The team uses a person-centred, goal-focused approach to
       intensive rehabilitation for up to 6 weeks, aiming to replicate
       what is offered on a stroke unit. During the latter part of this
       intensive process, any further ongoing care is transferred to
       the community team for longer-term rehabilitation. This transfer
       is made easier because Stroke REDS are part of the community
       rehabilitation team. The Stroke REDS team also conducts
       comprehensive reviews of a person’s life after stroke, in the
       stroke survivor’s home, 6 months after discharge from the
       service.
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