Discharge From A Virtual Ward
The predictive model used for identifying patients for admission to a virtual ward is also used to prompt the virtual ward staff when it is time to consider discharging the patient. When a patient has been assessed by all relevant virtual ward staff, and has been cared for uneventfully for several months in the "monthly review" section of the ward, then the ward staff may feel that the patient is ready to be discharged to an alternative service, which might include self-directed care, care of the GP or care of another community service. A discharge summary is recorded at the practice, and a discharge letter (written using lay terminology) is sent to the patient. After discharge the patient is still able to contact the Virtual Ward for advice, and may be readmitted if their clinical need dictates it. This not only ensures that the patient is borne in mind, but these quarterly review data are serve as positive feedback to the predictive risk modelling algorithm.
Read more about this topic: Virtual Wards
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