“Trials have shown that ESD can reduce long term dependency and admission to institutional care and reduce the length of hospital stay”
CLAHRC, University of Nottingham, July 2010
The benefits of planned and coordinated Early Supported Discharge / Community Rehabilitation Services for stroke patients are well understood, its wide scale adoption was recommended in the National Stroke Strategy in 2007.
A review by the National Audit Office in February, 2010 concluded that these services were cost effective and that their scope should be extended to 100% (from 50%) of patients.
Fundamentally, these services are about streamlining the stressful transfer of stroke patients from in-patient care to intermediate care and ideally into a home care setting. When these critical transfers are not handled effectively they can leave patients feeling abandoned.
There are a multitude of challenges that need to be addressed in improving the effectivenenss of these transfers and the care paitents receive in a non hospital setting. Not least the number of different teams / services that need to be coordinated to ensure that the patient is receiving optimal care in the most cost effective way. For example, Community Rehabilitation Services (CRS) could include:
- GP’s
- Specialist and district nurses
- Dietetics
- Social Care teams
- Respite care
- Night sitting services
- Orthotics
- Consultants and other secondary care staff
- Plus many others...
In addition a key source of support is likely to the patient’s own personal care network.
These challenges will become exacerbated as the service is scaled to support a wider patient population, requiring that current approaches (team meetings etc) are augmented with more effective technology solutions.
What we offer
Driven by the Xantura Technology Platform (XTP) our Orion system has been designed to streamline the interfaces between primary, secondary and intermediate care. Critically, not just in the health system but across organisational boundaries.
This transformation of patient pathways is delivered by providing a platform through which multiple agencies can share patient data, in a secure auditable fashion.
In addition to providing access to shared personal data and case notes the solution also supports proactive monitoring of data held about the patient, alerting relevant professionals across organisations as risks escalate.
In addition to the Orion product, the Xantura Technology Platform also supports the SpringVault portal. This solution provides a mechanism through which informal personal care networks can be kept informed and coordinated with professional service teams.
In summary, our ESD / CRS solution provides a simple and effective way for partnerships to improve and scale up their Stroke rehabilitation services, delivering better care more efficiently.
All of our solutions are deployed on a 'Cloud' computing basis at a data centre that is being accredited to sit on the secure GovConnect network. Because of this approach the solution does not require a big technology integration / implementation project at client sites and can be implemented in a few months.