Engaging%20Medical%20and%20Rehabilitation%20Support%20for%20TWGHs%20Wong%20Cho%20Tong%20Enhanced%20Home%20and%20Community%20Care%20Services%20-%20the%20KWH%20Experience

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Engaging Medical and Rehabilitation Support
forTWGHs Wong Cho Tong Enhanced Home Community
Care Services the KWH Experience
Dr. Lorna Ng, SMO, Dept of Family Medicine,
KWH Dr. M.H.Chan, COS, Department of Medicine
Geriatrics, KWH Ms. Mariana Wong, Superintendent,
TWGHs Wong Cho Tong Social Service Building Mr.
Eva Liu, Executive Manager, Dept of Allied Health
Community Support, KWH Mr. Lawrence Fung,
Department Manager (Physiotherapy), KWH Ms.
Florence Lee, Department Manager (Medical Social
Service), KWH
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Any Best Practice and Service Model?
Any Best Practice and Service Model?
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ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
Demographics

• No. of clients seen 120
• Sex
• Female 83
• Male 37
• Mean Age 81

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Clinic Statistics
Total no. of sessions 52
No. of clinic visits per patient lt 3 visit 86 ? 3 visit 32
Total no. of patient consultations 252
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Clinic Statistics
Referral to other clinical specialties 9
Referral to Allied Health Services 4
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Clinic Statistics
Investigations done 65
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Health Status
Top chronic diseases presenting at clinic visit Top chronic diseases presenting at clinic visit Top chronic diseases presenting at clinic visit Top chronic diseases presenting at clinic visit Top chronic diseases presenting at clinic visit Top chronic diseases presenting at clinic visit
CVA 73 Musculoskeletal disease 32
HT 70 Dementia 31
IHD 47 Depression 21
DM 32 COAD 15
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
Total no. of active clinical problems 543
Average no. of active problems per patient 4.6
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Physical Status
No. of clients dependent in functional mobility 65
No. of clients totally dependent in ADL 9
No. of clients totally dependent in IADL 28
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Hospital Admission
Baseline Period (Oct 04 Sep 05) Baseline Period (Oct 04 Sep 05) Baseline Period (Oct 04 Sep 05) Baseline Period (Oct 04 Sep 05) Intervention Period (Oct 05 Jul 06) Intervention Period (Oct 05 Jul 06) Intervention Period (Oct 05 Jul 06)
No. of pat with hosp adm No. of pat with hosp adm 14 7
No. of hosp adm episode No. of hosp adm episode 28 12
Prevalence rate of hosp adm Prevalence rate of hosp adm 11.6 5.8
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Performance Indicator 1 Fall-related Injuries
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Reasons Led to Unplanned Hospital Admission
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Prevent Unplanned Hospital Admission / Prevent
Hospital Admission (Oct 2005-July 2006)
Reasons Prevent Hospital Admission Prevent Hospital Admission Prevent Hospital Admission Prevent Unplanned Hospital Admission Prevent Unplanned Hospital Admission Prevent Unplanned Hospital Admission Total
Chest infection and other respiratory problems 5 4 9
Stroke neurological problems 2 2
Cardio-vascular problems 3 1 4
Urinary tract infection 8 8
GI illness (eg. Diarrhea/GI bleeding) 1 1
Arthritis/non-injury musculoskeletal illness 3 3
Other infection/sepsis 1 1
Fall-related injuries 1 1
Total 22 7 29

Total consultations for acute problems 132 Total consultations for acute problems 132 Total consultations for acute problems 132 Total consultations for acute problems 132 Total consultations for acute problems 132 Total consultations for acute problems 132 Total consultations for acute problems 132 Total consultations for acute problems 132
Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22 Prevent hospital admissions/unplanned hospital admissions 22
ResultsFM Clinic - EHCCS (Oct 05 to Jul 06)
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Success Factor Community Engagement
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Thank You!!