Committee
developing creative solutions for hospital bed shortages in London
area
Friday, November 3, 2006 -- Craig Anderson
Developing transitional beds in long term care homes to address acute
care bed shortages is a top priority of a regional committee looking
at ways to improve health care in the London area.
There is currently a problem
with “bottlenecking” is London, says Denise Bedard,
committee co-founder, with hospital bed space at a premium. Although
in the past LTC beds were also often in high demand, the hospital
bed shortage has reached the critical stage, prompting the Elgin
Middlesex Oxford Transition of Care Committee to make finding new
beds its short term aim.
The committee, which met Oct. 20th at Parkwood
Hospital, noted that there are currently 2-3 beds per LTC home that
are not always occupied.
The committee wants to create temporary “transitional”
beds, where recovering patients will continue to receive care comparable
to that of the hospital from long term care staff, with nurses administering
medication and physiotherapists providing recovery support.
Potential candidates for the beds would be patients
who have undergone procedures like hip and knee surgery and other
forms of specialized care.
“This solution would free up badly needed
beds, further reducing hospital stay costs, and wait times,”
says Bedard.
The committee, which met first in June, is a diverse
collection of hospital and long term care administrators, community
agency management and frontline workers. Its goal is to improve
the provision of health care in the London region by focusing on
critical gap areas in service.
“Transitional” beds were one solution
identified under the priority category labeled “Shortage of
Beds.” The other categories are Lack of funding, Mental Health
Challenges, Lack of Specialized Services, and Lack of Education.
Bedard explains that support is high for the committee
– of the 70 participants at the last meeting, 75 percent have
pledged a commitment to continue – and its next step is to
conduct a comparative analysis of research and literature around
its five identified priority areas.
“We’ll look at – ‘this
is what’s been done in the past and how can we go forward?’”
says Bedard.
“People want to be part of the solution.
Identifying gaps is one thing, but how do we go about creating the
solutions?”
The committee will likely focus next on another
top priority area – mental health challenges in long term
care homes.
“This one is tough,” says Bedard.
The committee has considered making recommendations such as the
use of Developmental Service Workers in LTC homes to help serve
long term care’s expanding demographic.
The committee is working towards eventually delivering
a report to the Ministry of Health and Long Term Care containing
a business model and best practices for addressing recurring challenges.
Requests for short term funding to address the
gaps has also been considered, says Bedard.
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