We are investigating care transitions experienced by residents of nursing homes. The specific aim is to clearly define a successful transition from nursing home (NH) to Emergency Department (ED) via emergency medical services (EMS) or inter-hospital transfer (IHT).
We also sought to determine costs of transfers from system and family/resident perspectives; to develop a practical tool to assess transfer success, in terms of quality of care and avoidable complications; and to analyze the influence of organizational factors in key practice locations (nursing homes, pre-hospital transport services, and emergency departments) on transfer success. The initial OPTIC 4-phase study occurred over a 36-month period (starting Nov 2009) as a partnership between Alberta and British Columbia involving the University of Alberta, University of British Columbia Okanagan, Alberta Health Services, and Interior Health Authority.
All transfers of residents over one year from the nursing home, via the emergency medical system to the emergency department were studied, as well as further in-depth analyses of nursing homes with the highest referral rates. The residents, their families, transport crews, physicians and staff were interviewed to create a picture of the resident’s care in each of the three settings and to describe a successful transition.
The results of this study include thedevelopment of tools (T3, OPTICS) used to measure successful transitions of nursing home residents to the emergency department and back to the nursing home. This will help improve quality of care and reduce the burden on busy emergency departments. This knowledge will help managers make better informed decisions and will improve the lives of the frail elderly who experience these transitions.
Optic 2016 Participant's Report