Reducing deaths in hospital

Definition:

That enabling choice at the End of Life is as much about the preparation during the last year of life as it is about providing the necessary services and response in the last days to enable this choice to be realised. Without early recognition and support it is less likely that the preferred choice regarding place of death will be realised

Information:

The Cohort Model identifies:

• There are about 1,000 deaths in hospital each year for a typical 200,000 population.
• That tariff costs for these deaths will approximate to £3M.

The Y&H Commissioner Financial Model identifies:

• The number of people who died in hospital in a specified period
• The number of people for whom an alternative pathway of care could be possible 

How to use the models:

Use the Cohort Model to explore:

• The impact of setting revised targets for facilitating choice to die out of hospital on community support and the inter-dependency of achieving these targets with the early recognition sector.

To use the Cohort Model in order to understand and potentially reduce deaths in hospital, follow the step-by-step guide in the Cohort Model tutorial.

Download example output, identifying local assumptions and alternative future scenarios

Go to the Whole Systems Partnership Cohort Model

Use the Y&H Commissioner Financial Model to explore:

• An understanding of the number of episodes and spells in hospital for the cohort selected in the last 3,6,9 or 12 months of life
• How to free up resources currently spent on Acute care by identifying patients with specific characteristics who may benefit from alternative care pathways

Go to the Whole Systems Partnership Cohort Model

Case Studies

Case studies illustrating possible applications for the tools:

Royal Marsden Hospital2Home Service