Hospital in the Home (HITH) in North West HHS

Overview

Initiative type

Model of Care

Status

Deliver

Published

26 August 2021

Summary

Thanks to the Hospital in the Home (HITH) model, North West HHS alleviated bed block during COVID-19 by managing stable patients and conditions in the community. By utilising technology for remote monitoring, the program enhances patient care while allowing them to receive treatment at home.

Key dates

Mar 2021

Implementation sites

Mount Isa, Mornington Island

Partnerships

Ps, primary health centres and multidisciplinary teams, Mornington Island Wearable Devices, Better Health Queensland

Aim

The goal of the initiative was to improve patient health outcomes by giving our patients another option of care. Our initiative assists the North West Hospital and Health Service in relieving bed blocks by taking stable patients and conditions and managing these in the community. Our initiative also allows for our Discharge Against Medical Advice (DAMA) patients to be offered to get back to country and receive an alternative delivery of care.

Outcomes

Although our patient capacity within any one time is six patients, we have still been able to see a total of 37 patients by mid-June 2021.

We are also assisting our DAMA patients by removing them from the hospital environment and seeing them in the community and provide care. Overall HITH has proved in the last three months prior to the end of June 2021 to be a great benefit for our HHS and the Mount Isa community as we have had great feedback from our patients, healthcare staff and general members of the public.

Background

With one 46-bed hospital providing tertiary support to 12 other remote communities, the Mount Isa Hospital routinely faces bed pressures.

The Covid-19 pandemic has brought about the need to be responsive to health challenges, in particular in rural communities. This is one such a responsive project, initiated to keep patients in their home on country and safe from Corona virus.

This project was sponsored by Better Health Queensland and a Covid-19 First Nations grant. It utilises technology to remotely monitor how patients are managing in their homes to enhance the care provided.

Methods

We implemented a medical hostel for our indigenous patients who did not reside within Mount Isa. By doing this we were able to get these patients out of hospital and into temporary accommodation and still receive care from HITH. This allowed for our regular DAMA patients to be satisfied and compliant with this option of care, this meant that they received full treatment and we were able to send them back to country. If HITH was not available these patients would have DAMA and deteriorated in the community and required to return to hospital.

Discussion

We received great feedback from our patients on our satisfaction surveys and we are confident to receive a good overall result.

Lessons learnt

  • to involve the right stakeholders from the start
  • networking with other HHSs provided valuable benefits

Key contact

Adebimpe George

Project Manager

North West Hospital and Health Service

Email:  Adebimpe.George@health.qld.gov.au