Tech in Care - Person Centred Technology
Simply, Safely, Securely
WHAT IS TECH IN CARE?
Tech in Care offers case management and tracking functionality, allowing users from multiple organisations to create, update and track Discharge to Assess (D2A) cases through an open, human driven workflow. The platform supports the D2A process from when a person is identified on the ward as requiring support on discharge, to the point that the person receives an assessment on their longer term needs within a community setting.
The service joins-up the work between acute trusts and social care for people being discharged, in a manner that simply is not currently otherwise possible. All stakeholders are able to securely log-in from anywhere, and see/update patient information in real time. Tech in Care offers management reporting that would otherwise take us hours of wrangling data, to understand D2A pathway performance.
Single Version of the Truth
Single version of real-time information on all live discharge to assess patients with different permissions and data-views dependent on user requirements and their authenticated access settings
Clear, comprehensive knowledge on all Pathway 1,2,3 and End of Life patients, ensuring the highest standard of safeguarding can be applied to their transition from hospital to home or care setting
A cloud-based case management and tracking system that has undergone extensive penetration testing organised by the Yorkshire & Humber WARP. It also benefits from being hosted in the Catalyst2 cloud and all the cyber security that provides
Mobile Working Options
Tech in Care has been designed ‘mobile-first’ and is available for D2A practitioners to use on mobile devices, tablets and desktops with equal ease
Tech in Care has been built with integration in mind and is actively developing open/supported API’s to enable appropriate integration with both acute and social care systems
Absolute clarity is given on what happened to each patient, when and what action or update was taken for reporting and audit purposes. Clear dashboards also give an overview of patient numbers at each stage of the D2A process, as well as any red flags
The case management and tracking functions of the Tech in Care system ensures each D2A partner knows where patients are, the next steps required and who ‘owns’ the D2A at any one point in time
Tech in Care automatically sends out both emails and SMS to the duty email/phone number for the Teams who are associated with that discharge, ensuring that resources are appropriately allocated
Multi Factor Authentication
Users accessing the system are required to use Multi Factor Authentication. The requirement applies to the user account and to their device. The system has been designed to ensure MFA works even in contexts where there is no mobile phone signal
Information Governance Compliance
A clear IG outline to ensure the safe sharing of personal data between the D2A organisations, as well as a standard Information Sharing Agreement to put in place with the technical provider
Improved Resource Planning
Tech in Care gives a view of all Estimated Discharge Dates over the next 7 days, as such D2A professionals are able to better plan and deploy resources – such as domiciliary care and transport – as required
With one tracking system, breakdowns in communication around transport providers, family members and/or domiciliary care provision are removed – it is clear who is in the Discharge Lounge and what needs to be done next
Improved Patient Experience
The safe and timely discharge of patients is at the heart of both the D2A process and the H2H system
Administrative savings of anywhere between 30-50% have been recognised by implementing Tech in Care, plus acute savings on bed nights, mobile working, reporting and audit savings
Released Acute Bed Nights
With clarity in terms of who is in the Discharge Lounge and upcoming Estimated Discharge Dates (EDDs), it is estimated that at least one hospital bed night per every two D2As can be saved at a saving of £400 per night
Improved Capacity in System
Time is freed up to undertake more valuable, strategic work. From a hospital perspective ensuring timely discharge will lead to hospital beds being freed up more quickly
Improved Speed of Discharge
By being able to track patients at every step of the D2A process, supported by system alerts and real-time dashboards, each D2A pathway can be progressed in a timely fashion with clarity and confidence
Improved Patient Communication
Communication with patients and families is currently often complicated, unclear and disjointed, with a clear understanding of where the patient is in the D2A process, clarity can be brought to these conversations and complaints reduced
THE D2A CHALLENGE
The challenge of safely discharging people from hospital is a national issue reliant on gathering and continually sharing/updating information from separate, unconnected systems. It requires a multi-agency approach involving hospitals (ward staff, doctors, discharge teams, pharmacy services et al), CCGs, adult social care teams, local authorities, transport providers, domiciliary care providers and others.
The updated Discharge to Assess (D2A) model was introduced in March 2020 in order to simplify and speed up hospital discharges in light of Covid-19. Since its introduction D2A teams across the country have been using all means possible – heavily relying on spreadsheets, email and the telephone – to support the safe discharge of patients.
D2A was a clear candidate for the SCDIA after numerous councils cited it as a challenge that desperately needed a digital approach. Starting in August 2020, five councils co-funded and co-designed a solution as part of the Social Care Digital Innovation Accelerator 2020/21 (SCDIA), which was run by CC2i on behalf of the Local Government Association, and which benefited from NHS Digital match-funding.
Subject matter experts from North Lincolnshire, Southend, Sutton, Herefordshire & Birmingham began by detailing their D2A challenges and then for the next six months were guided by the technical partner – Maldaba – who scoped, designed and developed a solution that met their varied – and quite complicated – requirements.
Lorenzo Gordon - CEO and Founder
Wendy Lawtey - Head of Adult Social Care
North Lincolnshire Council
“The pace at which H2H has been developed is something we could not have achieved alone. A solution of this complexity and design in just six months is an unbelievable achievement, and it was the commitment of all the partners – and the driving force of the pandemic – that made it happen.”
Lee Fermandel - Head of Adult Social Care
Hammersmith & Fulham Council
Michael Law - Business Development Manager
Hammersmith & Fulham Council
“CC2i is creating really useful software, in a novel way with local authorities. Products like Hospital to Home…are game changers for social care, providing solutions for known problems in local authorities.”