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Reducing preventable admissions to hospital and long-term care: a high impact change model




Local Government Association

Publication year:


This high impact change model aims to support local care, health, and wellbeing partners to work together to prevent, delay or divert the need for acute hospital or long-term bed-based care. The tool recognises that, while sometimes hospital is the most appropriate place for someone to be, most people want to be at home and independent for as long possible, and that this is generally the best place for them to recover. The model focuses on two goals and five high impact changes that help realise one or both goals. The two goals are: prevent crisis – actions to prevent crises developing or advancing into preventable admissions; stop crisis becoming an admission – actions to divert or prevent an attendance at A&E becoming an admittance to hospital or long-term bed-based care. The five high impact changes and the goal or goals they relate to: population health management approach to identifying those most at risk (Goal 1); target and tailor interventions and support for those most at risk (Goal 1); practise effective multi-disciplinary working (Goals 1 and 2); educate and empower individuals to manage their health and wellbeing (Goals 1 and 2); provide a coordinated and rapid response to crises in the community (Goal 2). (Edited publisher abstract)

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