Bringing home to hospital to reduce length of stay

With the introduction to NDIS, patients are not able to access their funding in a timely manner to facilitate discharge planning. For those with complex needs where their circumstances has changed drastically that they need access to NDIS to return home safely, patients are being held in the hospital awaiting for processes and access to timely assessments. 

The use of mixed reality can help change this by having someone at home take photos / videos and having those files converted to scale and projected in a clinical space to determine appropriate home modifications to start this process as soon as possible. There are currently major delays in getting clinicians to complete these assessments and having the correct information to the relevant people could potentially reduce length of stay. 

It will also ensure that the home modifications are correct and fit for purpose. 

Why the contribution is important

There are currently delays in getting access to funding through NDIS and also allocating a therapist to complete the assessment. 

With the use of mixed reality, photos/videos can be simply taken of the home environment using a standard mobile device, converted into a file that will draw to scale and have it projected into a clinical setting to determine the home modifications required. 

This will decrease length of stay as this process will be able to start as soon as the patient is ready and not be relying on funding and processes. It will require some initial funding for the software and hardware development, however the investment will be small compared to the cost of someone in the hospital bed. This also has a flow on effect as this may also cause bed blockages and increase length of stays in ICU for those patients who cannot access a bed in the rehabilitation units. 

by soo on May 21, 2019 at 04:20PM

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Comments

  • Posted by Kathy May 21, 2019 at 21:02

    I haven't heard of this type of thing before, and it sounds really interesting, I guess you could do something like this in a simulation lab?? not sure how it will reduce the time someone spends in a hospital bed, but I can definitely see how it can help the person transitioning back home so they can see what their home environment will look like. I would probably also decrease the back and forth between patient, NDIS provider and the hospital
  • Posted by soo May 22, 2019 at 15:31

    Hi Kathy,
    Thank you for your comments

    There are big delays at the moment with current inpatients waiting for NDIS plans to come through which can take weeks / months to commence their home modification process so this is how it will reduce the time someone spends in the hospital and length of stay is on the increase. Also, this is having an impact on patient flow in the hospital as it does not allow for newly injured patients to be admitted.

    There are existing technologies that we just need to test and ensure feasibility.

    It can also mean that some of the pre admission and follow up education, consultation and assessments can be performed in the community and not taking up a bed
  • Posted by Emilya May 31, 2019 at 08:14

    Great idea
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