(Completion rate: 72.73%) (Completed responses)

Summary Report

(Completion rate: 72.73%) (Completed responses)

1. In which health authority do you conduct the bulk of your work as it would relate to frail

elderly and emergency department visits?

3. How important to your healthcare role is access to electronic information about frail elderly

clients' ED visits

4. We would like to know from you how important a particular data element is to you and how

you would like to receive the information. Please tick below your preferred option, listed from

Essential including automatic notification and access, to not needed. Please note that you can

only select one button for each data element.

5. Are there other data elements that would be essential for you to know? If so, would you

want automatic notification and access, or access only?

6. What are your currently available options for receiving electronic information? (Check all

that apply)

7. Ideally, what options would you prefer for receiving automatic electronic notifications and

information? (Check all that apply.)

8. If you were to receive an automatic notification, which data element(s) would you want to

receive via a handheld device if that were an available option? (Check all that apply.)

Appendix

5. Are there other data elements that would be essential for you to know? If so, would you want automatic

notification and access, or access only? |

#

Response

1.

Any specialists consultations

2.

Temp, BP, HR, wt

3.

Medication changes, suggested or already arranged specialist appointments, pending investigations, advance directive/code status would be great as automatic and access. Past medical history would be great as access only.

4.

Documents from specialists seen in ED

5.

notification

6.

Vaccinations given- notification

7.

no

8.

family and NOK information

9.

Services arranged for at time of discharge or current services individual already receives ( ie homecare)

10.

Any supports already set up in house.

11.

Yes. Need to know what services are required in the community. Any support systems the pt. may have or lack. Any risks to home health workers that ED staff are aware of.

12.

none

13.

any other relevant psycho social data; depending on relevance could be automatic notification or access only.

14.

Time of discharge -auto notification Type of transportation back to home - access Family/friend aware -access

15.

None

16.

Patients without a GP need to be identified and supported Was Home Health secured? and do they have the capacity to do?

17.

No

18.

I also believe that in addition to the reason for presentation, the means by which they were sent to ER, ie self referral, sent by Family Doc, WIC, Specialist, HH, etc... it helps us determine where care originated and also appropriateness of that care. FPs often dont know that pt was at WIC, because despite CPSBC regulations requiring them to send us info, They typically do not

19.

What is meant by essential access versus optional?

20.

Good to have access to SW or Geri RN notes, especially about family and ability to cope with changing needs of elderly/disabled Clients.

Yes

21.

Medication

22.

n/a

23.

level of intervention if discussed

24.

no

26.

Prescriptions given, imaging results

27.

Discharge Summary, Access only

28.

no

29.

Wow, if the above list was available and accessible that's all I need!

30.

Names of health professionals involved in care - essential, automatic notification Discontinued medications, medication dosage changes - essential, automatic notification

31.

no

32.

No

33.

I don't think I understand what you mean by access - are you talking about me accessing the patient's hospital record via a login to the hospital system?

I am still on a paper system.

34.

The MOST documentation from previous admissions or visits

35.

Where they went? home/conalscent care? How they got home, who was with them.

36.

It would be good to know whether the pt was asked about the need for supports/services at home. Optional/Automatic notification and access.

37.

Automatic notification and access

38.

Family/advocat contact no. / essential if at all possible.

39.

automatic notification and access

40.

code status

41.

Family member/supports aware of the visit and follow up. access only

42.

none

43.

BC palliative Care registration

Northern Health Pallaitive Care Registration Care plan

Advanced directives

44.

It would be beneficial to have automatic notification and access so we can put their homecare services on hold and better bridge the gap of communication between the hospital and home care

45.

Family memebers notified of information and follow up.

46.

Any equipment recommended or received.

47.

Home support needs on discharge. Automatic notification and accwss.

48.

Resuscitation status Extended benefits Infection control alerts Med alerts

49.

Reason for any changes in Medication

50.

it patient dies in hospital (recent example where I was not notified, found out months later when I noticed I had not seen pt for B12 shots!)

52.

access

53.

Who the community/primary health care providers are as well as who if anyone is caring for the patient in the community.

54.

community supports required supports in place ie.family

55.

Family aware of admission and discharge- automatic notification.

56.

Who is looking after patient on discharge. Discharge medication changes.

57.

Alternate contact information, family support, PAlliative Care Registration, Code status

58.

Discharge medication orders if not part of category med orders

59.

Prescription history changes to medication

60.

Level of Intervention - essential access only

61.

Most data elements are better as access only, if they all become an automatic notification you may spend more time going through something not relevant before finding what may be relevant to the current visit.

62.

Family supports in the home

Equipment available in the home for pt safety ie wheelchair, walker, lift, bath seat, transfer bars.

63.

diagnosis, follow up instructions, medication intitiated or changed

64.

no

65.

Referrals made

Outpatient labs requested from ER Diagnostic imaging requested from ER

66.

Code status. Family contacts. Power of attorney , medical directive

67.

Discharge medications - automatic notification and access

68.

None

69.

supports if any, accompanying patient to ER. And/or plans for supports in discharge. Access only.

70.

Discharged with whom, and how. next of kin aware.

cognition assessment to ensure understanding and follow up and ability to do so

71.

referrals to any H services or community support services (Red Cross, Meals on Wheels, Better at Home, etc.)