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    MCAP

    MCAP is a clinical utilisation review system that supports healthcare organisations to tackle patient flow, delayed transfers of care and stranded patients, by identifying opportunities to reduce Length of Stay

    Why MCAP?

    Identify the right level of care for patients

    Enable clinicians to quickly establish if the patient is receiving care at the most appropriate level

    Identify patients fit for discharge to alternative pathways

    Support clinicians to identify patients fit for discharge to alternative pathways more appropriate for their individual care needs

    Reduce average Length of Stay

    Effectively manage the movement of patients and reduce delayed transfers of care, by identifying opportunities to limit unnecessary episodes of extended length of stay

    Reduce departmental delays

    Utilise data to support service redesigns to reduce delays and improve operational efficiency

    Identify trends causing bottlenecks

    Provides insight into the principal reasons for continued stays and subsequent delays.

    Maximise efficiency of resources

    Increases utilisation of clinical space, while also promoting faster patient rehabilitation through the avoidance of deconditioning. 

    MCAP has proved invaluable in identifying admissions that could be avoided by streaming the patient to an alternative level of care appropriate to their care needs, this delivered significant savings to the health economy as part of our reconfiguration program.

    Senior CCG Director

    The information that the MCAP system provided gave a valuable insight into current blockages to patient flow in cancer services to enable NCAT to work with the Trusts to explore solutions to more effectively manage their inpatient bed resource.

    Director National Cancer Action Team

    When the MCAP challenge criteria is integrated into a patient flow module, it will identify TWICE the number of patients that are able to move to alternative care pathways than previous Medically or Therapy Fit For Discharge (MFFD or TFFD) processes.s

    Identify the right level of care for patients

    It is well documented that longer stays in hospital can lead to worse health outcomes for patients due to deconditioning. Ensuring patients are in the right place, at the right time, based on their clinical need, is critical to avoid overcrowding and to reserve hospital beds for those who need them most. The MCAP clinical utilisation review software supports frontline teams to identify the right level of care for their patients, and identify patients fit for discharge to alternative pathways more appropriate for their individual care needs. MCAP improves patient care by supporting hospitals to tackle delayed transfers of care, stranded patients, and achieve a reduction in Length of Stay. MCAP also Integrates into existing systems, avoiding double entry of data and creating a ‘Single Version of the Truth’ for the wider Integrated Care System (ICS).

     

    Understand root causes of patient flow blockages

    MCAP’s specific, evidence-based clinical criteria identify the underlying root causes of patient flow blockages, these can be used to understand exactly what systemic issues the hospital is facing. MCAP utilises internationally recognised clinical criteria that is applicable to a range of specialities, including medical, surgical and mental health. The data is collected at patient level and aggregated to give a strategic view across the hospital, Integrated Care System (ICS), region or nationally, providing an objective and standardised methodology to measure reasons to reside. Only one criterion needs to be met for an admission or continued stay to be considered medically necessary.

    Utilise internationally recognised clinical criteria

    The criteria within MCAP are considered best practice, evidence-based and have been adapted to embed local clinical practices and guidelines; such as the Discharge Guidance endorsed in the UK by the Royal Colleges of Medicine. The MCAP Criteria are comprehensive but easily understood by frontline staff. Data collected on MCAP is able to be utilised to automatically generate the national mandated discharge sitreps introduced in England in 2020, saving time for front-line staff and ensuring data is consistent and accurate.

    What makes MCAP different?

    The MCAP clinical utilisation review software supports frontline teams to identify the right level of care for their patients, and identify patients fit for discharge to alternative pathways more appropriate for their individual care needs.

    MCAP utilises internationally recognised clinical criteria that is applicable to a range of specialities, including medical, surgical and mental health. The data is collected at patient level and aggregated to give a strategic view across trusts, providing an objective and standardised methodology to measure reasons to reside. Only one criterion needs to be met for an admission or continued stay to be considered medically necessary.

    The criteria within MCAP are considered best practice, evidence-based and have been adapted to embed local clinical guidelines; such as the Discharge Guidance endorsed in the UK by the Royal Colleges of Medicine. 

    The MCAP Criteria are comprehensive but easily understood by frontline staff. Data collected on MCAP is able to be utilised to automatically generate the national mandated discharge sitreps introduced in England in 2020, saving time for front line staff and ensuring data is consistent and accurate.

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    Identify large numbers of patients that can be discharged

    Identify barriers to the discharge planning process

    Integrates into existing systems, avoiding double entry of data and creating a ‘Single Version of the Truth’ 

    Utilises internationally recognised clinical criteria that are applicable to all specialities 

    Data collected is able to be utilised to automatically generate the nationally mandated discharge sitreps

    A reduction in delays and an annual saving of £324,000 per annum

    Reduction in Length of Stay in target wards of 2.35 days

    A 50% reduction in patients delayed due to pre-surgical admission

    Reduction of patients delayed due to awaiting rehabilitation by 37%

    100% increase in MFFD or TFFD patients

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