QI 104 Implementation of MOSAIC (Multi-disciplinary One Stop Assessment and Intervention Clinic) within a Home Treatment Team

Abstract

Aim: To reduce the: 1.Proportion of people referred to the Home Treatment Team (HTT) following their initial assessment with the Mental Health Access Hub (MHAH) by 10% 2.Length of stay (LoS) for those patients referred to the Home Treatment Team (90% referrals <42 day length of stay) 3.Waiting time for an initial medical review following referral to the Home Treatment Team by 50%.

The initial assessment of patients referred to the HTT should include multi-disciplinary team (MDT) assessment of needs, but involving different professionals often occurs over days to weeks. MOSAIC was introduced as a one stop MDT clinic set up to review newly referred patients who required an urgent assessment. Prior to MOSAIC patients were seen by the MHAH where there was no immediate access to an MDT. The assessment was undertaken by one clinician who determined if the patient required the HTT or another community team. This could lead to delays in the assessment process.

Tools Used: Clinical Audit; SPC Charts; Patient/Survey Feedback.

Aim Target Achieved Reduce number patients referred to HTT 10% 34% Reduction in LoS (to <42 days) 90% 86% Reduce time to initial medical review 50% 95%

Project Impact: Aim - Reduce number of patients referred to HTT - Target 10% - Achieved 34%; Aim - Reduction in LoS (to <42 days) - Target 90% - Achieved 86%; Aim - Reduce time to initial medical review - Target 50% - Achieved 95%.