Page 198 - Hospital Authority Convention 2017

Parallel Sessions Parallel Sessions
HOSPITAL AUTHORITY CONVENTION 2017

PS14.1 Community Outreaching Services 14:30 Room 221

Use of Innovative Information Technologies in Enhancing Community Care
Chim CK
Community Outreach Services Team, Prince of Wales Hospital, Hong Kong
The use of information technology in community care has drawn increasing attention in enhancing the management of
chronic diseases in remote areas and for those with disability and limited support from carers. Through tele-care, tele-health
or tele-medicine, there is emerging evidence that it can help to improve access to specialists’ care, identify problems earlier,
initiate and evaluate treatment plans accordingly, and hence enable more efficient healthcare service delivery.

In this presentation, experience from the Community Outreach Services Team of New Territories East Cluster on how to
incorporate the innovative applications and technologies to deal with the increasing service demand will be shared. These
include the use of “HA Chat” for tele-consultation and tele-communication; and mobile device to enhance quality care and
data security in community care. The effects and outcomes of our programmes including the tele-wound consultation for
complex wounds management, tele-infectious disease communication for proactive surveillance in aged homes, and the use
of mobile device for outreaching service will also be evaluated and discussed.

PS14.2 Community Outreaching Services 14:30 Room 221

Past and Present of Outreaching Nursing Services in Hong Kong – Putting Patients at the Heart of Our Care
Mak MY, Tse D, Lee V, Mak F, Yeung SH, Poon L, Kng C, Lau CC
Community Healthcare Services, Hong Kong East Cluster, Hospital Authority, Hong Kong

Demographic shifts of ageing and longevity in Hong Kong greatly impacts on service demand of Hospital Authority (HA).
Wednesday, 17 May impact on the healthcare systems. To put patient-centred focus in care delivery and build capacity for future, our outreach
Further, rising burden of chronic diseases challenges existing service models for better ways to manage needs.
Past experience shows fragmentation and duplication of nursing services in community care delivery which has a negative
nursing services underwent major re-engineering through streamlining and integration. Our goal was to ensure patients
receive timely care with good continuity provided by the same nursing professional. However, it is never easy to set up a new
service delivery model by merging nursing teams from different hospitals with different backgrounds, culture, practices and
governance. For example, in the past, Community Nursing Services (CNS) was mainly responsible for nursing procedures
while patient assessment in Residential Care Homes for Elderly (RCHEs) was carried out by Community Geriatric Assessment
Service (CGAS). Hence, for successful integration, a systematic approach should engage stakeholders in five areas: patient
service delivery model and care protocols, staff training and handover, performance quality and deliverables monitoring,
management support and governance, and team and culture building.

This presentation will provide an overview of how outreach nursing services in the Hong Kong East Cluster evolved from
past to present, and looking for a strong future. It will outline our progress, explore lessons learnt, while identifying gaps and
improvements for further attention.

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