Patient Flow



The MCAP tool, Making Care Appropriate for Patients, exists to help our clients remain at the forefront of efficient and effective patient care. MCAP is a patient flow tool that identifies patients that are clinically suitable for non-admission or discharge, delivering significant efficiencies in patient flow and care. MCAP does not challenge clinicians’ care decisions; it is a decision support tool based on an objective analysis of the individual patient care service requirements, using evidence based clinical criteria.

The goal of the MCAP Criteria is not to deny care, but to put people at the right level of care given their individual care needs.

senior female patient in hospital

Reducing inappropriate admissions

MCAP provides assessments for patients of all ages using 55 medical/surgical and 48 behavioural health and substance use criteria sets and recognises more than 30 different levels of care. It helps clinicians identify patients who are clinically suitable for non-admission or could be provided care at alternative level of care, reducing inappropriate admissions.

MCAP has been applied in over 125 UK hospitals, where it has shown that a quarter of acute admissions could be avoided by providing care in an alternate, non-acute setting, including 5% of acute A&E patients that could go home with primary care follow-up or an outpatient appointment.

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Reducing length of stay

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 findings provide data not otherwise readily available, revealing opportunities for systemic improvement.

In over 125 UK hospitals, MCAP has shown that half of continuing care days could be avoided or provided in an alternative setting, including 10% of acute and intermediate patients that could go home with primary care follow-up. Enhancing your system with MCAP typically enables appropriate patient discharge 2-3 days earlier on average than the current acute care system and 7-10 days earlier than community/intermediate care systems.

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