Credit Valley Hospital Patient Flow

1
Credit Valley Hospital Patient Flow

• Purpose of Initiative
• To improve the flow of admitted patients from the
  emergency room to the
• medical units and improve the flow of discharged
  patients leaving the
• inpatient medical units.
• How We Know It Worked
• Significant time reductions were achieved. 21
  improvement in overall
• non-productive bed time, an 80 reduction in time
  to vacate the room and
• an average admission process improvement of 2 hrs
  and 46 min.

2
Reducing Hospital Acquired Clostridium difficile

• Purpose of Initiative
• To reduce rates of hospital acquired Clostridium
  difficile at The Credit Valley
• Hospital by implementing a bundle of best
  practices.
• How We Know It Worked
• Rates of C difficile declined over the nine month
  period during which the
• bundle was implemented, with the exception of
  the final month.

3
Slow Stream Rehabilitation (SSR) Program

• Purpose of Initiative
• To establish a rehabilitation program on 1E for
  patients with complex medical
• conditions, to improve functional status,
  facilitate discharge back to the
• community, assist in bed utilization and patient
  flow across the continuum.
• How We Know It Worked
• Improved staff satisfaction and patient outcomes.
  Since Oct 2007, 35
• patients have been admitted to SSR and 60 have
  been discharged to
• home or a retirement home rather than long term
  care.

4
Decision Support and Information Management Using
Credit Valleys Business Intelligence Tool

• Purpose of Initiative
• A centralized approach to data management and
  reporting in order to enhance decision support
  and sustain evidence based decision making.
• How We Know It Worked
• The BI Tool provides easy access to clinical and
  financial information facilitating performance
  measurement and management.

5
MOREOB (Managing Obstetrical Risk Efficiently)
in Labour and Delivery

• Purpose of Initiative
• The MOREOB Program is a continuous patient safety
  improvement program
• for physicians and nurses focusing on teamwork
  and communication to
• manage clinical risk and adverse events.
• How We Know It Worked
• 75 reported that the program has been effective
  in improving patient
• safety. 86 would recommend the program.

6
Perinatal Immunization Project

• Purpose of Initiative
• To improve and standardize the antenatal
  screening and post partum
• immunization for perinatal patients.
• How We Know It Worked
• A 23 improvement was noted in the communication
  of antenatal blood
• work information being available for care
  providers.

7
The Facilitation of Heart Healthy Lifestyle
Choices By Cardiac Patients

• Purpose of Initiative
• To increase the adoption of heart healthy
  behavior changes in
• discharged cardiology patients.
• How We Know It Worked
• Improved capture of patients for outpatient
  education and follow-up
• from 15 to 54 as well as improved adherence to
  heart healthy
• behavior changes through discussion of barriers
  and objective setting
• (92 adherence versus 59 in control group)

8
Restraint Minimization

• Purpose of Initiative
• The creation of a hospital wide philosophy of
  least restraint that focused on
• patient safety and improved quality of care.
• How We Know It Worked
• Outcomes audits demonstrated a decline in the use
  of restraints.
• Unapproved restraints were not utilized.
• There has been a noted improvement in the use of
  alternatives for restraint.

9
A Critical Analysis of Systemic Therapy Delivery
(The Stream Team)

• Purpose of Initiative
• To improve efficiency of the Systemic Therapy
  Clinic and provide a
• better patient experience, by performing an end
  to end process
• review.
• How We Know it Worked
• Wait times decreased for service within many
  steps of the process
• resulting in patient satisfaction.