Breakout session 1 Plenary 9.50

1
Breakout session 1 Plenary 9.50 10.35
Web tracker update and how to link with length of
stay innovations
Wendy Tomlinson Patent Flow Coordinator Melbourne
Health 5th May, 2005
2
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Emergency Patient Status Viewer (Web Tracker)
• Emergency Department
• Ward View
• Nurse Unit Manager group
• Initial call to interested parties.
• Specific targeting of areas.

3
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• LOS initiatives project
• Opportunity to introduce whole system thinking.

4
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• ? Collaborative approach to patient access.
• Demand responsibility of bed managers.
• Capacity responsibility of ward
• AIM
• Assist ward staff to understand the demand and
  provide capacity in a timely manner.

5
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• We expected the ward to provide the capacity to
  meet the demand with
• Limited information
• Effort at times when not needed
• Stress
• Dissatisfaction

6
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• LOS initiatives
• Emergency Patient Status Viewer
• Predictive emergency load

7
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• LOS initiatives
• Capacity
• Emergency Patient Status Viewer and predictive
  emergency load
• Demand

8
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• LOS initiative
• Admission / discharge mismatch

9
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Discharge Priority Project
• main areas of delays on ward on DAY OF DISCHARGE.
• Brain storm
• Tally sheets over two weeks on three wards

10
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Waiting for Tests / Results
• Radiology Pathology
• Discussion on how to get priority for discharging
  patients.
• Agreement by all parties to write guidelines.

11
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"
12
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"
Discharge Priority Project
Radiology working with 7SE, 7SW, 9E
13
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Delay in review by unit
• Unit / ward specific
• Weekly discharge review rounds
• Senior clinicians medical, nursing and allied
  health.
• Address through PFC coordinating group to senior
  medical committee.
• Raise profile of PFC principles through
  organisation.

14
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Results

15
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Emergency Patient Status Viewer
• Push / Pull theory
• Allow ward to recognise demand
• Within ED
• For ward bed
• Across organisation
• Standard guidelines
• Action sheets, expected behaviour

16
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"
17
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Orthopaedic ward performance Pre

18
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Positive response.
• Involvement of all senior nursing staff and ward
  clerk.
• Issues identified and proactively addressed.

19
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Predictive Emergency Demand
• Number of admissions expected by day of week.
• White board meeting each morning for all NUMs/
  nurse in charge

20
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• White board meeting0900hrs

21
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Whiteboard meeting..0900hrs

22
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Results Orthopaedic / Trauma ward

23
" Emergency Patient Status Viewer, and how to
link tolength of stay innovations"

• Outcome
• Satisfaction
• Professional Pride
• Planned work load
• Collaboration with bed management
• Actively plan to pull patient out of ED within
  target times.
• Drive predictive discharge numbers.

24

• Questions

?
25
Morning Tea

• Meet us back here for
• Whole system care, and the older patient journey
• at 10.55