Patient Flow Collaborative – Hip Fracture Pathway (Part 1) Project Name: Hip Fracture Pathway (Part 1) Planned Start Date: 30/01/2018 End Date: 27/04/2018 (Part 1) What are you planning to do? Develop a standardised pathway for elderly low trauma hip fracture patients. What is in and out of scope Potentially two sprints: Development and agreement of the pathway; Education and implementation/go live of the pathway. What outcome will be achieved? Reduce the time patients with a hip fracture spend in ED and wait for surgery. Reduce clinical variation of care and improve patient outcomes. Resources - People Executive Sponsor: Barb Crawford Clinical Lead: James Brinton Project Team: This team should include ‘on the ground’ clinical support Name: Role: Dr John McKenzie Ortho Geriatrician Dr Kate Curtis Clinical Nurse Consultant Emergency Services ISLHD Hayley Willett Acting Nurse Unit Manager B4W (Ortho) Pete McRae Clinical Nurse Specialist Emergency Kate Weeks Senior Physiotherapist (Ortho)  Marie Tobin  Co-Director Aged Care, Rehabilitation and Palliative Care Resources - Other What other resources are needed (e.g. data, materials, templates, other people?) Time and commitment. Clerical Support Officer required to administer working party. New CNC Surgery from 1 June 2018 Key measures How are you going to measure the effectiveness of the sprint? (Min 1 KPI needed) KPI 1: Total No. of patients on Hip Fracture Pathway by Sept 2018. Start measurement: 0% - New initiative. Target 100% End measurement: KPI 2: Reduction in length of time from diagnosis to surgery ISLHD. Start measurement: 60 hrs (target 54hrs). KPI 3: Reduction in Major HAC (Delirium, UTI, Pneumonia) for I08 patients. Start measurement: 57 total cases. (Target 20% reduction). TBC Risks and Issues What are the risks and issues and how are you going to mitigate? Risk: Lack of agreement to endorse pathway. Mitigation: Working party with governance in place. Risk: Volume & scale of education & the number of groups to educate. Mitigation: Representation of groups on the working party. Action Planning List the actions the team will undertake over the course of the sprint What: By who: By when: Status 1. Set up MDT working party JB 30/01/2018 2. Draft hip fracture pathway  3. Draft pathway to be reviewed 26/02/2018  4. Hold working party 27/02/2018  5. Formalise and Endorse pathway at working party 29/05/2018  6. Legally approve pathway through medical records BW / TM June 2018 Status: On Track Minor Delays Major Delays Outcome Tick the most appropriate from below Date: □ Agree and transition to BAU □ Try alternative solution □ Abandon Comments and Learnings What learnings would be helpful to know in the future? Action 5. Delayed-Amber due to project team consensus on draft clinical pathway. Next steps Staggered go-live starting September 2018 with implementation plan from July 2018