The Health Roundtable Planned Patient Arrival Update Presenter: Rochelle Condon Austin Hospital Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct

The Health Roundtable KEY PROBLEM  Bed Access Block  Growth in activity  Cubicle availability  ↑ Time to treatment for ED patients  ↑ Time to inpatient bed availability  ↑ Elective surgery cancellation rate  Ambulance offload time  Ambulance diversion/ Bypass requirement  Demand and supply of inpatient beds = mismatch  National COAG 4 hour Target  Redesign funding 2

The Health Roundtable AIM OF THIS INNOVATION  Continuous Improvement  Reduce Access-Block & Improve Patient Flow  Decrease in Bypass  Shorter ED stay  Earlier discharge time across organisation (by 9am -Base: 2.8% / Expected: 25%)  “Emptying of ED” every morning……. Improving patient flow and NEAT performance Aim 9am 3

The Health Roundtable BASELINE DATA Data pre-March 2011 PPA start 4

The Health Roundtable KEY CHANGES IMPLEMENTED  Organisation wide Planned Patient Arrival;  Primary: Admission of 1 patient at 0900hrs for every ward  Emergency department patient  Intensive Care patient  Intercampus transfer  Secondary: Discharge of 1 patient to accommodate PPA  Innovation……..  Each ward performing different strategies  Support resources aligned;  Transit lounge  Operational hours  Selection criteria  Subacute transfers PPA start GAPGAP 5

The Health Roundtable KEY CHANGES IMPLEMENTED Standardisation of process  Existing Redesign tools  utilisation of the ‘Patient at a Glace Board’ to identify 9am discharge. Measurement of performance Pt discharge planning- visual Management Spread - Ward tool kits developed PPA-Process flow charts Communication & education Staff empowerment Cordless Phones for ANUM’s Standardised expectations Handover Standardised language and expectations for Flow Management 6

The Health Roundtable OUTCOMES SO FAR Before After 7

The Health Roundtable OUTCOMES SO FAR 8

The Health Roundtable LESSONS LEARNT  Standardise processes  find bright spots and publicise  Planned patient arrival not departure- more work needed  Strategic Alignment  performance matters every day  Highlight the benefits to stakeholders  ↑ Safety- pts in the right place quicker  ↑ Quality- pts receiving treatment in wards quicker  Improved Delivery – services such as ambulances are freed up for others 9