Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation P: │M:

Why? Patients waiting unnecessarily for discharge PLUS

What and How 1.Established state-wide CLD working group 2.33 members mix face to face / teleconference 3.Evidence review plus national and international experience 4.Identified testing sites (10  5  3) 5.Baseline patient and staff experience (3 sites) 6.Tested form and process (3 sites) 7.Conducted audit (2 sites)

Outcomes  CLD form  Transfer of Care checklist  Protocol  Competency set  Education/orientation slides  Early days for outcomes  69  19  3 Identifying patient Completing form

Enablers  Appropriate lead time – patience  Clinical leads in both nursing and medicine  Implementation lead  Education

Key learnings  ‘But, I already do this’  ‘Better transparency around discharge plan’  Plan! Plan! Plan! Measure! Change!  Slow start, small numbers  Establish robust processes for the weekend

networks/acute-care-taskforce Level 4, Sage Building,PO Box 699T www.ecinsw.com.au 67 Albert Avenue, Chatswood NSW 2067Chatswood NSW 2057F ABN