1. Optimised Recovery After Trauma Program (ORAT)
Grant Christey
MTS Symposium
5 April 2019

2. What’s the issue?
Patients with severe or multi-system injuries require integrated, specialised care to improve outcomes, wherever they are.
Single organ services may not be able to routinely do this.
Information loss impacts on patient care.
Despite complexity there are common issues that need to be routinely addressed.

3. What is ORAT? A cumulative checklist for care Consistent elements
Accessible, updatable, translatable
Real-time evidence base for MDT
Can inform multiple care providers: medical nursing, allieds, rehab, primary care; during and after admission.

4. How can it do these things?
Key elements are defined.
Elements applied to an information platform:
Open record accessible to whole MDT
Pro-forma for MDM
Detailed discharge plan (not summary)
Helpful for any primary clinical team
Test - refine - retest – authorise - implement

5. Master Element List 5 Domains; 62 Elements Patient and Processes
Clinical Status
Clinical Plans
Contacts and Supports
Rehab Goals and Risks

6. 3 Supported Activities
Ward Round Checklist
MDM
Discharge Plan

7. Access Waikato CWS for input and editing
Designated MDT users for editing
Trauma Service: nursing and medical
Red Team RMOs
Allieds: Physio, OT, SLT, Diet
CWS and Midland Clinical Portal for read-only after discharge

8. © Waikato DHB

9. CWS

10. Early Clinician User Trial Samantha Campbell: B Nursing (Hons) Dissertation
Four themes:
Change drivers
Current vs desired state
Perceived benefits
Success factors
Outcomes
Perception of improved quality of care
Improved multi-disciplinary processes
May be applicable across Midland

11. Next Steps.. Packaging MTS feedback Governance support Socialisation
Implementation