1. 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