1. Successful Discharge Care Amanda Thompson, RN BN Safer Healthcare Now! Coordinator

2. Our Story Population served approx. 5,000 primarily, elderly clients 96% of admissions through ED Notre Dame Bay Memorial Health Centre has 49 beds Providing service to Twillingate and 16 other small communities

3. Aim Statement To decrease our mortality rate by 20% by implementing all 6 elements over the next 6 weeks Very ambitious goal Very ambitious team

4. Aim Statement We wanted to have perfect discharge care Having all the components Road to recovery

5. SHN Coordinator ER Physician Nurse Manager Floor Nurse Education Coordinator Pharmacy Representative Our Team

7. Creating an Environment of Change Staff Education Public education Form changes Statistics Resources already available

8. Beta Blockers on Discharge

9. ASA on Discharge

10. ACE or ARB on Discharge

11. Statin on Discharge

12. Challenges Smokers helpline Computer systems Documentation Buy in Education Changing thought process

13. Lessons Learned Change is hard Buy in required Education is the key The desire to know

14. Where are we now?

15. What’s Next Continue to: »Monitor »Information »Compliance reports

16. We have changed the way we treat AMI patients in Twillingate, and have paved the way for the rest of the region.

17. Contact Information Amanda Thompson, Safer Healthcare Now! Coordinator Central Health Grand Falls-Windsor, NL Phone: 709-292-2647 Email: athompson@cwhc.nl.caathompson@cwhc.nl.ca

18. Thank You!