Download presentation
Presentation is loading. Please wait.
Published byBrice Weaver Modified over 9 years ago
1
The Health Roundtable Improving Patient Flow in Orthopaedic Inpatients Presenter: Kathy Flanigan - Nursing Director Hospital QE11 – Vic Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012 1 3-3b_ HRT1215-Session_FLANNIGAN_QE2_VIC
2
The Health Roundtable KEY PROBLEM Orthopaedic patients experiencing a longer than average length of stay (LOS) when compared to peer groups. Primary knee arthroplasty had an average LOS of 6.7 days. Primary hip arthroplasty had an average LOS of 8.1 days. Observation of outcomes in terms of LOS, weekend discharges, discharges before 10am were made and strategies proposed to make treatment more efficient. 2
3
The Health Roundtable AIM OF THIS INNOVATION Improved communication between health care professionals is essential for enhanced patient care. Decreased average LOS for knee arthroplasty. Decreased average LOS for hip arthroplasty. 3
4
The Health Roundtable BASELINE DATA Primary knee arthroplasty had an average LOS of 6.7 days. Primary hip arthroplasty had an average LOS of 8.1 days. 4
5
The Health Roundtable KEY CHANGES IMPLEMENTED Improved preadmission assessment (for discharge planning). Day of admission assessment for discharge. Defined discharge facilitator role. Introduction of Estimated Date of Discharge. 5
6
The Health Roundtable KEY CHANGES IMPLEMENTED Revised ward round process. Quarantined time for orthopaedic, post operative X-Ray of patient. Formal, in-reach rehabilitation service in orthopaedic ward. In-reach opportunities and capacity of the Hospital in the Home (HITH) service. 6
7
The Health Roundtable OUTCOMES SO FAR 7
8
The Health Roundtable OUTCOMES SO FAR 8
9
The Health Roundtable OUTCOMES SO FAR 9
10
The Health Roundtable OUTCOMES SO FAR 10
11
The Health Roundtable LESSONS LEARNT The ‘Board Rounds’ were a low cost and easy change to implement. The result in each measured data set show a significant improvement. There was an increase in weekend discharges – a result of better communication. The LOS for the top 5 DRGs were improved. In particular LOS was reduced from 6.7 days to 4.29 days for primary knee arthroplasty and from 8.1 days to 4.57 days for primary hip arthroplasty. The LOS was reduced when compared to both our previous average and the average LOS for our peer group hospitals. 11
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.