1. The Health Roundtable 3-3c_HRT1215-Session_STEPHENS_CHILDHOSP_VIC Is your patient ‘ Good to Go’ ? Presenter: Lisa Stephens Royal Childrens Hospital - Vic Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012 1

2. The Health Roundtable KEY PROBLEM  Insufficient access to inpatient beds in the morning, resulting in decreased elective and emergency flows. Contributing factors: 1. Delays to discharge not associated with clinical need = patients staying longer than necessary 2. Variability in staff engagement to improve patient flow 3. Inconsistent discharge planning practices 2

3. The Health Roundtable AIM OF THIS INNOVATION  Improve delays to discharge across RCH by eliminating wasted time between ready for discharge and actual discharge; demonstrated by an increase in the number of discharges by midday 3

4. The Health Roundtable BASELINE DATA  An average of 10 discharges by midday prior to the focus on improving discharge practices – met our demand only 32% of the time  Results of an audit conducted in April 2012 to identify the delays to morning discharge - below Reasons for patients waiting 4

5. The Health Roundtable KEY CHANGES IMPLEMENTED  ‘Good to Go’ campaign – whole of hospital strategy to improve patient access and flow  Overseen and monitored by an Executive Steering Committee  Road show involving all disciplines led by executive and steering committee members – over 1,200 staff have attended education sessions 5

6. The Health Roundtable KEY CHANGES IMPLEMENTED  Consultation with staff to define the expectations of all staff in discharge planning and process  Criteria led discharge process implemented  29 diagnosis specific forms including a generic form  Competency for nursing staff  Information for families  RCH procedure 6

7. The Health Roundtable OUTCOMES SO FAR Reasons for patients waiting Repeat audit August 2012 7

8. The Health Roundtable LESSONS LEARNT  Engagement of all staff – make it meaningful to them - DVD developed  Clear expectations of all involved  Consistent approach  Standardising the expectations for a patients discharge planning across all disciplines takes time 8