Page 4723 - Week 12 - Thursday, 1 November 2018
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The “How Can I Help You” communication strategy introduced in mid-2017, focuses on multidisciplinary communication and collaboration between teams at the Canberra Hospital. This program was designed to encourage clinical staff to offer assistance to other clinicians for a coordinated care approach when all teams are under pressure. This assists to reduce the time for referral and therefore the time spent in ED.
Significant work has also been done to improve the safe and timely discharge of patients. For example:
o A daily long stay report is sent to key senior staff that identifies patients who have a hospital stay of more than 30 days. Clinical teams review this list with a view to identifying impediments to discharge and actioning these appropriately.
o Health Round Table (HRT) data has been used actively by senior clinical and non-clinical staff since September 2017, to identify operational performance by clinical unit. Clinical units are then asked to use this data to monitor ongoing improvements in the average length of stay of patients.
o The Electronic Patient Journey Board (EPJB) provides an efficient and effective way of highlighting the critical steps in the patient’s journey. The EPJB will feature a new clinical tasking tool to be piloted from October / November 2018. The tool allows clinical and non-clinical tasks to be requested and actioned from any electronic platform within the hospital removing the need for lengthy paging processes, and improving overall operational performance.
o The Chief of Clinical Operations sends a daily text message to all senior staff providing an update on the current status of the hospital. This messaging includes hospital occupancy, the number of patients within the ED, the number of patients requiring admission, and a reminder for the safe and timely discharge of patients.
o Significant work has been done to improve weekend discharging over the last 12 months. This work has resulted in significant improvements in weekend discharge performance.
o CHHS continues to focus on the safe and timely discharge of patients before midday. Education remains ongoing around the 6 Ps of discharge (proven discharge practices) including planned discharge date for each patient, prioritising ward rounds, and planning for pharmacy and pathology.
(3) Please see Attachments A and B.
(4) Please see Attachments C and D.
(5) There is no longer a national benchmark or target for the percentage of Emergency Department presentations completed within four hours due to the cessation of the Improving Public Hospitals component under the National Health Reform Agreement in 2015-16.
(Copies of the attachments are available at the Chamber Support Office).
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