Published on March 10, 2014
Stepping Stones in Care Pathways Creating & sustaining best practice through service expansion
The Queen Elizabeth Hospital SA Health
In the Beginning > TQEH H@H commenced in 1995 > Grew from pending closure of wards > Daily visits by solo nurse SA Health
TQEH Hospital@Home > TQEH is a general hospital within the Central Adelaide Local Health Network > H@H visits approximately 10,000 people per year > H@H Monthly visit average of 850-900 patients > Annual H@H figures are trending upward SA Health
Patient Cohort > Acute adult surgical and medical patients > TQEH Clinical governance and care pathway > Diverse population • Culture • Socio-economic status • Ageing & isolation > Identified via hospital staff referral and assessed as suitable by the H@H Case Finder • Risk assessment • Patient consent SA Health
How we work > > > > > Experienced Clinical Nurses; advanced skill set Twice daily acute nursing care Direct reporting to the TQEH Medical teams Average patient load of 8-10 per nurse 3 nurses per day visiting within 10km radius SA Health
Section break slide heading here Drivers for Change: Creating a responsive service. SA Health
Health Service Demand > Deloitte’s Review and Report findings > Service demand: increased hospital presentations / Hospital Avoidance > Service Access: Bed blockages > Emergency Department 4 hour target > Elective Surgery targets SA Health
Responding to Service Demand > > > > > > Increasing patient cohort numbers Diversifying existing patient cohort Shortening in-hospital LOS Improving service access/bed access Responding to daily discharge demands Supporting ED 4 hour target SA Health
Diversifying the H@H Service > > > > > > Expanding staff skill set Education updates, training Research findings: Best Practice in H@H Equipment Flexible working hours Responding to patient need: additional visits / review > Creating opportunities for early & safe discharge • Staff confidence • Protocol development • Increased communication with clinical teams SA Health
H@H: expanding the Patient Cohort > Gynaecology Patients > Orthopaedic “oozy wounds” > Iron Infusions > Cytotoxic Infusions SA Health
Future Steps: Developing a multi-site single service model for Central Adelaide Local Health Network. SA Health
Central Adelaide Local Health Network The Royal Adelaide Hospital & The Queen Elizabeth Hospital One region: 2 hospitals SA Health
Central Adelaide H@H: Stepping into the future > RAH 6 month service expansion pilot • Diversify the current RAH Haematology / Oncology H@H service • Provide twice daily visits • Staff Recruitment > Pilot Evaluation SA Health
Where are we now? > Defining the Service • Key Stakeholders: who are they? • Relationship building: Clinical governance • Service coordination • Creating pathways: where to start? • Expected outcomes: what will the service look like? SA Health
H@H into the future > Developing confidence in H@H model and staff • Changing culture: “we’ve always done it this way” > Risk Management: what if we don’t change? > Barriers to change? • Clinician perception • Skill mix • Patient safety • Patient perception • Staff safety • Service cost v current in-hospital cost SA Health
View 52 It Service Expansion posts, ... Be wise by focusing on skills development and service expansion as they are true pathways of security ...
Amanda Klahr, Clinical Nurse Consultant, Geriatric Flying Squad, War Memorial Hospital Waverley delivered this presentation at the 2013 Hospital in the ...
Crossing the Boundaries: from negligence to intentional torts from discipline to crime Bill Madden National Practice Group Leader Medical Law, Slater ...
... professionals who adhere to the highest standards of care and ... PORT Human Services accepts ... Stepping Stones 40 years of Saving ...
Services ; Doctors ; Business Solutions ; ... Mosaic Life Care 5325 Faraon Street ... Long Term Acute Care Hospital;
... Liverpool Heart and Chest Hospital NHS Trust HQ ... Email; Feed; Patient Opinion in 2 minutes . Who's listening to your stories ... service; Care ...
... Nose and Throat Emergency Services Mercy Health Physicians ... St. Elizabeth Youngstown Hospital will enable ... Mercy Health Ready Care ...
Queen’s Law hosted the Kawaskimhon ... Learning Strategies offers academic support services and ... Queen’s University is situated on ...