CUH Project Flow enews October 2017
|
|
- Cecily McCarthy
- 6 years ago
- Views:
Transcription
1 Issue 1 enews October 2017 Welcome to our first CUH Project Flow enewsletter Ever wanted to know the answers to the following questions: - Where did the interest in Project Flow arise from? - What does good flow look like in a hospital? - What happens when patient flow is not so good? - What will success in the Project look like? - Is it all about targets? Is flow more important than patient safety? - How do we know that it is more than an aspiration? - What are the top three items for implementing change? Listen to Dr Mike O Connor, Clinical Director for Medicine discuss the importance of Project Flow by clicking BACK TO COVER Share your ideas with us today by ing: CUH.ProjectFlow@hse.ie BACK FORWARD 1
2 Staff Feedback to Project Flow Thank you for all the feedback to and to the suggestion box that was in the canteen for August/September. Main themes: 1. Admission and discharge processes 2. Access to wheelchairs 3. Signage/directions in the hospital 4. access for staff 5. Processes/systems/services supplied on wards 6. Cardiac tests 7. Awaiting other consults 8. Outliers 9. Confidentiality on whiteboards 10. Radiology All of the feedback is being considered and we really value your input into ways to impact on patient flow in the hospital. Thank you. BACK TO COVER BACK FORWARD 2
3 Over the past few months we have put a number of different methods of communication in place to provide information and to encourage all staff to respond with their ideas on how to enhance Patient Flow. These methods include: A poster campaign to highlight staff involvement in flow Dedicated address for staff to share their ideas CUH.ProjectFlow@hse.ie More regular communication status s re flow in the hospital from Damian McGovern (Unscheduled Care Lead) Auditorium sessions for a week in August PF17 display in canteen, plus new noticeboard in Emergency Department New website: cuh.hse.ie/about-us/project-flow/pf17-project-flow-2017/ YouTube video: Twitter account #pf17cuh, plus Ward/team education sessions re: whiteboards Ward-to-ward information regarding discharges and PDD s. If you have other ideas you think would be good to communicate what is happening in the hospital, please let us know by ing CUH.ProjectFlow@hse.ie BACK TO COVER BACK FORWARD 3
4 Mission of Cork University Hospital The staff in Cork University Hospital aim to provide quality acute healthcare services and to positively impact on the lives of those we encounter. What is Project Flow 2017 (PF17)? In order to achieve our mission we need to ensure we efficiently and effectively care for members of the public - starting from the Emergency Department, right through to care received on the wards, until eventual discharge from the hospital. Project Flow 2017 (PF17) aims to clearly identify the processes and systems that are required for safe, timely and effective delivery of care to the people that enter the hospital site. It includes looking more in depth at: each patient s required length of stay planning for each patient s individual discharge looking at weekday and weekend demand linking with integrated care programmes in primary and community care services a visual display of data in the hospital. No idea is too obvious, small or simple Tony McNamara, Chief Executive Officer BACK TO COVER continued on the next page BACK FORWARD 4
5 Why is Project Flow important? It is important because it aims to enhance the experience for the patient that comes through the doors and also aims to ensure a smoother delivery of service. In addition it aims to receive feedback from our loyal staff about their experiences and their thoughts on the delivery of care in Cork University Hospital. Who is involved in it? All members of staff in the hospital. There is a working group responsible for ensuring Project Flow 2017 meets its aims and ultimately enhances the delivery of effective care in the hospital. What do I need to do? We welcome the opinions of all staff on how they think flow can be enhanced through the hospital system. Please send any suggestions for improving patient flow to: CUH.PatientFlow@hse.ie BACK TO COVER BACK FORWARD 5
6 Phase 1 By 10th July 2017 Achieve 30% reduction average ED Trolley number at 8am 85% of patients discharged directly from ED <6 hours No patient >75yrs wait >9 hours for a bed No patient >24 hour Patient Experience Time Phase 2 By 31st December 2017 Achieve 50% reduction average ED Trolley number at 8am 95% of patients discharged directly from ED <6 hours No patient >75yrs wait >9 hours for a bed No patient >24 hour PET BACK TO COVER BACK FORWARD 6
7 The graph below shows the number of patients waiting on trolleys in ED for admission to the wards. Each day it is updated to reflect the average of the last 30 days. The blue line indicates The yellow line indicates The green line is the threshold set nationally at 12 (i.e. 12 people waiting in ED for admission to the wards). BACK TO COVER BACK FORWARD 7
8 The SAFER patient flow bundle S Senior Review. All patients will have a senior review before midday by a clinician able to make management and discharge decisions. A All patients will have an Predicted Discharge Date (PDD) and Clinical Criteria for Discharge (CCD), set by assuming ideal recovery and assuming no unnecessary waiting. F Flow of patients to commence at the earliest opportunity from assessment units to inpatient wards. Wards routinely receiving patients from assessment units will ensure the first patient arrives on the ward by 10am. E Early discharge. 33% of patients will be discharged from base inpatient wards before midday. R Review. A systematic multi-disciplinary team (MDT) review of patients with extended lengths of stay (>7 days also known as stranded patients ) with a clear home first mind set. The SAFER bundle is a tried and trusted method to improve patient flow processes. BACK TO COVER BACK FORWARD 8
9 Predicted Discharge Date One way to aid flow is for all patients to have a discharge plan discussed among the multidisciplinary team. We carried out an audit in July and October of notes in the hospital. There is variation in the notes with regard to documented PDDs for patients. Some wards have 6% of notes with PDDs, other wards have >40% of notes with a documented PDD. The hospital aim is for 100% of notes to have a documented PDD and for this to be changed daily on the ward whiteboards. This will give greater visibility for patient flow in CUH. BACK TO COVER BACK FORWARD 9
10 Key initiatives of PF17 The graph below illustrates the key initiatives established for PF17. These initiatives will be discussed in future editions of our newsletter. Ambulance turnaround times Focus on patients with length of stay over 14 days Ward whiteboards and documenting PDDs Acute surgical pathway PF17 KEY INITIATIVES Cardiothoracic pathway Optimal discharge planning People who come to the ED, and do not require admission, will be in and out in <6 hours BACK TO COVER BACK FORWARD 10
11 CUH Project Flow Focus on staff initiative to improve flow P P P??? H CU is WHAT ARE THE BENEFITS FOR THE PATIENT? #e nd sup PJ po pa rts ra ly si s UP UP DRESSED DRESSED MOVING MOVING #e nd sup PJ po pa r ts ra ly s CU H #e nd sup PJ po pa r ts ra ly si CU H s This month the focus is on: #endpjparalysis UP Quicker recovery Able to maintain normal routine Return home WHAT ARE THEsooner BENEFITS FOR THE PATIENT? P P P Quicker recovery Able to maintain normal routine Return home sooner DRESSED MOVING BACK TO COVER WHAT ARE THE BENEFITS FOR THE PATIENT? P Quicker recovery P Able to maintain normal routine P Return home sooner???? BACK FORWARD 11
12 Mismatch of people admitted versus people discharged Admissions Discharges Ideally we need approximately 80 discharges per day from the hospital to ensure the most effective patient flow. There is a daily mismatch of patients admitted to CUH versus patients discharged from CUH. Hence ideally we would ask each team/specialty to see can they work towards discharging one extra patient approx every two days. 80 DISCHARGES PER DAY REQUIRED The mismatch between admissions and discharges is more visible at weekends, where traditionally patient discharges are very low but people are still arriving in ED and need to be admitted to an in-patient bed. Using ward whiteboards and having PDDs for all patients would help to improve patient flow. BACK TO COVER BACK FORWARD 12
13 FLOW IS A TEAM SPORT Thank you for your continuing support of Project Flow. If you would like to showcase what you are doing to improve patient flow, we would love to hear from you and we will publish your progress in the next newsletter. Please CUH.ProjectFlow@hse.ie Or contact Olivia Wall on BACK TO COVER BACK FORWARD 13
Targets, flow, exit block, stranded patients, red2green. What s any of this got to do with good patient care?
Targets, flow, exit block, stranded patients, red2green. What s any of this got to do with good patient care? Lee Dowson Divisional Director of Medicine Royal Wolverhampton NHS Trust Clinical Associate
More informationOnline library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion
Online library of Quality, Service Improvement and Redesign tools Discharge planning collaboration trust respect innovation courage compassion Discharge planning What is it? A specific targeted discharge
More informationWhat good looks like in the emergency pathway
What good looks like in the emergency pathway @ECISTNetwork @PeteGordon68 I m going to cover Safer Faster Better The evidence Myths What we ve found over 150 engagements Why we need simple rules We recommend
More informationUrgent & Emergency Care Strategy Update
RCCG/GB/17/144 Urgent & Emergency Care Strategy Update 1. Introduction The purpose of this paper is to provide assurance on the effective delivery to date of our urgent and emergency care strategy within
More informationCUH Looking beyond the hospital for solutions
CUH Looking beyond the hospital for solutions ED More than a hospital department Room with a view. Avilene Casey Executive Performance Improvement Lead (USC) HSE. Length of stay reduction equates to extra
More informationPerformance Improvement Bulletin
SPECIAL DELIVERY UNIT/ NATIONAL TREATMENT PURCHASE FUND Issue No.1 08/12 Performance Improvement Bulletin Featured Work underway - Maximum Waiting Time Targets 2 Case Study No. 1 Galway & Roscommon University
More informationThe SAFER Bundle Supported by #Red2Green Our Journey
University Hospitals of North Midlands (UHNM) Background The SAFER Bundle Supported by #Red2Green Our Journey At UHNM, we started our SAFER implementation journey in November 2016. We had previously introduced
More informationLooking at Patient Flow in Hours and Days
This presenter has nothing to disclose Looking at Patient Flow in Hours and Days Getting Patients to the Right Level of Care at the Right Time October 23, 2014 Session Objectives Understand the differences
More informationSouth Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust
South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS
More informationStandard of Care for MTC inpatients
Standard of Care for MTC inpatients The following document is intended to summarise the model of care for patients admitted under the care of the Leeds Major Trauma System. It will outline expected duties
More informationDecember 2015 Edition
December 2015 Edition Glen Burley, ECIP SRO, CEO of South Warwickshire Foundation Trust Welcome to our third edition of the ECIP newsletter. As well as the ECIP systems which are taking part in the programme,
More informationPlanning guidance National Breaking the Cycle Initiative April 2015
Background Planning guidance National Breaking the Cycle Initiative April 2015 The aim of Breaking the Cycle initiatives is to rapidly improve patient flow to produce a step-change in performance, safety
More informationAMP Health and Social Care Professional Implementation Group Update
AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation
More informationHealthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016
Healthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016 Healthwatch Kent undertook a series of visits to Accident & Emergency Departments in Kent to talk to staff and patients about their
More informationThe PCT Guide to Applying the 10 High Impact Changes
The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk
More informationCARE DELIVERY TEAM NURSING GUIDELINES
STANDARDS TO BE MET Team nursing is a model of care which utilises the resources within a nursing team on a shift by shift basis to deliver safe patient care within the clinical unit. The Bay of Plenty
More informationDischarge to Assess Standards for Greater Manchester
Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge
More informationSeven Day Services Clinical Standards September 2017
Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared
More informationFuture Hospital Programme: - a Partner perspective
Future Hospital Programme: - a Partner perspective Dr Roger Duckitt Royal College of Physicians Loughborough February 2017 Future hospital timeline Launch of Future Hospital Commission March 2012 Sept
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:
More informationFinal Version Simple Guide to the Care Act and Delayed Transfers of Care (DTOC) SIMPLE GUIDE TO THE CARE ACT AND DELAYED TRANSFERS OF CARE (DTOC)
SIMPLE GUIDE TO THE CARE ACT AND DELAYED TRANSFERS OF CARE (DTOC) 1. UNDERPINNING PRINCIPLES Across the whole system, our common aims are to: Improve services for patients by avoiding situations where,
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST BOARD OF DIRECTORS. Emergency Department Progress Report
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST Date of meeting: 27 June Title / Subject: Status Purpose: Report of: Prepared by: BOARD OF DIRECTORS Public To update the Board of actions being
More informationKey Objectives To communicate business continuity planning over this period that is in line with Board continuity plans and enables the Board:
Golden Jubilee Foundation Winter Plan 2016/2017 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This plan
More informationReport on announced visit to: McNair Ward, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XN
Mental Welfare Commission for Scotland Report on announced visit to: McNair Ward, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XN Date of visit: 6 September 2017 Where we visited McNair
More informationThe PCT Guide to Applying the 10 High Impact Changes. A guide from NatPaCT
The PCT Guide to Applying the 10 High Impact Changes A guide from NatPaCT DH INFORMATION READER BOX Policy HR/Workforce Management Planning Clinical Estates Performance IM&T Finance Partnership Working
More informationIntroducing a 7-day service: the benefits of increased consultant presence
Introducing a 7-day service: the benefits of increased consultant presence This Future Hospital Programme case study comes from Wrightington, Wigan & Leigh NHS Foundation Trust (WWL). Here, Dr Stephen
More informationCriteria Led Discharge Pilot NHS Grampian. Whole System Patient Flow Improvement Programme
Criteria Led Discharge Pilot NHS Grampian Whole System Patient Flow Improvement Programme 1 Process How did we do it Determine Need, identify opportunity Day of care audits, number of potential areas for
More informationElectronic Patient Journey Boards
Innovation Poster Session HRT1317 Innovation Awards Brisbane 7 th and 8 th Nov 2013 Electronic Patient Journey Boards Presenter: Angi Bissell Hospital Code Name: The Prince Charles Hosp Electronic Patient
More informationA Step-by-Step Guide to Tackling your Challenges
Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service
More informationChapter 14 Regina Qu Appelle Regional Health Authority Safe and Timely Discharge of Hospital Patients 1.0 MAIN POINTS
Chapter 14 Regina Qu Appelle Regional Health Authority Safe and Timely Discharge of Hospital Patients 1.0 MAIN POINTS Safe and timely discharge of patients from hospitals helps ensure patients well-being
More informationIntroduction to Salisbury Hospice Charity...
Introduction to Salisbury Hospice Charity... Fundraising Ideas... A-Z of Fundraising Ideas... A simple guide to creating a successful fundraising event... Tips to maximise sponsorship and donations...
More information2018 Optional Special Interest Groups
2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve
More informationNorthern Adelaide Local Health Network. Proposal for the Establishment of a NALHN Central Flow Unit: 11 September B. MacFarlan & C.
Northern Adelaide Local Health Network Proposal for the Establishment of a NALHN Central Flow Unit: 11 September 2015 B. MacFarlan & C. McKenna Table of Contents 1. Background... 3 2. Proposal for the
More informationStatement of Purpose Kerry General Hospital 2013
Statement of Purpose Kerry General Hospital 2013 Table of Contents Introduction...3 Description of Services Provided...3 Kerry General Hospital Services...4 Models of service delivery and aligned resources
More informationNewsletter NUTRITION AND HYDRATION WEEK
NUTRITION AND HYDRATION WEEK TM Thank you for sharing your plans with us. To hopefully inspire you if you haven t do so to utilise Nutrition and Hydration Week to promote your great work, or to share your
More informationBOARD OF DIRECTORS. Sue Watkinson Chief Operating Officer
Affiliated Teaching Hospital BOARD OF DIRECTORS 28 TH SEPTEMBER 2012 AGENDA ITEM: 11.1 TITLE: INTENSIVE SUPPORT TEAM REPORT PURPOSE: The Board of Directors is presented with the report from the Intensive
More informationNHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care
NHS GRAMPIAN Local Delivery Plan - Section 2 Elective Care Board Meeting 01/12/2016 Open Session Item 7 1. Actions Recommended The NHS Board is asked to: Consider the context in which planning for future
More informationReport to the Board of Directors 2016/17
Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board
More informationSystem Wide Escalation Framework and Procedures
System Wide Escalation Framework and Procedures 21 st December 2015 1 Background This framework is designed to support Hospital Groups and Community Health Organisations in developing integrated escalation
More informationShaping the best mental health care in Manchester
Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in
More informationMain body of report Integrating health and care services in Norfolk and Waveney
Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of
More informationCASE STUDY The Safer Patients Initiative
CSE STUDY The Safer Patients Initiative Critical care in practice: Royal ree Hospital and the University Hospital of Wales 1. INTRODUCTION In late 4, the Health oundation funded the Institute for Healthcare
More informationUnscheduled care Urgent and Emergency Care
Unscheduled care Urgent and Emergency Care Professor Derek Bell Acute Medicine Director NIHR CLAHRC for NW London Imperial College London Chelsea and Westminster Hospital Value as the overarching, unifying
More informationA Sharper Phlebotomy Service
A Sharper Phlebotomy Service Preparing for the future Submission for the 2014 Canterbury DHB Quality Improvement and Innovation Awards Megan Harris, Karen Heatley, Linda Boyce, Jaine Duncan Canterbury
More informationPEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Network Organisation (Trust) Team MVCN LUTON AND DUNSTABLE Luton & Dunstable Colorectal MDT (11-2D-1) - 2011/12 Peer Review Visit Date 11th November 2011
More informationBriefing Session. January 2018 /
Briefing Session 1 Changes as a result of Melissa s Story Guidelines for the management of early pregnancy complications developed by the HSE Clinical Programme for Obs & Gynae All Maternity units have
More informationANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010
ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 Objective Action Desired Output / Monitor and manage all those at risk of stroke and, refer as appropriate to smoking cessation services,
More informationNHS Achieving timely simple discharge from hospital
NHS Achieving timely simple discharge from hospital A toolkit for the multi-disciplinary team DH INFORMATION READER BOX Policy HR / Workforce Management Planning Clinical Estates Performance IM & T Finance
More informationTORRANCE MEMORIAL MEDICAL STAFF
BYLAWS COMMITTEE: APPROVED WITH NO CHANGES 10/3/2017 Dates Approved: Medical Executive Committee 09/14/2010; 12/9/2014 PATIENT ATTRIBUTION PLAN: This Attribution Plan assures that all staff are able to
More informationQuality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance
Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance A Whole System Approach to Patient Flow for Scotland Our Quality Improvement Approach Jane Murkin Programme
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationSame day emergency care: clinical definition, patient selection and metrics
Ambulatory emergency care guide Same day emergency care: clinical definition, patient selection and metrics Published by NHS Improvement and the Ambulatory Emergency Care Network June 2018 Contents 1.
More information04c. Clinical Standards included in the Strategic Outline Care part 1, published in December 216
0c Clinical s included in the Strategic Outline Care part, published in December 6 Clinical standards The following clinical standards were included in the Strategic Outline Case part (SOC), published
More informationSTANDARD OPERATING PROCEDURE. Delayed Transfer of Care Northamptonshire
STANDARD OPERATING PROCEDURE. Delayed Transfer of Care Northamptonshire STANDARD OPERATING PROCEDURE 1. Introduction The purpose of this protocol is to ensure accurate recording of Delayed Transfers of
More informationChoice on Discharge Policy
Choice on Discharge Policy Reference No: P_CIG_19 Version 1 Ratified by: LCHS Trust Board Date ratified: 13 th September 2016 Name of originator / author: Sarah McKown Name of responsible committee / Individual
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationReducing Risk: Mental health team discussion framework May Contents
Reducing Risk: Mental health team discussion framework May 2015 Contents Introduction... 3 How to use the framework... 4 Improvement area 1: Unscheduled absence and managing time off the ward... 5 Improvement
More informationNORTHWEST PREVENTION & MANAGEMENT OF INPATIENT FALLS AUDIT
PREVENTION & MANAGEMENT OF INPATIENT FALLS AUDIT AINTREE UNIVERSITY HOSPITALS NHS FT AUDIT RESULTS Summary Aintree University Hospital Foundation Trust Acute healthcare Urban population of 330,000 North
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:
More informationGlangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~
Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~ October 2017 What we do General Surgery (including Colorectal) Glangwili Hospital, Carmarthen There are currently seven surgical
More informationEMERGENCY PRESSURES ESCALATION PROCEDURES
OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL
More informationAccident & Emergency Clinical Quality Indicators
These indicators were introduced in April 2011 to present a comprehensive and balanced view of the care delivered by A&E departments. They are designed to accurately reflect the experience and safety of
More informationSandwell Secondary Mental Health Service Re-design consultation
Service Re-design consultation 2 nd December 2013 28 th February 2014 GP Appointment with Service User Primary Care Step 1: Sandwell GP s will make a referral into BCPFT s Secondary Care Mental Health
More informationAddressing ambulance handover delays: actions for local accident and emergency delivery boards
Addressing ambulance handover delays: actions for local accident and emergency delivery boards Published by NHS England and NHS Improvement November 2017 Contents Foreword... 2 Actions to be taken now,
More informationBetter Healthcare in Bucks Reconfiguring acute services
service redesign case study March 2013 No. 3 Reconfiguring acute services Key points Reach a shared understanding of the case for change across the local health economy. Start public engagement as early
More informationEXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning
EXECUTIVE SUMMARY D REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY 2018 Subject Supporting TEG Member Author Status 1 A review of progress against Corporate Objectives 2017/18 and planned Corporate Objectives
More informationFrail Elderly Assessment Unit (FEAU)
Frail Elderly Assessment Unit (FEAU) Good Practice in Care of Learning Disability and the Vulnerable Adult Event 10th February 2012 Amanda M A Futers RN Ba(Hons) Nursing Amanda.futers@uhns.nhs.uk Original
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More informationUtilising Clinical Redesign To Improve Service Delivery - Our Medical Journey So Far
Utilising Clinical Redesign To Improve Service Delivery - Our Medical Journey So Far Presentation Sydney 16 September 2015 Presenters Dr. Nicole Hancock Head of Department of General Medicine and the Assessment
More informationFixing Unscheduled Care in the Republic of Ireland. Prof. Garry Courtney Lead, National Acute Medicine Programme
Fixing Unscheduled Care in the Republic of Ireland Prof. Garry Courtney Lead, National Acute Medicine Programme CCPs arose from HSE/RCPI/RCSI collaboration 2010 Or to put it another way Our Health Service
More informationFOUR STEPS TO SAFETY. Quick User Guide. December Content: - background information. - step by step guide to interventions. - additional support
FOUR STEPS TO SAFETY Quick User Guide December 2016 Content: - background information - step by step guide to interventions - additional support BACKGROUND INFORMATION Background information What is Four
More informationWhy do we need this project? What is Mouth Care Matters? Why Does it Matter? Mary. Oral Health Champion Volunteers. August 2018
This month, I am pleased to inform you about this important project, Mouth Care Matters, and am proud to support the Dental Service within the MaxilloFacial Department as the Executive Lead on this. 1
More informationBOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016
Borders NHS Board BOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016 Aim This report aims to provide the Board with an overview of progress in the areas of: Patient Safety Clinical Effectiveness
More informationAustralasian Health Facility Guidelines. Part B - Health Facility Briefing and Planning Medical Assessment Unit - Addendum to 0340 IPU
Australasian Health Facility Guidelines Part B - Health Facility Briefing and Planning 0330 - Medical Assessment Unit - Addendum to 0340 IPU Revision 2.0 01 March 2016 COPYRIGHT AND DISCLAIMER Copyright
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationPortsmouth Hospitals NHS Trust Winter/Surg Plan 2013/14. pg. 1
Portsmouth Hospitals NHS Trust Winter/Surg Plan 2013/14 pg. 1 Introduction The purpose of this winter/surg plan is to ensure that Portsmouth Hospitals NHS Trust (PHT) is prepared and co-ordinated to respond
More informationQuick guide: planning for increased seasonal demand in respiratory illness
Quick guide: planning for increased seasonal demand in respiratory illness Published by NHS England and NHS Improvement December 2017 The British Thoracic Society is pleased to endorse this quick guide,
More informationBRIEFING PAPER FOR THE HEALTH, SOCIAL CARE AND SPORT SELECT COMMITTEE OF WELSH GOVERNMENT 19 JULY 2018 WINTER REVIEW 2017/18 AND PREPAREDNESS 2018/19
Pwyllgor Iechyd, Gofal Cymdeithasol a Chwaraeon Health, Social Care and Sport Committee HSCS(5)-23-18 Papur 4 / Paper 4 BRIEFING PAPER FOR THE HEALTH, SOCIAL CARE AND SPORT SELECT COMMITTEE OF WELSH GOVERNMENT
More informationPurpose of the Report: Update to the Trust Board on the clinically-led Trauma and Orthopaedic GIRFT review. Information Assurance X
Item 9.4 To: Trust Board From: Mark Brassington Date: 18 th May 2018 Healthcare Standard Title: Trauma and Orthopaedic GIRFT Author: Richard James, General Manager Responsible Director/s: Mark Brassington
More informationImproving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
More informationMonthly Delayed Transfer of Care Situation Reports. Definitions and Guidance
Monthly Delayed Transfer of Care Situation Reports Definitions and Guidance Version Date issued 1.00 18 December 2006 1.01 31 March 2008 Changes made Insert version number Indicator of response to pressures
More informationMonthly Delayed Transfer of Care Situation Reports. Definitions and Guidance
Monthly Delayed Transfer of Care Situation Reports Definitions and Guidance Version Date issued 1.00 18 December 2006 1.01 31 March 2008 1.02 18 January 2010 Changes made Indicator of response to pressures
More informationOnline library of Quality, Service Improvement and Redesign tools. Process templates. collaboration trust respect innovation courage compassion
Online library of Quality, Service Improvement and Redesign tools Process templates collaboration trust respect innovation courage compassion Process templates What is it? Process templates provide a visual
More informationLLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010
SITUATION LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010 The Cycle One SBAR report detailed the solutions which had
More informationMental Health Short Stay
Mental Health Directorate Central Adelaide Local Health Network Mental Health Short Stay Model of Care January 2016 Extracted from Improving Unplanned Emergency Access pathways (IUEAP) Model of Care: Mental
More informationAdult Mental Health Crisis and Acute Care: NHS England s national programme
Adult Mental Health Crisis and Acute Care: NHS England s national programme Bobby Pratap, Senior Programme Manager, Adult Mental Health Care Adult Mental Health Mental Health Clinical Policy and Strategy
More informationStoryboard submission
Storyboard submission Follow the detailed instructions in this template for writing a description of your storyboard. Type your information in each section below and save this completed storyboard document
More informationQuality Improvement Scorecard December 2017
Mortality: HSMR Performance improved in August Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR (weekend)
More informationSeven Day Working: in Practice Clinicians Perspective. Jonathan Vickers Consultant surgeon Dec 2015
Seven Day Working: in Practice Clinicians Perspective Jonathan Vickers Consultant surgeon Dec 2015 Why me? Mr. Hunt argued that hospitals like Salford Royal and Northumbria have instituted seven-day working
More informationDischarge Planning Hywel Dda University Health Board
Discharge Planning Hywel Dda University Health Board Date issued: January 2017 Document reference: 167A2017-18 This document has been prepared as part of work performed in accordance with statutory functions.
More informationKingston Hospital NHS Foundation Trust Length of stay case study. October 2014
Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,
More informationOur Achievements. CQC Inspection 2016
Our Achievements CQC Inspection 2016 Issued February 2017 HOW FAR WE VE COME SAFE Last year, we set out our achievements in a document for staff and patients. It was extremely well received, and as a result,
More informationPerformance. Improvement in Scheduled Care Waiting List Management TOOLKIT. An Roinn Sláinte DEPARTMENT OF HEALTH. January 2013
Performance TOOLKIT in Scheduled Care January 2013 Patient Toolkit Pathways Performance in Scheduled Care Setting the context and initiating whole systems change for the delivery of scheduled care and
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More informationHealth and care services in Herefordshire & Worcestershire are changing
Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health
More informationThe Emergency Care Intensive Support Team (ECIST) Driving Improvement along Emergency Care Pathways: A Master Class
The Emergency Care Intensive Support Team (ECIST) Driving Improvement along Emergency Care Pathways: A Master Class WORKSHOP INFORMATION Morning Workshops (Workshops 1-4) Delegates have a choice of two
More informationQuality Improvement Scorecard March 2018
Mortality: HSMR Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Performance further improved in October. November data not yet available. Mortality:
More informationTheatre Safety and Efficiencies in Wales. Lesley Law Planned Care Policy Lead Welsh Government
Theatre Safety and Efficiencies in Wales Lesley Law Planned Care Policy Lead Welsh Government Welcome Who am I? I am Lesley Law - Policy Lead for planned care in Welsh Government Why am I here? March 2016
More informationAudit of compliance of acute hospitals with selected criteria from Standard 8 (KPI s) of the HSE Code of Practice for IDP
Audit of compliance of acute hospitals with selected criteria from Standard 8 (KPI s) of the HSE Code of Practice for IDP Item type Authors Publisher Report Health Service Executive (HSE) Quality and Patient
More informationWHY OFFER SAME DAY DISCHARGE FOR NON-RECONSTRUCTIVE BREAST CANCER SURGERY?
WHY OFFER SAME DAY DISCHARGE FOR NON-RECONSTRUCTIVE BREAST CANCER SURGERY? Jo Marsden, Consultant Breast Surgeon, Kings College Hospital NHS Foundation Trust, London LENGTH OF STAY FOR NON-RECONSTRUCTIVE
More information