The Health Roundtable

Hip and Knee Replacement Improvement Project – Patient Goal Driven CarePresenter: Peter Faulkner

Bendigo

Innovation Poster SessionHRT1215 – Innovation AwardsSydney 11th and 12th Oct 2012

13-3c_HRT1215-Session_FAULKNER_BHS_VIC

The Health Roundtable

KEY PROBLEM

Significant Bed Pressure

Excessive LOS

Patients Unclear of Expectations

Lots of Confusing Information

Low Level of Active Patient Participation in the Surgical Journey

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AIM OF THIS INNOVATION Clarify Patient Expectations

Better Prepare Patients for Surgery

Rationalise Patient Information

Increase Patient Engagement and Control of Care

Improve (Reduce) Length of Stay

Improve Patient Experience

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BASELINE DATA LOS = 7.8 days Approx acute bed days per year = 1950 Additional 820 sub-acute bed days = 820 Approx 2770 bed days per year, or 8 total beds per

yearPatient LOS expectations

0%

5%

10%

15%

20%

25%

1 2 3 4 5 6 7 8+ don’tknow

How many days patient expected to stay for

% o

f pat

ient

s

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KEY CHANGES IMPLEMENTED

Outpatients Pre-Admiss Theatre Ward Discharge

Rehab In OrthoRIO

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OUTCOMES SO FAR

ALOS RESULTS 2011/12 Acute to Disch. from 7.8 to 6.2 (23.5%) Acute to RIO to Disch. from 7.8 to 6.1 (62.5%) Acute to Sub Acute to Disch. 28.8 to 25.7 (10.5%) Acute to RIO to Sub Acute to Disch. from 28.8 to 23.7 (3.5%) Total Bed Day Savings = 554 Patients going to Sub Acute Care has reduced 6% year on year

Ortho – Post Op

RIO

Rehab (ACC)

Home

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LESSONS LEARNT Engage all staff in all steps of the journey Prepare patients for what to expect

(preadmission is key) Starting Rehab early yields results for patients

and hospitals Patients can actively participate in their care Patients enjoy participating in their care Visual tools managed by patients assist Goal

attainment

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