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Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012. Implementation of Agency for Clinical Innovation (ACI) Orthogeriatric Model of Care Tracey Drabsch. Orange. 1-1b_HRT1215-Session1_DRABSCH_ORANGE_NSW. KEY PROBLEM.
HRT1215 – Innovation Awards
11th and 12th Oct 2012
In Mid 2010 within OHS there appeared to be issues surrounding:
Capacity for inpatient services to consistently provide multidisciplinary orthogeriatric care
Inconsistent patient discharge planning and goal setting
Handover to the NF was reportedly inconsistent and not multidisciplinary in nature
Understanding of resources and staffing available in NF was limited
Continuity of care between facilities, follow up and community care lacked clear process
Evaluate the implementation of the ACI Orthogeriatric Model of Care within Orange Health Service before and after the Sub-Acute Care Team (Senior Clinicians - Medical, Nursing, Allied Health) involvement
Establish baseline information within a regional hospital via medical record audit.
Pre Team June 2008 - June 2009 (n=50).
Post Team Sept 2010 - Feb 2011 (n=30).
to Neighbouring Facilities & Teams
Co-ordinator Sub-Acute Care Team
“THE HUB” ORANGE inpatient
Joint Question for
Statistically significant increase in:
Occupational Therapy involvement
Social Work involvement
Documentation of weight bearing status, pre-morbid mobility and pre-morbid function
Medical discharge summaries sent to the General Practitioners
Handover information including the patient’s equipment needs, goals and contact details, physiotherapy, dietetics and social work discharge summaries
Statistically significant decrease in:
Initiation of discharge planning
(3.9 days to 2.6 days)
Complications such as pressure ulcers, electrolyte imbalance and wound infection
Senior Multidisciplinary Clinical Teams are able to implement change
Guidelines with clinical validity and authority to work from provide a good platform to guide, build and sustain clinical practice changes within a service
Consistent communication of keeping patient care the focus is essential with change management
Consistency of team activity over a prolonged period is effective in maintaining service provision
Teams work well with teams
Networking is key to providing a more seamless patient journey