1 / 9

17-18 September 2009

Bay of Plenty District Health Board A 3-2-1 approach to data and process improvement in the Emergency Department A Work in Progress Presenter: Kerrie Freeman, Service Improvement Leader Hospital: Picus1 and Picus2 HRT0915. 17-18 September 2009.

olina
Download Presentation

17-18 September 2009

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Bay of Plenty District Health BoardA 3-2-1 approach to data and process improvementin the Emergency DepartmentA Work in ProgressPresenter: Kerrie Freeman, Service Improvement LeaderHospital: Picus1 and Picus2HRT0915 17-18 September 2009

  2. Key contacts: Derek.Sage@bopdhb.govt.nz 021 228 5914 ED Clinical Director / Medical Leader Clinical Support Services Marama.Tauranga@bopdhb.govt.nz 021 227 4649ED/APU Clinical Nurse Manager

  3. Context • Adoption of the principles of NSW models of emergency care by Clinical Governance Committee – contextualised by clinical staff to BOP • Streaming and standardising care – stroke, chest pain, appendicectomy, diverticulitis, CNS trial (single injury, single illness pts) • Supporting work – APU, CAU, WOW, ED imagine, leadership capacity building, cart tart, barcoding • From March to August 6 hour target moved from 81% to 87.2% - incremental, sustainable shifts (Tga from 74% to 81.2%) All this with high % DNWs, pandemic, winter overload… • 3-2-1 reporting and monitoring

  4. What is 3-2-1 • Decision to admit <3 hours (from time of arrival to referral to inpatient team) Acceptance for care <2 hours (from referral to inpatient team to decision to admit/discharge) Transfer <1 hour (decision to admit/discharge to admit/discharge) • Difference between 3-2-1 process and 3-2-1 reporting and monitoring • Focus on complex and high acuity patients • Agreement by clinical staff that key time-points are appropriate for cohort

  5. Why 3-2-1 for reporting and monitoring? Paradigm shift from broad brush to targeted approach

  6. Our current situation – the shotgun Which IP team is > 6 hours? Pt discharge status? Level of diagnostics?

  7. Our future situation – the sniper • 3-2-1 to target process work • Ongoing monitoring through Clinical Governance Committee for sustainability • Data collection commenced 1st September – new timestamps in PMS, new processes for data collection, new forms • Critical success factors – IT capability and engagement, clinical leadership with an agreed change imperative, sustainable incremental change

  8. "Every system is perfectly designed to get the results it gets.  If we want better outcomes, we must change something in the system.  To do this, we need to understand our systems." - Berwick 1996

More Related