Bed Management Presenter: Denise Manning Hospital: Auckland City Hospital

1. Bed ManagementPresenter: Denise ManningHospital: Auckland City Hospital 14 November 2007 - Sydney

2. OVERVIEW • Electronic Bed Management System created to better support acute/unplanned bed management at Auckland City Hospital

3. KEY PROBLEM SOLVED Excessive number of communications necessary to achieve bed placements Replacement of largely paper based system

4. HOW IT WORKS

5. REQUEST A BED (from patient whiteboard) …..As simple as 1,2,3 System invokes bed request screen with patient in context User clicks ‘OK ‘ Bed is requested User is returned to whiteboard bed booking is visible in the next column User highlights the patient’s row and selects ‘Request a bed’ 1 2 3

6. COMPLETE REQUEST (Bed manager) 1 Bed Manager Completes the request (scheduling the next location) 2 Requests appear on BMS instantaneously The newly scheduled ward and bed ready time is displayed back on patient whiteboard 3

7. OUTCOMES SO FAR

9. Significant Reduction In Red Alerts

12. COSTS • Developed in 2 phases • Development costs have been included under the annual IMTS budget for CMS (the patient management system) • Extrapolated cost of BMS including analysis, development, testing & release to production estimated at $152k • Customised for ADHB – not commercially available • No associated training costs so far

13. Next Phase • Phase 3 currently in the analysis stage includes: • A constant capacity snapshot and alert broadcasting tool • A means to activate a ‘a major incident state’- for multiple admissions eg changed triage, rapid registration and transfer, overflow whiteboards etc • A method to highlight and capture data around transfer delays • A Resourced beds tool for Bed managers to easily input actual resourced bed data

14. EVALUATION • Bed management system must interface with patient management system • Keep it simple - needs to be quicker and simpler that existing processes • When designing system requirements always consider the data gains • Ensure business rules are sound to minimise error