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Diabetes Journey PAH. Presenter: Sally Skuthorpe Hospital: EAGLE. Key contact person for this project Sally_ Skuthorpe@health.qld.gov.au 07) 3240 2897 . Current Situation – Diabetes New Case Referral Process. Data source: Cerner OSIM

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diabetes journey pah

Diabetes Journey PAH

Presenter: Sally SkuthorpeHospital: EAGLE

Key contact person for this project Sally_Skuthorpe@health.qld.gov.au

07) 3240 2897

slide3
Data source: Cerner OSIM

OSIM (Outpatient Services Information Management) scheduling system was introduced in July 2000 to replace the manual appointment booking process and all patient appointment information (including waiting list management) is collected and saved electronically

statistical reporting
Statistical Reporting
  • Monthly data collected and monitored on the following:
    • Attendances (occasions of service) / new/review appointment ratio
    • DNA (Did not attend)
    • Reschedules/cancellations
    • Total patient on waiting list under CAT 1,2,3 and UC (uncategorised) and length of time waited
    • Referrals received
    • Waiting time from referral date to allocated appt date and wait until next available appointment
    • % patient attending the hospital that are from outside our district
current situation problems
Current Situation - problems

Management / Staff perspective:

  • Waiting lists
  • Workload issues

Patient perspective

  • Access to service
nurse led diabetes screening clinic
Nurse Led Diabetes Screening Clinic

Aim of Project: Address Diabetes Waiting List

Improvement Sought: Improved patient access to service and better triage system for new case referrals

Resources: Multidisciplinary approach, group ed for Type 2 DM & individual consult for Type 1 (and pts not suitable for group)

Results: One stop shop for diabetes screen & improved access to endocrinologist r/v

key changes implemented
Key Changes Implemented
  • Two step appt for diabetes new case reviews
  • Emphasis on the multidisciplinary input to diabetes management
  • Full diabetes complication screen within 30 – 60 days for all referrals
slide10
Outcomes so Far – Diabetes Screening clinics reflect a difficulty in getting people to access services
outcomes so far nurse led clinics help improve attendance to new case doctors appointments
Outcomes so Far – Nurse Led clinics help improve attendance to new case doctors appointments
a previous successful improvement strategy lessons learnt
A Previous Successful Improvement Strategy – Lessons Learnt
  • Seems to be degree of patient apathy to diabetes specialist care
  • GP’s are referring to several tertiary centres to hedge bets on an appointment somewhere
  • Nurse led clinics triage and screen for complications & true contenders, improving the access to those who want to attend
  • Nurse led clinics optimise doctors appointments & can save unnecessary r/vs if all results are available at the first visit
quality activities
Quality Activities
  • Development of an outpatient website available on the internet and intranet:
    • http://www.health.qld.gov.au/pahospital/professionals/default.asp
quality activities1
GP Referral guide outlining specific requirements/test under each speciality

Communication with referring Doctors through GP websites and newsletters

Quality Activities
statistical monitoring
Statistical Monitoring
  • Implementation of the Outpatient Dashboard to monitor and manage outpatient services