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The Health Roundtable
Hip and Knee Replacement Improvement Project – Patient Goal Driven Care
Presenter: Peter FaulknerBendigo
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
2
The Health Roundtable
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
3
The Health Roundtable
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
year
Patient 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 p
atie
nts
4
The Health Roundtable
KEY CHANGES IMPLEMENTED
Outpatients Pre-Admiss Theatre Ward Discharge
Rehab In OrthoRIO
5
The Health Roundtable
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
6
The Health Roundtable
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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