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15 February 2008 - Melbourne

Improving Access: Psychiatric Assessment Planning Unit - PAPU Presenter: Daphne Lyle Hospital: Vulcan Key contact person for this project: Daphne Lyle – Acute Inpatient Unit Manager, daphne.lyle@mh.org.au . Ph: 9342 4001. 15 February 2008 - Melbourne. KEY PROBLEM.

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15 February 2008 - Melbourne

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  1. Improving Access:Psychiatric Assessment Planning Unit - PAPU Presenter: Daphne LyleHospital: Vulcan Key contact person for this project: Daphne Lyle – Acute Inpatient Unit Manager, daphne.lyle@mh.org.au. Ph: 9342 4001 15 February 2008 - Melbourne

  2. KEY PROBLEM • A review of data of the RMH ED for Oct ’04- Oct ’05 indicated that consumers with a primary mental health diagnosis, 370 spent >12 hours on a trolley 125 >24 hours on a trolley 38 spent >48 hours on a trolley. • Mental health consumers accounting for >40% patient stays in the ED for more than 24 hours. • There were approximately 200 episodes per year of mechanical restraint in the ED compared to 2 in the Adult Acute Inpatient Unit.

  3. AIM OF THIS PROJECT • To reduce the number of mental health presentations waiting in the ED. • To reduce waiting time of mental health consumers in ED for an acute inpatient bed. • To provide a better standard of care for mental health consumers in a more appropriate setting and to reduce the need for mechanical restraint. • PAPU opened on an interim basis in October 2006 and was fully operational at the end of January 2007. • PAPU was funded by Acute Health division of DHS.

  4. KEY CHANGES IMPLEMENTED • Design of a 4 bed unit with the capacity to provide for High Dependency needs. • Co-located within the Adult Acute Inpatient Unit, however remaining a distinct service. • LOS is a maximum of 48 hours. • Ability to have “flexi” beds – which can be utilised as HD or LD beds dependent on the units requirements. • Development of inclusion and exclusion criteria for PAPU. • Recruitment of PAPU coordinator to coordinate a consumers treatment while in PAPU. • Development of a clinical pathway of care.

  5. OUTCOMES SO FAR 2 PAPU LD PAPU fully beds open operational

  6. OUTCOMES SO FAR cont’d: PAPU fully operational

  7. OUTCOMES SO FAR cont’d:

  8. PROJECT EVALUATION •  in direct admissions, which has resulted in an increased need to up skill clinicians. •  in 1-2 day admissions with a corresponding  of 1-2 day admissions in the adult acute inpatient unit. • Ultimate blending of the KPIs, corrupts the data and subsequently the ability to benchmark.

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