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Data in Health. James Lind Director of access and flow Gold Coast HHS. System flow why bother?. All hospital are uniquely similar!!. Every hospital is uniquely Similar!!! 85% occupancy is inefficient Mathematic. Annual Patient Flow is predictable. Key is visualisation.
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Data in Health James Lind Director of access and flow Gold Coast HHS
All hospital are uniquely similar!! Every hospital is uniquely Similar!!! 85% occupancy is inefficient Mathematic
Visualization of data • Discharge 30% by 11am!!!
Solutions informed by data Appointment of new CE Executive rounding in ED Full time BPIO appointed Macro NEAT Project 24 hour CNC coverage 5 days a week PIT model commenced at Southport Emergency Increase in Short Stay Unit capacity from 10 beds to 6 beds and 7 chairs Refinement of ward based care model New process in bed management Medical Assessment Unit opens Southport Access and Flow Unit commences Business Practice Improvement officer role commenced Rapid access clinics for medicine commenced Ward based porterage and refinement of bed cleaning Redesign of bed management Process Access and flow director appointed BPIO commenced full time Robina and Southport ED Current management CNC to work on floor to increase coverage Restructure of staffing to accommodate early decision making in ED Reconfigure of current FTE to accommodate new model of care Extra FTE in medical, nursing and admin ADON patient flow and extra bed managers People Re- deployment of medical staff to clinics Additional nursing resources for bed management • Reconfigure bed meeting • * Additional Afternoon bed meeting • Rescheduling of ICU radiology , cardiac and HODU PT • Opening of additional HDU over winter • Slack box process redesign • Early decision making • Education to staff on NEAT • Performance feed back • Definition on purpose and function of ED Surge plans for all sub-specialities and new Capacity alert process
Key messages • Data informs but is a tool • Interpretation of data is key • How much error are you prepared to live with • Visualisation and translation of data is key