Is your patient ‘ Good to Go’ ? Presenter: Lisa Stephens

1. Innovation Poster Session HRT1215 – Innovation Awards Sydney 11th and 12th Oct 2012 Is your patient ‘Goodto Go’ ?Presenter: Lisa Stephens Royal Childrens Hospital - Vic 3-3c_HRT1215-Session_STEPHENS_CHILDHOSP_VIC

2. KEY PROBLEM Insufficient access to inpatient beds in the morning, resulting in decreased elective and emergency flows. Contributing factors: Delays to discharge not associated with clinical need = patients staying longer than necessary Variability in staff engagement to improve patient flow Inconsistent discharge planning practices

3. AIM OF THIS INNOVATION Improve delays to discharge across RCH by eliminating wasted time between ready for discharge and actual discharge; demonstrated by an increase in the number of discharges by midday

4. BASELINE DATA • An average of 10 discharges by midday prior to the focus on improving discharge practices – met our demand only 32% of the time • Results of an audit conducted in April 2012 to identify the delays to morning discharge - below Reasons for patients waiting

5. KEY CHANGES IMPLEMENTED ‘Good to Go’ campaign – whole of hospital strategy to improve patient access and flow Overseen and monitored by an Executive Steering Committee Road show involving all disciplines led by executive and steering committee members – over 1,200 staff have attended education sessions

6. KEY CHANGES IMPLEMENTED Consultation with staff to define the expectations of all staff in discharge planning and process Criteria led discharge process implemented 29 diagnosis specific forms including a generic form Competency for nursing staff Information for families RCH procedure

7. OUTCOMES SO FAR Repeat audit August 2012 Reasons for patients waiting

8. LESSONS LEARNT Engagement of all staff – make it meaningful to them - DVD developed Clear expectations of all involved Consistent approach Standardising the expectations for a patients discharge planning across all disciplines takes time