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4 & 5 June 2008- Sydney

General Medicine Alcohol Admission Pathway Presenter: James MacWatt Hospital: Antares Contacts: Mary Bronson (08) 9346 3717 Page 4818 mary. bronson@health.wa.gov.au Bronwyn Cairns (08) 9346 1186 Page 4866 bronwyn.cairns@health.wa.gov.au. 4 & 5 June 2008- Sydney. Problems.

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4 & 5 June 2008- Sydney

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  1. General Medicine Alcohol Admission PathwayPresenter: James MacWattHospital: AntaresContacts: Mary Bronson(08) 9346 3717 Page 4818mary.bronson@health.wa.gov.auBronwyn Cairns(08) 9346 1186Page 4866bronwyn.cairns@health.wa.gov.au 4 & 5 June 2008- Sydney

  2. Problems • ↑ LOS/Bed Occupancy in Gen Med at Antares • State-wide ↑ Av. yearly cost, presentations and admissions related to alcohol * • Process Issues • Triple handling (ED, AAU, Home-ward) • Duplication of assessment • Multiple bottle necks • Lack of care coordination • Lack of continuity of care • Inefficient team communication * Impact of Alcohol on the Population of Western Australia, January 2008

  3. Aims • Improve patient care • Empower patient • ↓ LOS • ↓ waste-time waiting, multiple assessment • Right patient cared for in right environment • Improved team communication • Improve effectiveness of work processes

  4. KEY CHANGES IMPLEMENTED • Improve bed management process- Pull vs. Push • Improve Continuity of Care • Criteria Led Discharge • Care Coordination • Improved Team Liaison • Empower Team

  5. EARLY OUTCOMES • Reduction of LOS for Patient group by 62% (3.5 days from 9.125 days) • Reduction in mean transfer time from ED to home ward by 70 % (26.81 hours from 88.375 hours) • Improved patient report of care

  6. PROJECT EVALUATION • Early successes though difficult to sustain! • PROBLEMS • Fall down in communication • Staff Turnover • Loss of focus/priority • THE FUTURE • Process adjustment to aid sustainability • Plan, educate and re-implement with new team • Clinical project lead

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