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Criteria Led Discharge. Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578. Why?. Patients waiting unnecessarily for discharge PLUS. What and How. Established state-wide CLD working group
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Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578
Why? Patients waiting unnecessarily for discharge PLUS
What and How • Established state-wide CLDworking group • 33 members mix face to face / teleconference • Evidence reviewplus national and international experience • Identified testing sites (10 5 3) • Baseline patient and staff experience (3 sites) • Tested form and process (3 sites) • Conducted audit (2 sites)
Outcomes • CLDform • Transfer of Care checklist • Protocol • Competency set • Education/orientation slides • Early days for outcomes • 69 19 3 Identifying patient Completing form
Enablers Appropriate lead time – patience Clinical leads in both nursing and medicine Implementation lead Education
Key learnings ‘But, I already do this’ ‘Better transparency around discharge plan’ Plan! Plan! Plan! Measure! Change! Slow start, small numbers Establish robust processes for the weekend
http://www.aci.health.nsw.gov.au/networks/acute-care-taskforcehttp://www.aci.health.nsw.gov.au/networks/acute-care-taskforce