Parkwood Access & Flow Project – November 2011

1. Parkwood Access & Flow Project – November 2011 • INSTRUCTIONS • This PowerPoint presentation has an audio track built into it • To take full advantage of the slides and audio track do the following: • Make sure the audio on your computer is ON and is turned on full • View and listen to the slide deck in slide show mode (full presentation) – this will automatically activate the audio as soon as you advance the slide • The slides are set to advance manually so you can take your time going through them • The audio is slightly more than 3 minutes long so it should take you no more than 5 minutes to go through all 10 slides

2. Parkwood Access & Flow Improvement Project November, 2011

3. Project Objective • To improve access & flow into Parkwood inpatient programs • Focus on complex care, rehab, and specialized geriatric services - as well as the geriatric rehabilitation day hospital

4. Project Goal • To ensure that the referral and intake decision-making process: • Is timely • Well communicated • Consistently applies the admission criteria • Uses technology as much as possible • Results in decisions that consistently match patient needs with the most appropriate Parkwood program • Makes the most appropriate use of Parkwood resources • Continually improves on the basis of on-going experience, data and feedback

5. Future state • common intake process to all inpatient rehab, SGS and Complex care inpatient programs as well as the geriatric rehabilitation day hospital • common reference guide for all referral sources to use to inform them about the inpatient and geriatric rehabilitation day hospital programs, admission criteria and process • one phone number to call for all inquiries and one e-mail address • central Patient Access Office as a physical and dedicated space in Parkwood Hospital

6. Future state • dedicated staff – both clerical and clinical - with the necessary experience and expertise to manage the Parkwood Hospital referral and intake process • common admissions form for complex continuing care, rehab and specialized geriatric services as well as the geriatric rehabilitation day hospital • Palliative care and long-term ventillation dependent patients will have their own admissions forms • Electronic Admission form will be completed by the referral source – using a secure web site (no paper)

8. Admission Form content • Admission demographics • Program requested • Current diagnosis, co-morbidities, interventions • Medical stability documentation • Program readiness • Goals and identified barriers • Eligibility assessment • Functional status • Cognitive status • Clinical alerts – e.g. infection control, diet, ostomy, tube feed, IV, tracheotomy, diabetes, pain, oncology • Equipment needs • Attached documentation • Consent forms

9. Current focus – implementation planning • Physical space needs for the PAO as well as infrastructure needs (phones, fax, computers etc.) • Staffing needs – including assigning staff to work in the PAO, staff accountabilities and reporting relationships • Finalizing the referral form • Deciding how to ensure completed form transmission is secure and protects privacy of patient information • Finalizing the operational details of the information, communications and decision-making flow – internally and externally – leveraging Cerner capabilities as much as possible • Identifying how to collect the information needed by the PAO office – including such things as bed status by program, pending discharges as well as performance measures etc.

10. Next Steps • Complete implementation planning, begin implementation and prepare for on-going operations • Staff orientation and training • Communicate the new structure, process and forms to all referral sources • Establish “Go Live” date

11. Thanks! For more information contact Steve Elson at 519-685-8500 ext. 72012 steve.elson@lhsc.on.ca Thanks for the opportunity to bring this development to your attention