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Hip and Knee Replacement Improvement Project – Patient Goal Driven Care Presenter: Peter Faulkner

Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012. Hip and Knee Replacement Improvement Project – Patient Goal Driven Care Presenter: Peter Faulkner. Bendigo. 3-3c_HRT1215-Session_FAULKNER_BHS_VIC. KEY PROBLEM. Significant Bed Pressure Excessive LOS

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Hip and Knee Replacement Improvement Project – Patient Goal Driven Care Presenter: Peter Faulkner

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  1. Innovation Poster Session HRT1215 – Innovation Awards Sydney 11th and 12th Oct 2012 Hip and Knee Replacement Improvement Project – Patient Goal Driven CarePresenter: Peter Faulkner Bendigo 3-3c_HRT1215-Session_FAULKNER_BHS_VIC

  2. KEY PROBLEM Significant Bed Pressure Excessive LOS Patients Unclear of Expectations Lots of Confusing Information Low Level of Active Patient Participation in the Surgical Journey

  3. AIM OF THIS INNOVATION Clarify Patient Expectations Better Prepare Patients for Surgery Rationalise Patient Information Increase Patient Engagement and Control of Care Improve (Reduce) Length of Stay Improve Patient Experience

  4. BASELINE DATA LOS = 7.8 days Approx acute bed days per year = 1950 Additional 820 sub-acute bed days = 820 Approx 2770 bed days per year, or 8 total beds per year

  5. KEY CHANGES IMPLEMENTED Outpatients Pre-Admiss Theatre Ward Discharge Rehab In Ortho RIO

  6. OUTCOMES SO FAR ALOS RESULTS 2011/12 Acute to Disch. from 7.8 to 6.2 (23.5%) Acute to RIO to Disch. from 7.8 to 6.1 (62.5%) Acute to Sub Acute to Disch. 28.8 to 25.7 (10.5%) Acute to RIO to Sub Acute to Disch. from 28.8 to 23.7 (3.5%) Total Bed Day Savings = 554 Patients going to Sub Acute Care has reduced 6% year on year

  7. LESSONS LEARNT Engage all staff in all steps of the journey Prepare patients for what to expect (preadmission is key) Starting Rehab early yields results for patients and hospitals Patients can actively participate in their care Patients enjoy participating in their care Visual tools managed by patients assist Goal attainment

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