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Bed flow procedure A key factor in ABF

Bed flow procedure A key factor in ABF. Gold Coast Mental Health Service. Back ground- Pre initiative:. LOS above the peer groups Lack of adequate opportunities to discuss barriers to discharge for complex long stay patients.

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Bed flow procedure A key factor in ABF

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  1. Bed flow procedure A key factor in ABF Gold Coast Mental Health Service

  2. Back ground- Pre initiative: • LOS above the peer groups • Lack of adequate opportunities to discuss barriers to discharge for complex long stay patients. • To provide good clinical care to our patients and also to improve access to the patients needing admission to our wards. • To facilitate smooth transition of patients through the service. ( Gold coast has two campuses)

  3. Initiative: Bed flow meeting • Twice weekly Bed meetings co-chaired by Bed Manager (Patient Flow) and area Clinical Directors (South and North. • Consultants  to attend at least one bed meeting per week. Registrars are to attend other meetings if Consultant is unable to attend. Registrars encouraged to lead the team • Area Nursing Director to attend. • NUMs from each unit.

  4. Purpose: • Expected Date of Discharge for each patients.  Barriers to discharge need to be identified (ie. accommodation, social issues, etc.). • Traffic light system. Teams to categorise their patients into Red, Amber or Green. Each team should also identify at least one green patient for each meeting for potential discharge or leave to make way for acute admissions. • In the event of no Green patients being identified and no vacant beds by Thursday, the in-patient consultants will discuss among self to identify any such patients failing which theClinical director would be notified.

  5. Purpose cont. • Length of Stay Reviews: Any patient whose stay exceeds 21 days is to have a second opinion from a colleague. The outcome of this review is to be presented at the next bed utilisation meeting and documented on CIMHA. • When a patient stay exceeds 28 days these patients are identified and referred to the area Clinical Director for review.

  6. Outcome: • This process has effectively reduced the length of stay from previously averaging 12-14. • As per the figures attached:

  7. Readmissions Summary

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