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NDHB Hospital At A Glance ‘HaaG’ Mark Goodman Hospital Coordination Unit Nurse Manager. Hospital at a Glance Screen (HaaG). A Variance Response Management tool to signal when patient and staff safety may be at risk due to a mismatch between Demand
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NDHB Hospital At A Glance‘HaaG’Mark GoodmanHospital Coordination Unit Nurse Manager
Hospital at a Glance Screen (HaaG) A Variance Response Management tool to signal when patient and staff safety may be at risk due to a mismatch between Demand Clinical time needed to deliver care to patients, based upon acuity & Capacity Clinical hours (staff & skills, resources available to deliver care)
Hospital at a Glance Screen will: • Show a picture of the current status of the Hospital at a Glance. • Initiate discussions and signal the need to employ “Variance Response Management Plans” • Identify need & availability to guide the sharing of staff to support other areas who may be dealing with significant demand capacity mismatch.
Hospital at a Glance Screen ‘Bar Graph’ of (physical) capacity of each area. Shows physical beds and current utilisation. Variance Indicator field below each areas bar Includes agreed area specific indicators that are designed to be an alerting system Can’t look at one without the other.
Care Capacity Variance • A selection of specific indicators that measure the pressure of resource demands and deficits of the ward/units. • Each area has a combination of common and unique indicators, including; • Staffing issues (skill mix, hours to care, etc). • Patient acuity • Churn • Professional judgement. • A ‘real time’ holistic view
What happens with the information ‘In the moment’ • Each time the ward Care Capacity Variance Indicator is saved it will: • Update the Hospital at a Glance screen. • Time stamp the change. • Record what indicators were selected. • Record what CCVB status was saved (colour).
What happens with the information ‘longer term’ • Reporting available includes; • Each Unit/Wards status over time. • A record of what indicators were saved and who changed them.
Ongoing work • Reporting of HaaG data • Improving HaaG data • Reviewing indicators and plans • Local data councls
Challenges remaining • Capturing the Hospital status • Representing Allied Health • Engaging medical colleagues • Embedding the system into culture