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Improving In-Patient Team Clinical Practices at Liverpool Hospital. Patrick McNeil Executive Clinical Director Liverpool Hospital. Issues – Top Priorities for Action. Clinical Engagement – Focus on ‘Why Change’ Emergency Department Senior clinician involvement early in admission
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Improving In-Patient Team Clinical Practices at Liverpool Hospital Patrick McNeil Executive Clinical Director Liverpool Hospital
Issues – Top Priorities for Action • Clinical Engagement – Focus on ‘Why Change’ • Emergency Department • Senior clinician involvement early in admission • Acute Surgical Unit • Medical Assessment Unit • Paediatric Short Stay Unit • In-Patient Team Clinical Practices
Issues – Top Priorities for Action • Clinical Engagement – Focus on ‘Why Change’ • Emergency Department • Senior clinician involvement early in admission • Acute Surgical Unit • Medical Assessment Unit • Paediatric Short Stay Unit • In-Patient Team Clinical Practices
Identifying highest benefits Clinical Engagement – sine qua non • Why should I embrace change? • Quality patient care is safe, timely, effective and personal (S.T.E.P.) • Emotional connection to change • Patient voice – Every patient counts and to them every minute counts • Departmental excellence – Deliver quality care and safer patient outcomes • Facility quality – Part of a high performing organisation Coal face approaches and Organisational approaches Initial focus on In-Patient Teams – Daily decision-making
Information for prioritisation • In-Patient Audit • ALOS by Department by DRG
Key learnings • Clinical Engagement is CRITICAL • Work at the grass roots (coal-face) and at the organisational level * • Measure effectiveness of your strategies and feedback to Departments and the Facility • Embed successes into organisational change
www.health.nsw.gov.au/wohpwww.ecinsw.com.au/neatpatrick.mcneil@sswahs.nsw.gov.auwww.health.nsw.gov.au/wohpwww.ecinsw.com.au/neatpatrick.mcneil@sswahs.nsw.gov.au