10
Apr 17

Involving caregivers in discharge of elderly patients linked to 25% reduction in readmissions

Integrating a patient’s family into the hospital discharge process may lead to a 25% reduction in readmissions within 90 days, according to new research. This extends to a 24% reduction in readmission within 180 days. The study, published in the Journal of American Geriatrics Society, examined 4,361 patients who were 70 years of age, on … Continue reading Involving caregivers in discharge of elderly patients linked to 25% reduction in readmissions

17
Mar 17

Hard wiring a hospital for competitive performance

The facts: The emergency department is the main gateway to the hospital The emergency department typically accounts for: 50% of inpatient admissions 75% of plain radiographs 50% of CT scans and ultrasounds in the entire hospital In addition, as the ‘front door’ to the hospital, the emergency department not only drives flow, but it drives … Continue reading Hard wiring a hospital for competitive performance

27
Feb 17

How to improve integration of health services to support patient centred care

Scotland has long had a vision that “everyone is able to live longer healthier lives at home, or in a homely setting”. This can be achieved through better integration between both health and social care, and between the different components of the care system, including primary care and acute care. There have been structural, budgetary … Continue reading How to improve integration of health services to support patient centred care

01
Feb 17

Whole System Patient Flow – The Scottish Experience

Good patient flow is not about a production line with patients moving along a factory-like conveyor belt, but it does draw upon some of the same Operations Management techniques. Instead, good patient flow places the patient on the optimal patient pathway for their needs and contributes to safe, person-centred and effective care. It also eliminates … Continue reading Whole System Patient Flow – The Scottish Experience

09
Jan 17

Coping with an unprecedented increase in patients in a new Emergency Department

QEII Jubilee Hospital is an urban district hospital on the South side of Brisbane with 181 inpatient beds. In October 2013, we opened a new, larger Emergency Department, but with no increase in inpatient beds. Over the next 3 years, attendances rose from a relatively consistent 37,000 patients per annum to 56,000, putting considerable strain … Continue reading Coping with an unprecedented increase in patients in a new Emergency Department

28
Oct 16

Doing more with less: balancing patient care with hospital targets

“Public hospitals are facing a growing funding crisis. This crisis is not generated by hospitals themselves, rather, it is a crisis created by the political process, and political and budgetary decisions.” This year’s Australian Medical Association (AMA) Public Hospital Report Card is damning of health funding cuts and the subsequent effects on emergency department waiting … Continue reading Doing more with less: balancing patient care with hospital targets

16
Aug 16

Reducing unnecessary Emergency Department medical testing at Box Hill hospital

Unnecessary medical testing has been shown to be rife in modern medicine, with estimates in the literature typically in the range of 20-25%. This has also been shown to be a problem that isn’t going away, with most clinical laboratories experiencing 5 to 10% increases in workload each year. In recognition of this, Eastern Health … Continue reading Reducing unnecessary Emergency Department medical testing at Box Hill hospital

05
Aug 16

Forecasting Activity Capacity Electronically (FACE)

FACE is a home grown Patient Flow meeting and reporting tool which now runs across all Metro South Hospital and Health Service sites. This visual tool provides forecasting for daily activity and capacity as well as incorporating information sharing at the clinician level. FACE was introduced at the Princess Alexandra Hospital in 2009. In its … Continue reading Forecasting Activity Capacity Electronically (FACE)