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Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation [email protected] P: 02 9464 4623 │M: 0467 603 578

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Page 1: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

Criteria Led Discharge

Kate LloydManager, Acute CareAgency for Clinical [email protected]

P: 02 9464 4623 │M: 0467 603 578

Page 2: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

Why?Patients waiting unnecessarily for discharge

PLUS

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Page 3: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

What and How1. Established state-wide CLD working group

2. 33 members mix face to face / teleconference

3. Evidence review plus national and international experience

4. Identified testing sites (10 5 3)

5. Baseline patient and staff experience (3 sites)

6. Tested form and process (3 sites)

7. Conducted audit (2 sites)

Page 4: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

Outcomes CLD form Transfer of Care checklist Protocol Competency set Education/orientation slides Early days for outcomes

69 19 3

Identifying patient

Completingform

Page 5: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

Enablers Appropriate lead time – patience

Clinical leads in both nursing and medicine

Implementation lead

Education

Page 6: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

Key learnings ‘But, I already do this’ ‘Better transparency around discharge plan’

Plan! Plan! Plan! Measure! Change!

Slow start, small numbers

Establish robust processes for the weekend

Page 7: Criteria Led Discharge Kate Lloyd Manager, Acute Care Agency for Clinical Innovation kate.lloyd@aci.health.nsw.gov.au P: 02 9464 4623 │M: 0467 603 578

http://www.aci.health.nsw.gov.au/

networks/acute-care-taskforce

Level 4, Sage Building , PO Box 699 T 02 9464 4674 www.ecinsw.com.au

67 Albert Avenue, Chatswood NSW 2067 Chatswood NSW 2057 F 02 9464 4728 ABN 89 809 648 636