Improving In-Patient Team Clinical Practices at Liverpool Hospital
Patrick McNeilExecutive Clinical DirectorLiverpool Hospital
Issues – Top Priorities for Action
1. Clinical Engagement – Focus on ‘Why Change’
2. Emergency Department
3. Senior clinician involvement early in admission• Acute Surgical Unit
• Medical Assessment Unit
• Paediatric Short Stay Unit
4. In-Patient Team Clinical Practices
Issues – Top Priorities for Action
1. Clinical Engagement – Focus on ‘Why Change’
2. Emergency Department
3. Senior clinician involvement early in admission• Acute Surgical Unit
• Medical Assessment Unit
• Paediatric Short Stay Unit
4. In-Patient Team Clinical Practices
Identifying highest benefitsClinical 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
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/neat
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67 Albert Avenue, Chatswood NSW 2067 Chatswood NSW 2057 F 02 9464 4728 ABN 89 809 648 636