Presentation on theme: "Bed Management Meeting More Than Just Measurement : Outcomes"— Presentation transcript:
1 Bed Management Meeting More Than Just Measurement : Outcomes Patient Flow CollaborativeLearning Session 3Trevor RixonAccess Manager8 February 2005
2 Bed Management Meeting - What do we want to achieve? Improved RCH patient experience- ensure timely access to hospital for our patients & familiesCollect accurate & timely information- for both day-to-day & longer term decisions about managingpatient flow & capacityIdentify & remove barriers to good bed management practiceA flexible system, capable of effectively managing fluctuations in activity whilst maintaining efficiencyActive involvement of the RCH community in bed management
3 Length of Stay (Total)80% of patients (excluding sameday) at this hospital had a length of stay between 1 and 6 days with the maximum length of stay currently at 360 days.Ave LOS:
4 Average Admissions & Discharges by DOW For the period Jul03-Mar04 the highest number of average admissions for multiday patients was on a Monday (67), and the highest number of average discharges was on a Friday (70).The lowest number of average admissions (excluding weekends) was on a Friday (1), and the lowest number of average discharges was on a Monday (40).
6 Understanding Patient Flow Minimal influence over emergency arrivalsEmphasis on managing discharges & elective admissions- all other outcomes then followRequires sufficient data & information to properly understand how things are currently operatingInpatient Flow: align elective & emergency flows to better manage demand & capacityPatient Discharge: create capacity in the system by increasing the efficiency of patient discharge processes
7 Data and Information Effective Bed Management requires: regular monitoring of current situation through timely analysis of accurate data setsupported by the smooth flow of information throughout the whole organisationCore set of operational data is collected & monitored by the Access Management Team on a daily basis
8 Story so far…… Access Manager appointed Met with stakeholdersReviewed bed management process & practicesIdentified service gapsDiscussion paper distributedDeveloped & implemented IT-based Bed Management Toolillustrates the variation of bed management activity on a periodic basis
9 Story so far…… Bed management meetings commenced: August 2004 Access Management Team (Access Manager, Bed Allocations Officer) co-ordinates meetingAll ward/unit nursing staff attend dailyCompleted bed management template sent to staff dailydata assists in planning & managing elective & emergency demandEnhanced communication & liaison between RCH & Royal Bank (casual staffing provider)
10 Bed Management ToolThrough valid data collection, increase awareness of all staff of the need for good bed management practice to underpin achievement of key access targetsTo inform good and effective bed managementTo provide an easy to use format & access to information that improves bed management processes
13 Lessons LearntSystems & tools enable better understanding of resource requirements by all participantsInformation presented in a structured format ensures an agreed understanding & minimises disputation of dataDealing with bed management issues in group forum allows time to identify & resolve issues‘meeting after the meeting’Enhances staff development - access to mentors & championsImportant to acknowledge and celebrate progress
17 Improvement Plan Staff Survey undertaken Organisational review of bed management policy & practicesInform Admissions & Discharge process changesDevelop an ‘on-line’ bed management systemDedicated venueFurther integrate process into culture & context by seeking involvement of key medical & allied health staffAssist nursing management to manage staffing issues that impact on bed availability:casual staffing requirements; sick leave patterns; rostering practices
18 Bed Management Meeting More Than Just Measurement : Outcomes ?