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The Health Roundtable Productive Mental Health Ward at ORYGEN Youth Health Presenter: Fiona White Health Service: Melbourne Health Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012 1 3-3c_HRT1215-Session_WHITE_Melbhealth_VIC
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The Health Roundtable KEY PROBLEM Significant increase in demand for services over the past 3 years (35% increase in separations across the health service during that period) and higher levels of patient acuity. This increase was not adequately matched with significant changes to ward processes. Feedback from staff highlighted frustration with inconsistent and inefficient systems. Consumers and carers reported that breakdown in communication and lack of choice in activities lead to boredom and contributed to a negative experience. 2
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The Health Roundtable AIM OF THIS INNOVATION Increase direct care time with consumers to 50% Decrease use of seclusion Improved co-ordination of nursing handover to enhance patient flow and enable earlier discharge of clients Empower staff to make change through a structure approach to innovation Create a calmer ward Increase staff morale 3
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The Health Roundtable BASELINE DATA Direct care time with consumers – 30% Readmission rate - 21.1% Average monthly seclusion rate of 52.30/1000 bed days (2010/11) 4
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The Health Roundtable KEY CHANGES IMPLEMENTED 1. Created a Team Vision 2. Streamlined ward processes 3. Created Knowing How We’re Doing & Patient Flow Boards 4. Redesigned handover / medication processes “Responding to the current mental health needs of young people by providing compassionate and specialised professional support, to help them find their path to recovery and their future.” 5
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The Health Roundtable OUTCOMES SO FAR Increased direct consumer care time from 30% to 58% Decreased interruptions to staff over a 12 hour shift from 109 to 40 Decreased readmission rates from 21.1% to 18.53% Average Length of Stay decreased from 10.8 to 9.21 days Decreased average monthly seclusion rate to 27.24/1000 bed days (2011/12) 6
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The Health Roundtable LESSONS LEARNT Ensure that Productive Ward is implemented into wards who feel ready and excited for a change program. Wards need stable leadership for this kind of project to be successful. Encourage all staff to be leaders in improvement. Ensure that the NUM of the ward guides the team but does not make all the decisions. Innovation should be driven by the staff on the floor. Do not underestimate the power of Executive site visits. 7
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