Port Macquarie Base Hospital – Very Early Stages

Jo CampbellProject Lead, Whole of Hospital ProgramPort Macquarie Base Hospital

Governance TeamGeneral Manager

Project Lead

Director of Nursing

Director of ICU (became Clinical Lead)

Director of Emergency

Head of Department of Surgery

Head of Department of Medicine

Staff Specialist Paediatrician

What and How

Who Owns The Timeline Study – 18th- 20th August, 2013

Why Am I Still Here Study – 16th – 20th September

WOTTL exampleBiggest delay was

Medical Review (time from request of medical consult to time of complete medical consult)

11:51 - Triage

13:30 - Med review requested

14:38 - CT ordered

21:38 – Medical Consult Complete

LOS 11hrs 30mins

WAISH example

Biggest delay category was

“Doctors delay in decision making” (either an actual delay or no communication of plan)

20/9 “stay in until next week” – no reason

23/9 “for discharge”

Next Steps

1. Communication

2. Communication

3. Communication

Taking Ownership

Address Concerns

“So we are going to end up with sicker patients on the ward because they’ll be pushed out of ED at 4 hours”

Transparent Documentation

• Top 5 solutions displayed in Boardroom• WoHP a standing Agenda Item on many

forums within the hospital• Weekly activity Reporting• Regular feedback when new targets have

been reached

Ongoing Learning

• A Whole of District approach with Coffs Harbour proactively supported by our CE

• Networking at WoHP Conferences• Teleconference support from WoHP• Teleconference peer support with Coffs,

Lismore and Tweed

Outcomes

Admitted NEAT

Non-Admitted

NEAT

Total NEAT

July 16.97% 78.41 60.11%

November 39.9% 87.74% 70.74%

Key learnings

It doesn’t happen overnight

It does happen when you’re not looking

Once it does happen it doesn’t necessarily keep happening

Just because you “emailed it” doesn’t mean it was read

www.health.nsw.gov.au/wohpwww.ecinsw.com.au/neat

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