2021 NSLHD Quality and Improvement Award runners up
Transforming the Patient Experience
Meals Matter – Champions of Choice @ Macquarie, NSLHD and HealthShare
Macquarie Hospital staff along with HealthShare NSW worked on giving inpatients a choice of the food they could eat. They offered a two week rotating lunch and dinner menu and patients were able to choose what they wanted from a selection of full diet, diabetic diet, vegetarian and gluten free options. Not only was there increased patient satisfaction but there was an unexpected cost saving of approximately $20,000 per annum as food wastage was deemed to have reduced by 70 per cent.
Delivering Value Based Integrated Care
Reversing Frailty at Ryde, Community Aged Care and Rehabilitation Service (CAReS), Ryde Hospital
After baseline data demonstrated that only four per cent of appropriate clients were screened for frailty, a collaborative approach was implemented to address non-compliance with clinical guidelines for frailty management. The team implemented a holistic approach involving staff and consumers that focused on innovative project solutions. The project resulted in 100 per cent of appropriate clients being screened for frailty, in addition to 100 per cent of staff being competent and confident in using the screening tool and pathway.
Excellence in Supporting the Mental Health of our Patients and Consumers
Earning our Stripes – A journey into culture improvement in the Adult Mental Health Unit, Adult Mental Health Unit, Hornsby Ku-ring-gai Hospital Mental Health Service
The adult mental health team used the 'teamstripes' approach to improve their teamwork and communication within the multidisciplinary team to improve handovers, improve prevention and early intervention. The project resulted in an increase in consumers having care plans in place from 29 per cent to 100 per cent; 90 per cent of consumers and 83 per cent of carers had their goals and strategies documented.
Keeping People Healthy
Stepping On: Community Falls Prevention Program, COVID Pivot, NSLHD Health Promotion
The team pivoted from their usual face-to-face community falls prevention program to a new way of working during the COVID-19 pandemic. The team supported older adults through this distressing and confusing time by providing correct COVID-19 information, participating in a virtual 'Stepping On' program pilot and supporting their NSLHD and CCLHD 'Stepping On' leaders.
PIONEER: Improving access and care pathway for patients receiving radiation therapy for palliation by removing CT simulation, Northern Sydney Cancer Centre, NSLHD Cancer and Palliative Care Network
A local innovation recognised nationally and internationally, the Pioneer program utilises a patient’s pre-existing diagnostic CT scan to virtually design treatment plans for patients with advanced cancer, replacing the need for a dedicated CT scan simulation appointment. Significantly this has led to an effective, efficient re-design of more that 25 per cent of the department workload. Now a standardised approach, the program has shown to deliver positive clinical quality outcomes and exceeding 80 per cent in patient reported outcome measures.
Patient Safety First
Glucose Control Team: A proactive hospital-based initiative to improve glycaemic control in surgical inpatients, Glucose Control Team, Royal North Shore Hospital
The introduction of the Glucose Control Team at Royal North Shore hospital has shown to significantly improve peri-operative glucose management and reduce hyperglycaemia in surgical patients with diabetes mellitus admitted to hospital. This new model involves early identification of patients in need of timely diabetes specialist involvement. Gains have been sustained through the improvements in screening, referral pathways, education to patients and junior medical staff.
Supporting our People and Culture
Improving Patient Flow in an Outpatient Setting, Outpatient Project Team for Patient Queue Management System, Hornsby Hospital
The Hornsby Hospital redevelopment saw the outpatient clinics move to a central location, rather than spread across the hospital. Being in the one location provided the opportunity to introduce a patient queue management system – a check-in kiosk and associated electronic communication tool – to outpatient areas to manage patient flow. Staff reported improved communication between administration and clinicians. The system allows time for clinicians to complete documentation or prepare for the next patient as they do not need to leave their clinic room between patients. Seventy per cent of patients presenting for an outpatient appointment used the kiosk to check in. Ninety-five per cent of those using it were happy with the experience.
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See our 2020 NSLHD Quality and Improvement Award finalists here.