The 90 Days of Innovation: Ready Every Day Community Strategies team is focusing their tactics on strategies to prevent patients and clients in the community from having to visit the Emergency Department or be admitted to the hospital. The team is also working on initiatives to enhance patients’ transition hospital back into the community.

Corey Miller

Corey Miller is the leader of the Community Strategies team.

The initiatives the team is working on fall into two categories: those that are underway and being managed by operational leads, and those that are being developed and managed by the team. The initiatives being managed operationally include:

  1. Expand Home Care/Home First/MD House Calls
  2. Increase approved community Mental Health homes
  3. Enhance community support for Mental Health homes – Shirley Skelton support
  4. Increase Mental Health Transition Team hours and support – completed/ongoing monitoring
  5. Launch a Community Paramedicine Pilot in Saskatoon long-term care/personal care homes – completed/ongoing expansion
  6. Increase Client Patient Access Services (CPAS) Client Care Coordinator capacity to eliminate assessment backlogs – underway/ongoing expansion
  7. Launch a community-based Total Parenteral Nutrition program – Fail forward fast/handed to operations for future focus

The initiatives that the team is focusing on advancing include:

  1. Provide HIV community support – Sanctum Project – underway/ process in design and implementation
  2. Expand Community IV Therapy – underway/ process in design and implementation
  3. Expand transitional care bed capacity into the community – underway/process in design and implementation
  4. Expand Direct Client Funding – underway/ongoing expansion

For the final 30 days of the 90-day cycle, the team is focusing resources on tactics that will work to eliminate inpatient overcapacity beds through the delivery of community support services. These services will allow the system to pull patients from acute care, or hospital, into the community.

The team is in the final stages of building a Hospital Inpatient Clients Transitioned to Community burn-down chart that will allow them to time the expansion of community services programs with the closure of overcapacity beds. The chart will also allow the team to ensure that correct staffing and budget allocations have been made to coincide with the closure.

What is a burn-down chart? Essentially, a burn-down chart is breaking down a solution into manageable pieces.

Working on this 90-day cycle has enabled community programming to begin transforming processes through staff empowerment and engagement.  So far, Team 1 has engaged hundreds of patients and families, as well as staff and physicians, in their work.

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