The 90 Days of Innovation: Ready Every Day Care Transitions Team (Team 2) is focusing their efforts on improving the process from admission to hospital to transition from hospital. Their overall goals are to eliminate beds in pods and off-service locations, to eliminate overtime, and to level-load key patient services to support doing “today’s work today.”

Definitions
Pod: Temporary Pods are areas of a unit, usually consisting of several beds, meant to be used for patient care in times of overcapacity. Pods are not regularly staffed and require additional staff, equipment and supplies to be brought in to monitor patients when the space is used.
Level-loading: Synchronizing our capacity to meet patient needs with predicted demand.

Their project list is as follows:

  1. Repatriation – a standardized approach to facilitate increased efficiency in repatriation to home hospital – work underway.
  2. Stroke Pathway and Unit – Improve the care of the patients who have had a stroke in order to improve the progression of care  – work commencing.
  3. Physician and resident work flow – Clinical Teaching Unit Model line is focused on removing barriers and time wasters in the physician work flow, with their first focus on information flow – work commencing
  4. Mistake-proofing the missing nasopharyngeal swab – eliminating the defects from the time an order is written for a nasopharyngeal swab to the time the swab is received in the lab for processing – work commencing
  5. MRI – Today’s Work Today to improve inpatient care progressions – work underway
  6. Interventional Radiology – ‘Today’s work today’ to improve inpatient care progressions – work commencing
  7. ECHO (Cardiac test) – ‘Today’s work today’ to improve inpatient care progressions – work underway
  8. Cardiac Catheterizations – ‘Today’s work today’ to improve inpatient care progressions at Royal University Hospital and St. Paul’s HOspital – work underway
  9. Physician Compact – defining the relationship between Saskatoon Health Region and physicians related to patient flow (general internal medicine) model line – work commencing
  10. Dedicated pharmacist – developing role and model line, improving care progression and reducing readmission/transition defects – work commencing.
  11. Observation care – match demand for observation beds with availability of observation beds, and redefine the standard of care and the location of care provisions – work underway
  12. Telemetry monitoring – match demand for telemetry beds with availability of telemetry beds, and redefine the standards of care and interdepartmental communication – work underway
  13. Patient isolation – match demand for isolation beds with availability of isolation beds, define best practices and mitigate current risks in practices – work commencing.

The team is currently focusing on 13 tactics and 39 improvements, while engaging patients, families, staff and physicians. Working with Team 2 leadership are eight registered nurses who are on return to work assignments. These nurses are doing a great job learning lean tools and are actively undertaking, leading and supporting improvement work in the key tactic areas.

See more stories about Region improvements at www.saskatoonhealthregion.ca/ReadyEveryDay.

Sandra Blevins

Sandra Blevins (right) is leading the Care Transitions team.