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Improving Outpatient Services

Improving Outpatient Services. Presenter: Marie Baxter Hospital: Antares. Marie Baxter.Co Director, Central Services Unit Sir Charles Gairdner Hospital, Nedlands Perth W.A Marie.Baxter@health.wa.gov.au, ph (08) 9346 4447). Current Situation - Process. Summary of Current Activity.

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Improving Outpatient Services

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  1. Improving Outpatient Services Presenter: Marie BaxterHospital: Antares Marie Baxter.Co Director, Central Services Unit Sir Charles Gairdner Hospital, Nedlands Perth W.A Marie.Baxter@health.wa.gov.au, ph (08) 9346 4447)

  2. Current Situation - Process

  3. Summary of Current Activity

  4. Current Situation - problems Management / Staff perspective: • Large DNA rate 10 –30 % • Large waitlist for first appointment Patient perspective • Length of time to first appointment • Limited parking facilities

  5. Key strategies / actions / innovations – already successfully implemented

  6. A Previous Successful Improvement Strategy Aim of Project - Reduce wait time for surgery (Ortho) Improvement Sought - waitlist within boundary – 500 days, 365 days What areas - All Surgical initially then orthopaedics By When - Reviewed by April 2007 With what resources - • Waitlist grant, $5 Million. • Development of protocols to allow selection of patients to divert to secondary elective campus - Surgicentre

  7. A Previous Successful Improvement Strategy- Key Changes Implemented • Development of special Surgicentre for project – within Osborne Park Hospital • A co-ordinated approach to management of the Waitlist • Focus was to pull all patients into boundary relating to 500 days and 365 days

  8. A Previous Successful Improvement Strategy- Key Changes Implemented • Transferred to Surgicentre for treatment • > 500 days = 252 surgical patients • > 365 days = 27 surgical patients

  9. A Previous Successful Improvement Strategy – Outcomes so Far • The introduction of the Surgical Waitlist initiative demonstrated • Total number of patients (cat 1 &2) exceeding waiting times of 500 days and 365 days = 1178 • Number of patients over 500 wait days who received procedure = 259 • Number of patients over 365 wait days who received procedure = 125

  10. A Previous Successful Improvement Strategy – Lessons Learnt • What would you recommend to other organisations? • Coordinated waitlist management • Development of protocols to undertake surgery in elective only units • Maintain communication with key stakeholders • Introduce Clinical Priority Access Nurse for referral triage • Introduce Nurse Practitioner/Allied Health led clinics

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