Transforming Acute Ambulatory Services: Enhancing Patient Care and Staff Retention
This project, led by Vicki Durston, Cheyne Chalmers, and Lynne Bickerstaff at Southern Health, addresses the urgent need to redesign services for acute ambulatory care. By improving governance, creating a robust career structure, and implementing innovative models of care, we aim to enhance staff retention and optimize service delivery. Outcomes include significant reductions in hospital length of stay for conditions like cellulitis, alongside improved patient satisfaction and cultural engagement among staff. Learn how effective leadership and stakeholder engagement can drive transformative change.
Transforming Acute Ambulatory Services: Enhancing Patient Care and Staff Retention
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Presentation Transcript
Retaining Staff through Service RedesignPresenter: Vicki Durston, Cheyne Chalmers, Lynne BickerstaffHospital: Southern HealthVicki DurstonEmail: vicki.durston@southernhealth.org.auPhone: 03 95946161Mobile: 0407531924Acknowledgments: Caron Hill & Felice Borghmanns
Key Problem: Acute Ambulatory Services (2007) needed to be responsive to meet the needs of SH and the service users: • improve access to services • divert and substitute care to relieve hospital demand • adopt universal approaches maximising efficiency, workforce flexibility and transfer of resources • provide models of care that reflected the needs of the client and SH
Aims of this project: Phase 1 • To improve governance in patient care • Retain staff through service redesign • Implement a career structure • Implement new models of care Phase 2 • Reduce reliance on brokerage by converting dollars spent to EFT
Key Changes Implemented: Phase 1 Implementation of a comprehensive career structure • Introduction of Grade 2 RN nurses into HITH • Introduction of a Clinical Educator • Introduction of CNS’s and CNC into the service • Introduction of a Grade 4A • Two new bundles of care: Cellulitis and Anti-coagulation Phase 2 Cost benefit analysis of brokerage to EFT conducted Project plan to be developed September 2009 .
Outcomes so far: Patient Care The hospital’s utilising the new HITH medical model. This has had significant reductions in LOS for cellulitis, patients
LESSONS LEARNT • Essential to have vision and leadership • Stakeholder engagement • Invest in team development • Be values based • Celebrate success • Be prepared to influence ( industrial )
