Completed Care Plan
100
90
80
70
60
50
40
30
20
10
0
120
FLO workshop
100
% Assessed
Target
% ccompleted
% ccompleted
Completed Fall Risk Asessments
80
60
Plan %
40
Target
20
0
Q 1 Q 3 Q 4 Q2 Q3 Q4 Q1 Q2 Q3 Q 4
2013 2013 2013 2014 2014 2014 2015 2015 2015 2015
Quality and Safety marker reporting period HQSC
Quality and Safety marker reporting period HQSC
The multi-disciplinary Preventing Falls Group utilises the Plan, Do, Study and Act (PDSA) methodology to plan and change identified
factors that contribute to falls. One of these is the assessment of the Risk and Care Plan for each admitted patient. A Frontline Ownership
workshop targeted at improving completed assessments in February 2015 resulted in meeting the target in Quarter 2. A further PDSA cycle
will be tracked with the introduction of the revised Admission to Discharge Planner in February 2016.
110%
100%
90%
% Calls
Answered
80%
Target
70%
60%
50%
100
90
80
70
60
50
40
30
20
10
0
Average
Calls per
day
40%
Week Beginning
Patients indicated they prefer to talk to staff rather than leave a message which has often been their experience when calling the hospital
about appointments. The new Patient Information Centre has a target to answer >80% of calls. This initiative reduces the burden of
interruptions on the schedulers by up to 80 calls per-day across general surgery and orthopaedics.
Hip and Knee Joint Replacement
median length of stay
12
10
8
Days 6
Knee
4
Hip
2
Nov-15
Jul-15
Sep-15
May-15
Jan-15
Mar-15
Nov-14
Jul-14
Sep-14
May-14
Jan-14
Mar-14
Nov-13
Jul-13
Sep-13
0
Throughout 2014 and early 2015, BOPDHB engaged in a national
collaborative to implement Enhanced Recovery After Surgery
(ERAS) for patients undergoing primary hip and knee joint
replacement surgery.
The project utilised the IHI methodology and tools and has been
able to demonstrate a reduction in the length of stay for these
patients.
4
The guiding principles for SIU are the New Zealand Triple Aim adopted by the
Health Quality and Safety Commission New Zealand.