HCR10 Improving Patient Flow in Emergency Departments

Improving

Patient Flow inEmergency DepartmentsInnovative patient-centred models to improve outcomes

28th-30th September 2016 I Crowne Plaza, Melbourne

Dr Clair SullivanDeputy Chair of MedicinePrincess Alexandra Hospital, QLD

Dr Andrew WalbyDirector of Emergency MedicineSt Vincent’s Hospital, VIC

Professor George BraitbergDirector of Emergency MedicineThe Royal Melbourne Hospital, VIC

Dr Thomas ChanDirector – Emergency MedicineAustin Health, VIC

Dr Ulrich OrdaDirector of EmergencyMount Isa Hospital, QLD

Dr Augustus KigothoClinical Director – Emergency DepartmentAlbury Wodonga Health District, NSW

Dr Talat UppalClinical DirectorNorthern Beaches Health Service, NSW

Dr Chris MayFormer Director – Emergency MedicineRedland Hospital, QLD

Associate Professor James LindClinical Lead Health Improvement Unit – Clinical Excellence DivisionDepartment of Health QLD

Dr Dewald BehrensSenior Emergency Medicine SpecialistSA Health

Dr Shaun Greene, Senior Emergency PhysicianAustin Health, VIC

Jolene RobertsonNurse Unit ManagerRoyal Hobart Hospital, TAS

Tracey HinkePatient Journey FacilitatorShellharbour Hospital - Illawarra Shoalhaven Local Health District, NSW

ProfessorDrew RichardsonSenior Staff Specialist in Emergency MedicineCanberra Hospital, ACT

Professor David MountainStaff Specialist Emergency PhysicianSir Charles Gairdner Hospital, WA

Denis O’LearyOperational Performance and ImprovementBallarat Base Hospital, VIC

Dr Chris MayFormer Director – Emergency MedicineRedland Hospital

Dr Dewald BehrensSenior Emergency Medicine Specialist SA Health

Kate BrockmanDirectorHealthcare Reform

Industry Key Speakers:

Advisory Panel:

Joud AbduljawadHead of Clinical Performance ImprovementNational Guard Ministry of Health Affairs,Saudi ArabiaFormerly Divisional Clinical Director of Emergency ServicesUniversity College London Hospitals NHS Foundation Trust, UK

T | 61 2 9247 6000 F | 61 2 9247 6333 E | [email protected] W | akolade.com.au Produced by: 1

Dr Andrew StaibDeputy Director of EmergencyPrincess Alexandra Hospital, QLD

Patient Flow in Emergency Departments Forum is accredited for 16 Australasian College of Emergency Medicine (ACEM) CPD Hours

16 CPD HoursAccreditation

Key Benefits of Attending: • Adopt strategies to accelerate flow and improve service integration

• Use data to measure and achieve NEAT targets

• Drive quality in delivering patient outcomes

• Access and delivery of emergency care

• Redesign a patient centric plan to meet demands

ProudlyEndorsed By:

Media Partners:Exhibitor:


Improving Patient Flow in Emergency Departments

CONFERENCE DAY ONE | WEDNESDAY, 28TH SEPTEMBER 20168:00 Registration opens9:00 Opening remarks from the Chair Dr Talat Uppal, Clinical Director, Northern Beaches Health Service, NSW

POLICY LEVERS TO IMPROVE FLOW9:10 INTERNATIONAL KEYNOTE Improvements in patient flow using a patient-centred approach • Process improvement in ED • Establishing leadership and accountable systems • Meeting the 4 hour rule • Gaining buy-in from all wards Joud Abduljawad, Head of Clinical Performance Improvement, National Guard Ministry of Health Affairs, Saudi Arabia Formerly Divisional Clinical Director of Emergency Services, University College London Hospitals NHS Foundation Trust, UK

9:50 CASE STUDY Applying the National Standards to Emergency Departments • National Standards: Another tick box exercise, or real progress in patient management? • Clinician engagement with NSQHS standards • Exploring different possible futures for the patient safety movement Dr Dewald Behrens, Senior Emergency Medicine Specialist, SA Health

10:30 Morning refreshments

REDESIGNING EMERGENCY DEPARTMENTSTO IMPROVE ACCESS

11:00 CASE STUDY Redesigning a patient centric plan to meet demands • Understanding what is driving demand in the QLD health system • Developing a patient flow access strategy • Implementing smart scheduling for bed management during winter Associate Professor James Lind, Clinical Lead Health Improvement Unit – Clinical Excellence Division, Department of Health QLD and ED Physician, Gold Coast University Hospital, QLD

11:40 CASE STUDY Integrating a new model of care for ED mental health patients • Improving the way medical staff assesses mental health patients • Training medical staff • Meeting NEAT targets Dr Chris May, Former Director – Emergency Medicine, Redland Hospital, QLD

12:20 Networking Luncheon1:20 SPOTLIGHT SESSION: Delegates will share their challenges with each other. Speakers and fellow delegates will then have the opportunity to address these issues.

1:40 CASE STUDY Continuity of care models • Improving quality and cost reduction through continuity of care models in the maternity context • Understanding the interface between primary care with the GP and the hospital • Strategic directions for GP involvement in Women's Health, with a particular focus on GP shared antenatal care Dr Talat Uppal, Clinical Director, Northern Beaches Health Service, NSW

9:50 CASE STUDY Clinical redesign and emergency department management • Developing innovative practice models to more efficiently manage demand • Providing alternative care pathways and non-transport option to ED • Improving target times and functioning of emergency departments Dr Augustus Kigotho, Clinical Director – Emergency Department, Albury Wodonga Health District, NSW

10:30 Morning refreshments11:00 CASE STUDY The Assessment and Planning Unit – what difference does it make? • Innovative models to improve flow and streamline processes • Changing the way that we work – creating a pull mentality • Overcoming challenges to improve process Jolene Robertson, Nurse Unit Manager, Royal Hobart Hospital, TAS

PATIENT CENTERED MODELS OF CARE11:40 CASE STUDY Identifying ED patients at high risk of re-presentation • Optimising ED discharge planning in order to minimise re-presentation • “Frequent Flyer” programs are the domain of airlines and not hospitals Dr Andrew Walby, Director of Emergency Medicine, St Vincent’s Hospital, VIC

12:20 Networking Luncheon1:20 CASE STUDY Adopting a combined model of early patient assessment and disposition planning • Delivering appropriate patient care in the right place at the right time • Utilisation of senior medical and nursing assessment to facilitate rational early management and disposition planning • Improving initial patient flow in the ED using information technology Dr Shaun Greene, Senior Emergency Physician, Austin Health, VIC

2:00 DIAGNOSTIC SESSION Delegates will be given 3 different ED scenarios. Delegates will then break into groups to discuss what they would do in their given scenarios before reporting back to the group.

1. Two men were recently charged by police for a brawl in the ED that involved up to 14 staff and resulted in four nurses and one security guard suffering injuries as well as hospital property being damaged. How would you manage aggressive and violent patients? Facilitated by: Dr Augustus Kigotho, Clinical Director – Emergency Department, Albury Wodonga Health District, NSW 2. Your organisation is due for accreditation under the new National Standards. The emergency department has had difficulty in improving performance data, particularly in relation to Standard 10 (Preventing Harm form Falls). Discuss how you develop a clinical governance framewotk to improve this aspect of patient safety. Facilitated by: Dr Ulrich Orda, Director of Emergency, Mount Isa Hospital, QLD 3. An elderly demented patient has suffered a fall in the ED resulting in a large subdural haemorrhage. She had been waiting for an in-patient bed for more than 16 hours. What needs to be improved to prevent this happening again? Facilitated by: Professor David Mountain, Staff Specialist Emergency Physician, Sir Charles Gairdner Hospital, WA

2:40 Afternoon refreshments3:10 CASE STUDY Implementing accelerated models to design solutions to address back end issues • Increasing productivity by streamlining team referral processes • Improving patient safety • Examining the successes of the Care, Communicate and Coordinate project Tracey Hinke, Patient Journey Facilitator, Shellharbour Hospital - Illawarra Shoalhaven Local Health District, NSW3:50 CASE STUDY Improving the interface between the ED and inpatient units – a pragmatic approach to the back door • Engaging ward staff to pull up patients that are ready to go • Working with inpatient teams to reduce patient delays – case studies • Providing safer clinical handovers and communication Dr Thomas Chan, Director of Emergency Medicine, Austin Health, VIC

4:30 CASE STUDY Designing and implementing strategies to manage peak demands • Improving the way patients move through acute services • Rolling out embedded inpatient and community mental health teams • Exploring partnerships and creating sustainable improvements Dr Ulrich Orda, Director of Emergency, Mount Isa Hospital, QLD

5:10 Closing remarks from the Chair and end of conference day two

2:20 CASE STUDY Examining the success of 6 newly created bed behavioural assessment units • Improving quality and safety of patients • Developing and encouraging strategic relationships • Fostering a culture of innovation Professor George Braitberg, Director of Emergency Medicine, The Royal Melbourne Hospital, VIC

USING DATA TO DRIVE PERFORMANCE3:00 CASE STUDY Achieving operational excellence through monitoring and data tools • Providing quality care of enhanced patient satisfaction while achieving lower costs and high efficiency • Bridging the gap between conceptual planning of organisational goals and physical monitoring of daily operations • Identifying KPI’s that directly affect patient turnarounds Professor Drew Richardson, Senior Staff Specialist in Emergency Medicine, Canberra Hospital, ACT

3:40 Afternoon refreshments4:10 CASE STUDY Evidence driven strategies for meeting hospital performance targets • Refocusing on NEAT/targets and patient safety and outcomes • Identifying stages of decline in patient flow system performance • Understanding the need for flow in terms of patient care, hospital performance and outcomes for both acute and elective patients Professor David Mountain, Staff Specialist Emergency Physician, Sir Charles Gairdner Hospital, WA

4:50 CASE STUDY Driving proactive planning through effective use of data • Gathering effective and useful data to improve efficiency • Improving the analytical and design capability of staff to review and monitor data • Effectively utilising existing data to think strategically and influence decisions Denis O’Leary, Operational Performance and Improvement, Ballarat Base Hospital, VIC

5:30 Closing remarks from the Chair and end of conference day one

CONFERENCE DAY TWOTHURSDAY, 29TH SEPTEMBER 20168:00 Registration opens9:00 Opening remarks from the Chair

ACCESS AND DELIVERY OF EMERGENCY CARE9:10 CASE STUDY Driving strategic change to improve access to care and patient flow • Key actions in achieving the National Emergency Access Target (NEAT) • Navigating patients through the health system to prevent delays • Developing a whole of hospital approach to sustainable capacity Dr Andrew Staib, Deputy Director of Emergency, Princess Alexandra Hospital, QLD Dr Clair Sullivan, Deputy Chair of Medicine, Princess Alexandra Hospital, QLD



FOLLOW THIS EVENTTweet about this event using #PFinED andfollow @AkoladeAust for daily industry updates!

CONFERENCE DAY TWO | THURSDAY, 29TH SEPTEMBER 20169:50 CASE STUDY Clinical redesign and emergency department management • Developing innovative practice models to more efficiently manage demand • Providing alternative care pathways and non-transport option to ED • Improving target times and functioning of emergency departments Dr Augustus Kigotho, Clinical Director – Emergency Department, Albury Wodonga Health District, NSW

10:30 Morning refreshments11:00 CASE STUDY The Assessment and Planning Unit – what difference does it make? • Innovative models to improve flow and streamline processes • Changing the way that we work – creating a pull mentality • Overcoming challenges to improve process Jolene Robertson, Nurse Unit Manager, Royal Hobart Hospital, TAS

PATIENT CENTERED MODELS OF CARE11:40 CASE STUDY Identifying ED patients at high risk of re-presentation • Optimising ED discharge planning in order to minimise re-presentation • “Frequent Flyer” programs are the domain of airlines and not hospitals Dr Andrew Walby, Director of Emergency Medicine, St Vincent’s Hospital, VIC

12:20 Networking Luncheon1:20 CASE STUDY Adopting a combined model of early patient assessment and disposition planning • Delivering appropriate patient care in the right place at the right time • Utilisation of senior medical and nursing assessment to facilitate rational early management and disposition planning • Improving initial patient flow in the ED using information technology Dr Shaun Greene, Senior Emergency Physician, Austin Health, VIC

2:00 DIAGNOSTIC SESSION Delegates will be given 3 different ED scenarios. Delegates will then break into groups to discuss what they would do in their given scenarios before reporting back to the group.

1. Two men were recently charged by police for a brawl in the ED that involved up to 14 staff and resulted in four nurses and one security guard suffering injuries as well as hospital property being damaged. How would you manage aggressive and violent patients? Facilitated by: Dr Augustus Kigotho, Clinical Director – Emergency Department, Albury Wodonga Health District, NSW 2. Your organisation is due for accreditation under the new National Standards. The emergency department has had difficulty in improving performance data, particularly in relation to Standard 10 (Preventing Harm form Falls). Discuss how you develop a clinical governance framewotk to improve this aspect of patient safety. Facilitated by: Dr Ulrich Orda, Director of Emergency, Mount Isa Hospital, QLD 3. An elderly demented patient has suffered a fall in the ED resulting in a large subdural haemorrhage. She had been waiting for an in-patient bed for more than 16 hours. What needs to be improved to prevent this happening again? Facilitated by: Professor David Mountain, Staff Specialist Emergency Physician, Sir Charles Gairdner Hospital, WA

2:40 Afternoon refreshments3:10 CASE STUDY Implementing accelerated models to design solutions to address back end issues • Increasing productivity by streamlining team referral processes • Improving patient safety • Examining the successes of the Care, Communicate and Coordinate project Tracey Hinke, Patient Journey Facilitator, Shellharbour Hospital - Illawarra Shoalhaven Local Health District, NSW3:50 CASE STUDY Improving the interface between the ED and inpatient units – a pragmatic approach to the back door • Engaging ward staff to pull up patients that are ready to go • Working with inpatient teams to reduce patient delays – case studies • Providing safer clinical handovers and communication Dr Thomas Chan, Director of Emergency Medicine, Austin Health, VIC

4:30 CASE STUDY Designing and implementing strategies to manage peak demands • Improving the way patients move through acute services • Rolling out embedded inpatient and community mental health teams • Exploring partnerships and creating sustainable improvements Dr Ulrich Orda, Director of Emergency, Mount Isa Hospital, QLD

5:10 Closing remarks from the Chair and end of conference day two

8:00 Registration opens9:00 Opening remarks from the Chair

ACCESS AND DELIVERY OF EMERGENCY CARE9:10 CASE STUDY Driving strategic change to improve access to care and patient flow • Key actions in achieving the National Emergency Access Target (NEAT) • Navigating patients through the health system to prevent delays • Developing a whole of hospital approach to sustainable capacity Dr Andrew Staib, Deputy Director of Emergency, Princess Alexandra Hospital, QLD Dr Clair Sullivan, Deputy Chair of Medicine, Princess Alexandra Hospital, QLD

POST-CONFERENCE WORKSHOPS FRIDAY, 30TH SEPTEMBER 20169:00AM – 12:00PM • WORKSHOP A

Implementing a holistic approach to supporting the ED Hospitals are continuing to be held accountable for performance against targets, clinical quality and safety. It is therefore important that health services develop effective strategies to alleviate ED congestion with an emphasis on quality care to achieve patient outcomes.In this workshop, delegates will learn:• Understanding your business• Implementing key strategies for implementing change• The impact of operations management on flow and ED• How to use data more effectively to improve performance• Engaging and motivating clinicians to drive efficiency

1:00PM – 4:00PM • WORKSHOP B

How to enhance patient journeys throughbase level efficienciesHospitals must align their investment in optimising efficiencies of operations with the ever growing need for demand and access in Australia’s healthcare. By leading discussion and interactive exercises this workshop will assist in implementing systems and models within your organisation to streamline the efficiency of services, therefore ensuring demand is met in a sustainable manner.

Attend this workshop and take away:• Strategies to maximise base level efficiencies • Innovative and patient centric approaches to service innovation and change• Techniques to streamline patient journeys• How to effectively engage clinical staff in future change• Strategies to influence physical spaces to maximise efficiencies

Facilitator:Kate BrockmanDirectorHealthcare Reform

Facilitator:Dr Joanne CurryAdjunct Associate Professor - Health InformaticsWestern Sydney University

Conference Only $1,599 $1,699 $1,799 $1,899 $1,999Conference + One Workshop A or B $2,199 $2,299 $2,399 $2,499 $2,599Conference + Both Workshops $2,499 $2,599 $2,699 $2,799 $2,899

Conference Only $3,899 $3,899 $3,899 $3,899 $3,899

REGISTRATION FEEALL PRICES ARE EXCLUDING GST

EARLY BIRD DISCOUNTSSTANDARD PRICE Register & pay before

8 Jul 2016 29 Jul 2016 19 Aug 2016 9 Sep 2016

Hospitals and Healthcare Organisation Rates:

Standard Rates:Conference Only $1,999 $2,099 $2,199 $2,299 $2,399 Conference + One Workshop A or B $2,599 $2,699 $2,799 $2,899 $2,999Conference + Both Workshops $2,899 $2,999 $3,099 $3,199 $3,299Solution Provider Rates:

Mail:

SAVE! Choose between:5 EASY WAYS TO REGISTER

1: EARLY BIRD DISCOUNT. Register and pay by a deadline indicated above to achieve up to 20% SAVINGS onthe Standard Rate. Registrations received without payment are ineligible for an Early Bird Discount and will becharged at the Standard Rate.2: TEAM DISCOUNT. ( i ) Register 3 delegates and receive 15% DISCOUNT off the standard price ( ii ) Register 4 delegates and receive the 5th TICKET FREE off the standard priceFor large group bookings, please email [email protected] to receive a quoteAll group registrations must be from the same company, at the same time and for the same event.Registrants must choose between the most advantageous discount option.Only one discount scheme applies

Phone: 61 2 9247 6000

Fax: 61 2 9247 6333

Email: [email protected]

Online: www.akolade.com.au

DELEGATE DETAILS (Please complete in black letters) Today’s date:

Akolade Pty LtdLevel 11, 155 Castlereagh Street,SYDNEY, NSW 2000Australia

Name

Job Title

Phone Email

DATES & VENUEName

Job Title

MELBOURNEPhone Email

Name

Job Title

Phone Email

Company

Postal Address

EASY PAYMENT OPTIONS ABN 96 149 066 991

EFT: Transfer your payments to Akolade Pty Limited atCommonwealth Bank of Australia BSB 062 099 Account No. 1068 5915. Please quote HCR10 on the EFT.

CHEQUE: Please make out cheque to Akolade Pty Limited.Please quote HCR10 on the cheque.

CREDIT CARD: Please charge my* A credit card fee of 2.5% will apply for Diners or Amexin the amount of $_____________________________

Card holder’s Name: ________________________________________ Signature: _________________________

PO BOX/STREET ADDRESS

CITY STATE POSTCODE

DELEGATE 1

DELEGATE 2

DELEGATE 3

VIP CODE

REGISTRATION FORM — HCR10

28th-30th September 2016 Crowne Plaza, Melbourne1-5 Spencer StreetMelbourne, VIC 3008Australia

+61 3 9648 2777



Card No: Expiry Date: /

IMPORTANT NOTICE: Attendance will only be permitted upon receipt of full payment. Please note that the programme and speakers are subject to change without notice. If the venue changes, youwill be notified. Akolade will not be responsible for any event re-scheduled or cancelled.CANCELLATION POLICY: Should you be unable to attend, a substitute delegate is always welcome at no extra charge. Akolade regrets that no cancellations will be refunded, conference documents,however, will be sent to the delegates. For an event cancelled by Akolade, registration fees are fully refundable. Akolade will not be responsible for any event alterations, re-schedules, or cancellations.PRIVACY POLICY: Please note that a portion of the data for this mailing was supplied by third party sources. If you would no longer like to receive promotional mail from Akolade, please opt-out byconfirming in writing and forwarding your letter to [email protected]. Please note all opt-out requests will be processed within 30 business days from the date of receipt.

VISA *DINERS MASTERCARD *AMEX

HCR10 Improving Patient Flow in Emergency Departments

Documents

Transcript of HCR10 Improving Patient Flow in Emergency Departments