Heather Banham - Central Adelaide Local Health Network - Stairway to Satisfaction: What Does...
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SA Health
Stairway to Satisfaction
Will you make the climb?
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SA Health
Why are we here today?
2014 Discharge Planning Conference with
thanks to plenary speaker Professor Clifford
Hughes CEO, Clinical Excellence
Commission who prompted a change in
perspective and the Stairway to Satisfaction
climb began…
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SA Health
10 Dignity in Care Principles
> Zero tolerance of all forms of abuse
> Support people with the same respect you would want for
yourself or a member of your family
> Treat each person as an individual by offering a
personalised service
> Enable people to maintain the maximum possibly level of
independence, choice, and control
> Listen and support people to express their needs and
wants
> Respect people’s privacy
> Ensure people feel able to complain without fear of
retribution
> Engage with family members and carers as care partners
> Assist people to maintain confidence and a positive self
esteem
> Act to alleviate people's loneliness and isolation.
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SA Health
Engagement: Plans for the Stairway
> Step 1: Executive Support and
endorsement for the plan
> Step 2: Linking with Education
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SA Health
But the stairway is blocked…
• Extended length of stay: patients decondition:
a never-ending cycle begins
• Bed block: decreased access to hospital
services where do we transfer too?
• Patients not admitted to home wards, lack of
understanding of needs
• Emergency Department over capacity
• Unnecessary re-admissions, poor clinical
handover and transfer planning
• Lack of accommodation options
• Lack of transfer champions
• Limited communication between acute, sub-
acute and community sectors, who should be
doing what?
• Poor communication/handover
• Ownership: who’s responsibility is it?
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SA Health
Engagement: Building the Stairway
> Step 1: Executive Support and
endorsement
> Step 2: Linking with Education
> Step 3: Sharing the message
> Step 4: Walking the walk
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SA Health
Transferring Care: what does this mean?
To the Organisation
To the Ward and for individual Staff
To the patient
To the family and carers
To the receiving care provider
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SA Health
The Top of the Stairway
> We have confident and proactive staff
throughout the organisation
> Improved cross sector communication
> Consumer engagement
> Improved inter-disciplinary collaboration
> Improved Education opportunities
> Improved pathways and networks
> Staff requesting the session be
repeated for their colleagues
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SA Health
Central Adelaide Local Health Network
Patient Centred
Team Work
Respect
Professionalism
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SA Health
Stairway to Satisfaction
Worth the Climb!
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