Credit Valley Hospital Patient Flow Purpose of Initiative

To improve the flow of admitted patients from the emergency room to the

medical units and improve the flow of discharged patients leaving the

inpatient medical units.

How We Know It Worked

Significant time reductions were achieved. 21% improvement in overall

non-productive bed time, an 80% reduction in time to vacate the room and

an average admission process improvement of 2 hrs and 46 min.

Reducing Hospital Acquired Clostridium difficile

Purpose of Initiative

To reduce rates of hospital acquired Clostridium difficile at The Credit Valley

Hospital by implementing a “bundle” of best practices.

How We Know It Worked

Rates of C difficile declined over the nine month period during which the

bundle was implemented, with the exception of the final month.

Slow Stream Rehabilitation (SSR) ProgramPurpose of Initiative

To establish a rehabilitation program on 1E for patients with complex medical

conditions, to improve functional status, facilitate discharge back to the

community, assist in bed utilization and patient flow across the continuum.

How We Know It Worked

Improved staff satisfaction and patient outcomes. Since Oct 2007, 35

patients have been admitted to SSR and 60% have been discharged to

home or a retirement home rather than long term care.

Decision Support and Information Management Using Credit Valley’s Business Intelligence Tool

Purpose of Initiative

A centralized approach to data management and reporting in order to enhance decision support and sustain evidence based decision making.

How We Know It Worked

The BI Tool provides easy access to clinical and financial information facilitating performance measurement and management.

MOREOB (Managing Obstetrical Risk Efficiently) in Labour and Delivery

Purpose of Initiative

The MOREOB Program is a continuous patient safety improvement program

for physicians and nurses focusing on teamwork and communication to

manage clinical risk and adverse events.

How We Know It Worked

75% reported that the program has been effective in improving patient

safety. 86% would recommend the program.

Perinatal Immunization Project

Purpose of Initiative

To improve and standardize the antenatal screening and post partum

immunization for perinatal patients.

How We Know It Worked

A 23% improvement was noted in the communication of antenatal blood

work information being available for care providers.

The Facilitation of Heart Healthy Lifestyle Choices By Cardiac Patients

Purpose of Initiative

To increase the adoption of heart healthy behavior changes in

discharged cardiology patients.

How We Know It Worked

Improved capture of patients for outpatient education and follow-up

from 15% to 54% as well as improved adherence to heart healthy

behavior changes through discussion of barriers and objective setting

(92% adherence versus 59% in control group)

Restraint MinimizationPurpose of Initiative

The creation of a hospital wide philosophy of least restraint that focused on

patient safety and improved quality of care.

How We Know It Worked

Outcomes audits demonstrated a decline in the use of restraints.

Unapproved restraints were not utilized.

There has been a noted improvement in the use of alternatives for restraint.

A Critical Analysis of Systemic Therapy Delivery (The Stream Team)

Purpose of Initiative

To improve efficiency of the Systemic Therapy Clinic and provide a

better patient experience, by performing an end to end process

review.

How We Know it Worked

Wait times decreased for service within many steps of the process

resulting in patient satisfaction.