Kofi Bonnie, RPN, BSc(Hons), BSc(Hons), MSc, Doctoral Student (Yale University)

Clinical Nurse Specialist

kbonnie@providence.bc.ca

Early Psychosis Integrated Care Pathway

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BACKGROUND & CONTEXT

• About 110% bed occupancy

• Increased risk of readmissions

• Opportunity to integrate current evidence-based care

• Opportunity to improve care outcomes and patient experiences

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PROJECT AIMS

• Deliver patient & family centered care while minimizing variance in care.

• Provide evidence-based care.

• Improve patient care outcomes and experiences.

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ASSUMPTIONS

• Collaboration with all stakeholders

• Measurement of outcomes

• Clinician workload and integration

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ICP ITEMS

• Medication tools

• Guidelines

• Peer Support worker

• Documentation

• Streamline collaboration

• Outcome measurement and tools

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SINGLE BIGGEST CHANGE

• Integration of best practices to care delivery model

• Improved documentation of care delivery

• Well defined evaluation processes, care goals and patient outcomes/experiences

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SINGLE LESSON LEARNED

• Stakeholder engagement is key

• Education/training never ends

• Communication is key

• It can be done “Nike”

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CURRENT STRUGGLES & OPPORTUNITIES

• Measurement of outcomes and development of other pathways.

• Workload, excessive documentation and move to electronic record keeping.

• Kumbayah!!!

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TAKE HOME MESSAGE

“Quality Improvement projects can be complex, challenging, but rewarding. Press on!”

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ACKNOWLEDGEMENT • 9a point-of-care

interdisciplinary team

• Jeffrey Danielson

• Renata Kamieniecki

• Dr. Tamara Mihic

• Dr. Joseph Puyat

• Brenda Vaughan

• ICP steering committee

• Urban Health, Mental Health and Substance Use Program leadership Team

• Emergency Program, Funding and other community partners

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QUESTIONS & COMMENTS