Relieving the pressure in ED and facilitating more effective flow of palliative patients in the Redland Area.

Proposal:

Increase capacity to allow for direct admissions, including afterhours, to Redland Palliative Care Beds

 

Redland Hospital is funded to provide 5 dedicated palliative care beds, this has the potential to be better configured to increase the efficacy of patient flow and minimise ED presentations.

 

Solutions:

 

  1. Reconfiguring the 5 beds to be carolled in one clinical area can improve the access and process of direct admissions (including after-hours):

 

  • Palliative care admission and discharge procedures and policies can be customised and implemented to facilitate streamlining for efficient admissions and discharges.
  • Reconfiguring the beds will help facilitate smoother in and out-of-hour direct admissions due to consistency of experienced palliative care nursing staff in that clinical area.
  • Nursing skill set can be maintained and augmented.
  • Increase capacity for Redland Inpatient Palliative Care to accommodate efficient and timely transfer of palliative patients from major tertiary hospitals (e.g. PA Hospital), so patients can receive care closer to their family at Redland where they prefer to be.
  • Increase capacity to manage complex palliative care cases at Redland Hospital
  • Increase patient safety and satisfaction.

 

  1. Consider managing the overflow of any additional palliative patients needing admission to Redland Hospital by utilising adjacent Mater Hospital beds, possibly in a contract arrangement, which has been trialled in the past with success. This can minimise unnecessary ED presentations when existing palliative care beds in Redland Hospital are at capacity and still allow patients to be close to their family and home in the immediate Redland area.

Why the contribution is important

This proposal relieves the pressure from ED and facilitates more effective flow of palliative patients in the Redland Area.

by jchen on May 29, 2019 at 04:22PM

Current Rating

4.86666666667
Average score : 4.8
Based on : 15 votes

Comments

  • Posted by Gowerka May 30, 2019 at 16:03

    very important for Palliative patients to be triaged through ED as quickly as possible and least interventions for all
  • Posted by parkergr May 31, 2019 at 07:55

    Really practical and worthwhile ideas
    1. There is clear advantage for cohorting patients and also nursing skill in subgroups of patients with complex care needs for example palliative patients, this not only leads to improved safety and quality of care but also patient and family satisfaction as well as contributes to enhanced service efficiencies and patient flow and absolute fosters direct admission.

    2. Having the ability to direct overflow to a colocated facility like Mater Redland ( a real advantage at Redland Hospital) absolutely reduces pressure on an already overstretched system. This actually worked well previously during one of the winter bed strategies, and patients were also comfortable because they remained close to their loved ones and home in the area. My only added would be that it probably required additional FTE key palliative care staff CNC +REG to help coordinate and support.
  • Posted by Lewisvan May 31, 2019 at 08:26

    Great idea and I believe this would allow for better care for the patients of the Redland Community approaching the end of their lives, their family and care givers to be close by and also reduce need for Emergency presentations, inter-hospital transfers and probably save money
  • Posted by SueHealy May 31, 2019 at 08:44

    Having designated beds at Mater Redland also promotes a private public collaboration across MSH, as well as relieving the pressure of acute beds in the Redland catchment when bed capacity is at its peak demand. Allows for improved patient flow through the hospital, so from ED to palliative care unit, and supports the transition in to palliative care. A win win for the health care system, the patient and the family promoting a patient centred approach to health care.
  • Posted by AHuser May 31, 2019 at 11:25

    This is such a great suggestion and would greatly improve the often traumatic experience of a hospital admission for some of our most vulnerable community members.
  • Posted by BancroftLH May 31, 2019 at 11:38

    A wonderful proposal that should be totally supported. Our mantra of Person Centred Care, Planetree and Advanced Care Planning for Palliative Care Patients in this case becomes critical during the admission phase as palliative patients enter the terminal phase of care.

    From a psychosocial perspective this time becomes extremely important as family enter the bereavement phase and positive experiences in relation to care for their loved ones contribute to better outcomes for the short, medium and longer term.

    A smooth transition from home to a dedicated palliative care bed/room in Redlands Hospital enhances the opportunity to avoid complex/complicated grief situations and the potential for a further drain on Mental Health Care required in these circumstances.
  • Posted by lapennycooke May 31, 2019 at 14:13

    This is a fantastic idea as dedicated palliative care beds would allow for quicker and more efficient access for our patients. It would help to alleviate bed pressure in the emergency department.
    The ability to use beds at the Mater Redlands would also be a good interim measure to ensure good patient flow and timely access to a bed.
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