7. Patient-centred innovations (Rapid Fire)
Person-centred pop ups for people we fail
A key aspect of our work is uncovering innovative ways of engaging some of the most marginalized people of our society where the healthcare system fails. There is little to no evidence-based research on how to enable this clientele as advisors to co-design programs that will produce effective results. However, innovation loves constraints. In order to demonstrate meaningful measures of person-and family centred care as an accreditation standard, we undertook a less orthodox approach to ensure we could authentically hold ourselves accountable to our community, our accreditation body and ultimately, ourselves. Through a de-centralized model, where senior team to front line hosted in-the-moment focus groups on the streets, in supportive housing, in bus shelters and coffee shops to truly “meet people where they are”, we enacted upon the wisdom unleashed by people savvy at finding creative ways to meet their needs and transform our performance.
Callum Tyrrell – Scarborough Centre for Healthy Communities
Critical Patient Safety Incidents Reviews: Shifting gears towards Patient and Family centred Model
Fraser Health has implemented a novel approach for managing critical patient safety incidents. Our journey started with new emerging process for timely response from leadership to initiate an SBAR T-con call for critical incidents, with focus on patient and family immediate needs. The Regional Quality Review team was formed to standardize the methodology and tools utilized in the review process. The Patient Event Journey Map tool was developed to guide the incident review through patient and family lens. Our quantitative data analysis shows that our system recommendations has increased in terms of recommendation effectiveness in comparison to the old model. The results achieved are: 50 % increase in standardization of clinical care processes, significant increase in engagement of Leadership in patient safety reviews, there 50 % decrease in recommendation with low effectiveness score i.e. Training, educations, studying, and analysis.
Hamze Jomaa – Fraser Health
Reducing Neonatal Abstinence Syndrome in Babies Born to Mothers Enrolled in Opioid Replacement Therapy Programs
Introduction: Hospitalization of babies with Neonatal Abstinence Syndrome (NAS) is increasing.NAS affects 80% of infants born to opioid dependent women. The project purpose was to reduce impact of NAS using a patient/family centred strategy postpartum rooming-in (PPRI). Methods: Retrospective chart review compared a convenience sample of at-risk babies that experienced PPRI (n=17) with a historical cohort (n=9). Measurable outcomes included morphine treatment, length of stay, breastfeeding, discharge support and hospitalization cost (Student t and z tests). Results: Comparison of baby cohorts demonstrated positive outcomes supporting PPRI in all measures. Conclusions: PPRI reduced severity of NAS, improved breastfeeding rate and decreased healthcare cost. This approach is adaptive, innovative and transforming NAS care. To date,57 additional mother-baby couplets have experienced PPRI at the implementation site, with continued positive results.
Karen Foss – Covenant Health
Integrating Nursing Sensitive Patient Outcomes into the Acute Care Electronic Health Record
Health PEI integrated the Canadian Health Outcomes for Better Information and Care (CHOBIC) into admission and discharge assessments in acute care. These standardized measurable patient outcomes were implemented to improve documentation, care planning for patients and demonstrate nursing’s role to improve patient outcomes. Building partnerships, a commitment to patient centeredness and mobilizing knowledge of participants along with effective and frequent communication between Patient Advisors (integral to the project), Nursing Leaders and project Implementation Teams was imperative to project success. The presentation will describe CHOBIC, how the project was implemented, the measurable nursing sensitive patient outcomes in acute care achieved, plans for future spread and lessons learned regarding the value of understanding what is important to patients, the functionality of electronic documentation as well as patient and unit workflow
Marion Dowling – Health PEI
The benefits and challenges of implementing a room service style meal delivery system in a 320 bed urban acute care hospital
In 2018, the Misericordia Hospital became the first facility in Alberta to implement a room service style system for patient meals. This presentation will discuss the challenges faced when transforming traditional tray meal service, and the benefits of moving to a patient centered model. An overview of the targets being measured, including customer satisfaction and decreased food waste, as well as a cost analysis of the program will be provided. The presentation will highlight the lessons learned from this facility wide change and where improvements continue to be made based on our PDSA cycle work. Testimonials of customer’s experiences will be shared as well as Covenant Health’s future plans for this program.
Carol Lajoie – Covenant Health