CARe ScreenCommunicAtions and Reporting Screen

March 2017

For more information about the content of this display, contact the

Clinical Governance Unit

(08) 8080 1580

WELCOME TO Broken Hill Health Service

We will ensure you have a positive experience of your health service.

We will ensure you receive respect from our staff and that we provide you with safe, high quality health care.

Like you, we sometimes experience life and work related pressures as we work with you. It would be great if you could work with us to improve and maintain your health.

We rely on your advice to improve how we look after you.

If you have any questions about our service, or can see something we could improve, please let us know.

This charter allows patients, consumers, families, carers and services providing health care to share an understanding of the rights of people receiving health care.

To download your own copy of this charter, go to the Safety and Quality website at:

www.safetyandquality.gov.au

If you want to know more about the privacy of your health information, ask for the ‘Privacy Leaflet for Patients’ at your next visit to the health service.

The Far West LHD Community

Update can be found

on the Far West LHD

website.

fwlhd.health.nsw.gov.au

Broken Hill Health Service

Patient Booklet.

Have you got your copy?

Far West LHD Vision

Excellence in Rural and Remote Health…

Providing safe services by…

AccreditationAuditing how well we follow

the rules

Reporting issues when we see

them

Investigating Complaints

Investigating incidents and near misses

Standard 1: Governance for Safety and Quality in Health Service Organisations

Standard 2: Partnering with Consumers

264audits completed in 2016

eMR DocumentationAdult Risk ScreenMental Health Inpatient Unit Leave

AIDET introduced June 2016Sunflower Tool implementedPerson Centred Care on line training

84%Far West LHD staff have completed Person

Centred Care training as of December 2016We still need to work on:

• Mental Health Care plans/Wellness Plans

• Delirium Risk Screen• Documenting that we are providing

information to patients and their carers

2017

2016 Year in Review

Standard 3: Preventing and Controlling Healthcare Associated Infections

Standard 4: Medication Safety

Aseptic TechniquePIVCIDCStandard Transmission based Precautions

226audits completed in 2016

VTE preventionInsulin ChartsMedication ChartsQuality Use of Medications (Pneumonia)Medication and Vaccine Fridge Temperature monitoring

214audits completed in 2016

146medication error incidents

Jun-Dec 2016 across the whole district (none were critical incidents)

We still need to work on:

• Documenting insertion and monitoring of inserted devices

• Documenting that patients understand the need for inserted devices

2017

2016 Year in Review

Standard 5: Patient Identification and procedure Matching

Standard 6: Clinical Handover

Procedure Matching ConsentPatient IdentificationClinical Practice SafetyProcedure Matching Consent (Chemotherapy)

316audits completed in 2016

Bedside Clinical Handover Clinical Handover Monitoring

203audits completed in 2016

28 patient surveys completed 20162017 We still need to work on:

• Documentation that consent has been obtained before any intervention occurs

2016 Year in Review

Standard 7: Blood and Blood Products

Standard 8: Preventing and Managing Pressure Injuries

Blood and Blood ProductsBlood Fridge Register

62audits completed in 2016 80audits completed in 2016

Point Prevalence AcutePoint Prevalence MPSPoint Prevalence Community

39pressure injuries reported in

2016 across the whole district

We still need to work on:

• Filling out the transfusion checklist correctly every time

• Annually reviewing perpetual patient consent

2017

2016 Year in Review

Standard 9: Recognising and Responding to Clinical Deterioration in Acute Health Care

Standard 10: Preventing Falls and Harm from Falls

Deteriorating Patient DocumentationDeteriorating Patient Escalation

114audits completed in 2016

Falls Prevention and Management

134audits completed in 2016

2017

We still need to work on:

• DETECT training and updates for all clinical staff

• Implementation of sepsis pathways

106falls reported during 2016

across Far West LHD

2016 Year in Review

Provision of Care: Discharge Planning

Feb2017results

Staff Rounding feedback about

Discharge planning processes

What is working well?

- Timely decision to discharge- Documenting Estimated Date of Discharge (EDD)- Full team involvement- Journey board meetings

What is not working well?

- Delayed pathology results- Discharge summaries- Referring to the team is not done soon enough in the admission- Assessment recommendations and plans are not always followed- Keeping the patient informed of plans and changes

Suggestions to improve

- Preparing and dispensing medications the day before discharge- Electronic discharge referrals- Greater consideration of home situation - Discharge risk assessment- Team collaboration for planning discharge

Standard 12 - February 2017 - Discharge Planning – Far West LHD

What were the audit results?

What does it mean?

What were we checking this month? Audit data source: QARS N= 56

Discharge Risks

Discharge Referrals

Discharge Information

34%Discharge

risk screen

completed

before

discharge

Risk

35%Ongoing

fall or

pressure

risk

documente

d in the

patient

discharge

summary

Handover

21%Referred to

allied

health /

community

nurses for

falls or

pressure

needs

Referrals

40%Provided

with patient

information

about who

to contact if

they are

worried

after

leaving

hospital

Info

If you have any questions or suggestions, speak with the Nurse Unit Manager or Health Service Manager

What do we plan to do about it?

1

2

3 June

2017

Implement discharge phone calls

Review staff feedback about discharge processes

Identify ongoing actions from staff feedback and patient feedback (discharge phone calls)

March

2017

April

2017

0% 20% 40% 60% 80% 100%

Has a discharge risk screen been…

Does the discharge documentation…

Does the discharge documentation…

Have transport arrangements on…

If the patient is at risk of a fall or…

Has the patient been offered…

Has the discharge checklists been…

Upcoming audits:

Month Department audits Verification audits

March

•Focus: Clinical

Handover (Standard 6)

•Standard 4:

Medication Safety

April

•Focus: Falls

Prevention (Standard 10)

•Standard 9: Clinical

Deterioration

March audits will focus on:

Department Audit:

Standard 6

Clinical

Handover

Verification Audit:

Standard 4

Medication

Safety

Clinical Handover Mar2017

Audits to be completed

Clinical Handover bedside observational audit

Clinical Handover ED to ward

Patient Survey

Bedside Handover

Policies

FW_PD2015_020Nursing and Midwifery Shift

to Shift and Bedside handover

FW_PD2015_017Clinical Handover: ISBAR Framework Standard Key

Principles

Education

Clinical Handover (HETI)

Clinical Handover ISBAR tool (HETI)

Staff Rounding Focus: Clinician to Clinician Handover

Patient Rounding Focus: AIDET

Clinical Handover: making sure the right information gets to the right people and the right care is provided at the right times.

Discharge from Hospital:

Handing over or transferring care when someone is leaving hospital

• Education from the staff caring for you about what to expect at home

• Information you can understand, about what you need to do at home

• Appointments you will need to remember when you go home

• Discharge referral to services who will be helping you once you go home

• A prescription for discharge medications or a short supply, and your own

medications returned to you, as required

Discharge should include:

Congratulations to the Broken Hill Health Service Mental Health Inpatient Unit (MHIPU)

for scoring the highest ranking of patient experience in NSW Oct-Dec 2016.

Would you recommend being treated at the BHHS to your family/friends/visitors or others?

Yes definitely

Probably

No, I would not recommend

No response

Broken Hill Paediatric Ward Patient Survey

Were you satisfied with the overall care provided for your child?

Yes, all of the time

Yes, some of thetime

No

34 people completed the Paediatric Ward patient survey during Oct-Dec 2016, and

the survey showed positive feedback.

Hand Hygiene

Compliance Rate 2016

Department Compliance

91

%

91

% 94

%

85

%

86

%

97

%

82

%

10

0%

93

%

89

%

98

%

74

%

84

.2%

58

.6%

93

.2%

92

.9%

93

.8%

85

.8%

54

.5%

88

.9% 92

%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Dia

lysi

s

Eme

rgen

cy

Me

dic

al

SAR

HU

Spe

cial

ists

Clin

ic

The

atre

Surg

ical

ICU

/CC

U

Pae

dia

tric

s

On

colo

gy

Period 1

Period 2

Period 3

Hand Hygiene Compliance

Rate 2016

Health Care Worker

Compliance

94

%

82

%

96

%

67

%

79

%

10

0%

10

0%

10

0%

94

%

71

%

93

% 10

0%

90

%

70

%

70

%

10

0%

93

.2%

76

.8%

81

.5%

85

.0%

84

.2%

86

.7%

77

.8%

10

0%

10

0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Nu

rse

/mid

wif

e

Me

dic

al P

ract

itio

ner

Pe

rso

nal

Car

e S

taff

Alli

ed H

ealt

h C

are

Wo

rke

r

Ad

min

istr

ativ

e &

Cle

rica

l sta

ff

Stu

den

t N

urs

e/m

idw

ife

Stu

den

t D

oct

or

Stu

den

t P

erso

nal

Car

e

Oth

er

Period 1

Period 2

Period 3

The Far West LHD 2017

Innovation and Staff Excellence

Ceremony will be held on

Friday 4th

August 2017

Nominations open NOW

Nominate improvement activities or

nominate staff for recognition

Entry forms and more information can be found on the Far West Intranet –Innovation Awards page

When you or your loved one are a patient in hospital, you have a right to ask for extra assessment if you are concerned that you are becoming more unwell.

IT’S OK TO ASK FOR HELP.

Patient satisfaction survey…

What you tell us about your

experiences when using the health service helps us

to improve.

Please contact us if you would like to provide feedback

about your experience of using this health service.

Your feedback can help us to improve.

Contact us to provide feedback.Write to the Chief Executive

PO Box 457, Broken Hill, 2880

Email

FWLHD-Feedback@health.nsw.gov.au

Far West LHD Website –Contact Us section

Health Care Complaints Commission

hccc@hccc.nsw.gov.au

OR

OR

OR

Hand Hygiene

Has your health worker cleaned their hands before they touch

you?

IT’S OK TO ASK YOUR HEALTH WORKER TO CLEAN THEIR HANDS BEFORE THEY TOUCH

YOU.

Health information at the click of a button

Starting

November

2016

Patient Hourly Rounding and

the 5 P’s

Patient hourly rounding will provide an opportunity for the

patients to get:

Checked every hour.

Needs met every hour.

Falls prevented.

Pressure injuries reduced.

More satisfaction and care.

Pain

Assessment

PlacementPosition

Personal

Needs

Pumps

The Staying Healthy Program is for you.

The program will link you to a Care Navigator who will

help you to:

make changes to your lifestyles that put you at risk

access and navigate the people and services you need

stay well now and in the future

Care Navigators will be available at your GP practice from

January 2017.

Please contact your GP practice to for more information

or to enrol in the program.

On contact Denise McCallum Project Manager Integrated Care on 08 8080 1315 or

0428 266 357

Are you 20-55 years old and at risk of developing a long-term illness in the future?

People can use an iPad in the ED Waiting Room to make online GP appointments:

for follow up GP appointments after

treatment in the ED and Fast Track Clinic

to make appointments if the ED and Fast

Track Clinic has extended waiting times

can be used 24 hours a day

quick and easy to use

For more information please contact Denise McCallum

Project Manager Integrated Care 8080 1315 or 0428 266 357

People can use an iPad to make on line GP appointments

Drop in to check your chronic disease risks.

First Wednesday of

each month 11am-12noon

Allied Health Department, Broken

Hill Hospital.

• Designed to help people with heart and lung disease return to an active life.

• You will require a referral from your GP, Specialist or hospital Doctor.

• Contact the CDMP Team to enquire

Ph: 08 8080 1125 or 0409 920 588

Find out more about Volunteer Involvement

across the LHDIf you are interested in becoming a volunteer or would like more information

about our Volunteer Services:

• Check out the Volunteer Link on the Far West LHD Website

• View articles, news and achievements of our volunteers in Far West LHD

In Focus Newsletter and on Far West LHD Facebook

• Read our Volunteer Handbook and Brochures on Far West LHD Website

• Call Mary the Volunteer Manager on 08 8080 1256 or

• Email: Mary.Leehane@health.nsw.gov.au

“Volunteers are unpaid, not because they are worthless,

but because they are priceless” Author Unknown

Aboriginal Liaison

Officers

If you are Aboriginal or Torres Strait

Islander and you would like to speak

to our Aboriginal Liaison Officers,

please ask the staff to contact them

for you.

Peter and Haley work weekdays.

An Invitation to

Join your

Local Health CouncilWhat are Health Councils?

A Health Council:

• Brings local health needs and issues to the attention of the Health Service

• Participates in the planning, development, delivery and evaluation of health services

• Promotes and improves the health of the local community in partnership with others

Contact Darriea Turley 80801511 for further information.

Get Healthy Far West LHD is an exciting staff health program

that requires staff to form teams of seven and compete against

other teams in the Far West LHD for points!

This provides the perfect opportunity to challenge yourself and

your teammates to get healthier and improve your wellbeing.

What is Get Healthy

Far West LHD?

Check out our website:

www.gethealthyfwlhd.com.au

and like our Facebook page to receive updates!

Our staff are getting healthy so we can help you get and stay healthy as well!

- Expert personal coaching

- Learn to be more active

- Make healthier choices

- Learn healthier eating habits

- Maintain a healthy weight

For further information, or to get started,

visit the website:

http://www.gethealthynsw.com.au/

Your free NSW Health service provides

the expertise and motivation you need to

help reach your goals, which includes:

A diagnosis of Cancer and the following treatment journey can be confusing and at times overwhelming for

the person who has cancer, their carers and family.

The Cancer Support Service exists to assist you throughout this time.

Contact :Sandra Turley Rural Cancer Coordinator 80801197 or 0427 064 367

Counsellor Garry Halliday on 80801577

meet at the Bridge Club (Sturt Park) on 2nd Wednesday of each month from 11am. Call 8087 7642

7pm 3rd Thursday of each month at Demo Club. Call 80874554

• Breast Cancer Support Group 4pm on 4th Friday of each month at Lifeline. Call 8087 7932

Free Relaxation Workshops

Contact Chronic & Complex Care Team

0409920588

Hospital In The Home (HITH) operates at the Broken Hill Health Service.

HITH can provide:

Wound care IV antibiotics Infusions

You don’t have to come into the Emergency Department or be in hospital overnight if the HITH service can do it for you instead.

Your doctor can refer you to the HITH unit.

Transport is available if you need it.

For enquires, phone 8080 1672

Going home from hospital.

Patients will receive a copy of their discharge summary, which is a summary

of the care received while in hospital.

Up to a five day supply of medications may be provided. Medication education

and support will also be given on discharge.

Patient transport is available if you need assistance to get home.

Patients that are unable to be collected by 11am will be transferred to our

discharge lounge to wait.

The discharge lounge is located on the Surgical Ward and staff can be contacted

on 8080 1672 between 9am & 5pm.

BEAT THE HEATPlan ahead and be prepared

for the heat. It still gets hot in March.

For more information, go to the NSW Health website at http://www.health.nsw.gov.au/environment/beattheheat/Pages/default.aspx

Lots of MozziesWinter and spring rain means more

mosquitos this summer and autumn.

For more information, go to the NSW Health website at http://www.health.nsw.gov.au/environment/factsheets/Pages/mosquito-control-

floods-and-public-events.aspx

Take precautions to avoid being bitten and reduce or get rid of mosquito breeding areas

Protect yourself from Mosquito

Disease

For more information, go to the NSW Health website at http://www.health.nsw.gov.au/Infectious/factsheets/Pages/mosquito.aspx

No holes or rips in fly screens on all doors & windows

Cover up outside – wear light coloured loose fitting clothes and covered footwear

Apply mosquito repellent regularly to exposed skin

When mosquitos are inside the room, use insect spray especially behind furniture and in dark places

Friday 3 March

to Thursday 16

March

Friday 28 April

to Wednesday

10 May

AND