Metro South Health Patient

Flow Program (MSH PFP)

Star Ship Enterprise: Using technology to

facilitate Bed Management

Presenter: Sally Taranec Director/Nursing

Director (MSH PFP)

Acknowledge: Janet Hardwick

Assistant Director of Nursing

Discussion points

• Metro South Health and Hospital Service

• Challenges

• What we did / are in the process of doing

• Lessons learnt

• Current and expected outcomes

About Metro South

MS Vital Statistics 2013/14

• 734,034 outpatient occasions of service

• 201,155 hospital admissions

• 260,869 emergency department presentations

• 13,173 staff members

• $1.8 billion expenditure

Challenges

• Perception V’s reality

• Demand out stripping capacity

• All beds open

• No transparency bed utilisation – who and how

• Crisis management not proactive management

• Outliers

• Bottlenecks – changing goal posts

What we did / are in the process of doing

• Purpose built Patient Flow Unit / Command

Centre

• Software to assist decision making

• Redesign processes

• Rebranding services

Purpose Built

• Moving from the shoe box to the starship

enterprise

• Getting the organisation to see the vision

• Value in visualising the organisation – current

status and predicative

• 11 LCD screens displayed

• Disaster management

• Co-location of services – Nursing Resource Unit

/ Transit Care Hub

Seeing what’s happening – software

assisting decision making

• Paper to the screen – everyone can see

• LCD screens showing PAH ED view / Outlier

view / emergency board / QE11, Logan, Redland

ED view

• CCTV view of the ED ramps

• Predictive – 5 screens

Seeing what’s happening – software

assisting decision making

• Predictive tool – Capacity Planner

• F.A.C.E (Forecasting Activity Capacity

Electronically) MS view

• Open Touch Technology pilot – Virtual bed

management

Planner view – ins/outs

Planner view – Dashboard

FACE - view

F.A.C.E

F.A.C.E

Open Touch Technology

Open Touch video

Queensland Ambulance Service

• Weekly - Director of operations / Monthly –

Executive to Executive

• Hospital liaison officer allocated to each facility

• MS virtual bed meeting – allocated desk for QAS

officer

• QAS share demand for service iROAM – visual

capacity software

Outcomes

• Star ship Enterprise up and running – possum in

the roof

• Funding opportunity taken – design before

redesign

• Organisation socialised to the unit and the

software……..getting there slowly

• Discussions and decisions occurring around the

visual data

• Successful virtual bed meetings

Where to next………

• Evaluate / Lessons learnt / Share

• Achieving the expected benefits - daily / weekly /

annual proactive planning – BAU

• Implementation electronic bed management

system with electronic bed booking

• Rolling out the predictive tool across Metro

South

• Digital Healthcare