Back to Basics for Better Care
How is Mackenzie Health improving patient care? By getting Back to Basics.
Back to Basics: Practice Matters – known as B2B – is a hospital-wide initiative to enhance clinical care and best practices. In fall 2015, the hospital assessed and ranked a broad range of activities that support quality and safety. That led to a focus on a few key areas, among them head-to-toe assessments, patient rounding, transfers of care, partnerships with patient-family, and medication safety.
“That’s the core business of providing care in a hospital, it’s where we can really have an impact and realize care transformation,” says Susan Kwolek, Executive Vice President, Chief Operating Officer and Chief Nursing Executive.
Each care area has a Unit Council, comprising a range of regulated health professionals who are identifying B2B opportunities to advance patient care, customized to their unit. “The frontline staff who are closest to patients are in a better position to improve patient care and have the wisdom to know how so we want to empower them to do so,” says Kwolek.
As a visual reminder, the hospital is installing Quality Boards in all inpatient units. That will help units to highlight their work, brainstorm ideas (in daily huddles), and work relentlessly to make meaningful improvement.
B2B is about being patient-centred in every way. As Kwolek explains, a first-time mom and fourth-time mom may have very different needs and desires when it comes to discharge. Being caring means treating people as individuals not cases, to ask and learn what matters to them most. “That’s the solid foundation to build on,” says Kwolek.
Specialized Care in Expanded TCU
Patients with Chronic Obstructive Pulmonary Disease (COPD) and pneumonia have even more tailored care with the latest expansion of the Transitional Care Unit (TCU). In April 2016, the hospital added 12 inpatient medicine beds, doubling the existing TCU beds.
An interprofessional team, including specialized anaethesia and respirology support, will enable immediate assessment and transfer of patients to the Pulmonary Rehab Clinic, reducing their hospital stay.
The TCU helps to reduce wait times for patients admitted from Emergency, and offer a more comfortable environment. The unit also serves as a discharge lounge, for patients waiting to go home (or to another care setting) or who require a final test, procedure or medication before leaving.Share: