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The BC Ministry of Health Key Result Area (KRA) #7“Optimize the Efficiency and Effectiveness ofEmergency Health Services C...
 Ensure timely, appropriate, efficient, service delivery Lead planning and facilitate collaboration to improvetransfer r...
 Standardized/Streamlined Patient Transfer Process◦ One number to call for all patient transfers◦ Clinical and medical ov...
SendingFacility, Sending DoctorReceivingFacility, Receiving DoctorClinicalTransferNurseEmergencyTransferPhysicianTransport...
 PTN Advisory Committee◦ Representation from all HealthAuthorities, Ministry, BC EHS◦ Engagement/oversight of Project Cha...
 Health Authority Working Groups Building on what’s working well Developing work plans – NHA, VCH, FHA, VIHA Confirmin...
 PTN process reduces transfer time◦ Clinical Transfer Nurse confers with physicians while PatientTransfer Coordinator bri...
 “Soft Launch” underway◦ Clinical Transfer Nurses available 24/7 - done◦ New triage process btw BCAS-BCBL - testing phase...
Thank You!10
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BC Patient Transfer Network Update

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BC Patient Transfer Network Update

  1. 1. 1
  2. 2. The BC Ministry of Health Key Result Area (KRA) #7“Optimize the Efficiency and Effectiveness ofEmergency Health Services Commission”Service Delivery Transformation Deliverable“Introduce a provincially coordinated approach to transferand repatriation of patients (medical and non-medical)”2
  3. 3.  Ensure timely, appropriate, efficient, service delivery Lead planning and facilitate collaboration to improvetransfer related services Ensure a system-wide view of patient flow,critical care resources and transport resources3
  4. 4.  Standardized/Streamlined Patient Transfer Process◦ One number to call for all patient transfers◦ Clinical and medical oversight for all high acuity transfers◦ Patient Centered, Case Management◦ Coordinated/timely communication btw clinicians/sites Repatriation planning Initiated immediately◦ Improved patient flow (right patient, right bed, right time)◦ Facilitate patient’s journey Decision Support/ Continuous Quality Improvement◦ Improved data collection, management and reporting◦ Dashboard/score card to monitor trends4
  5. 5. SendingFacility, Sending DoctorReceivingFacility, Receiving DoctorClinicalTransferNurseEmergencyTransferPhysicianTransportProvidersPatient TransferCo-ordinatorMakes TransferRequestBedAvailability, Doctor, TimeWindowsClinicalAssessmentClinicalEscalation, Advice as RequiredPriority, Pick-upand Drop-offTimesCo-ordinate end-to-end transferCollect Patient DataFacilitate Conference CallsRequest and Record Clinical AssessmentDetermine Transport RequirementsCo-ordinate Patient Pick-up/Drop-offTimes
  6. 6.  PTN Advisory Committee◦ Representation from all HealthAuthorities, Ministry, BC EHS◦ Engagement/oversight of Project CharterDevelopment◦ Guidance for moving forward with implementation Health Authorities◦ SET Presentations◦ PTN-HA Working Groups6
  7. 7.  Health Authority Working Groups Building on what’s working well Developing work plans – NHA, VCH, FHA, VIHA Confirming clinical pathways/protocols & referral patterns Developing processes for patient flow/bed access Confirming hospital services and resources NHA Site Visits and initial Low Acuity transfer planning Initial meeting planned with IHA Consultation with Specialized Populations Neonatal, Maternal, Paediatric – in progress Trauma Services BC – preliminary discussions Other provincial programs7
  8. 8.  PTN process reduces transfer time◦ Clinical Transfer Nurse confers with physicians while PatientTransfer Coordinator brings in required resources Phased Implementation creates challenges andcomplexity◦ Inconsistent understanding of new PTN process◦ Inconsistent experience with new PTN process◦ Further testing/stabilization of new processes required Importance of PDSA Cycles◦ Phased implementation, evaluation, improvement8
  9. 9.  “Soft Launch” underway◦ Clinical Transfer Nurses available 24/7 - done◦ New triage process btw BCAS-BCBL - testing phase◦ Stabilization period Spring 2013 – in progress◦ Emergency Transfer Physicians available 24/7 – done NHA Pilot - Fall 2013 Health Authority Engagement - Ongoing◦ Validate clinical pathways/referral patterns◦ Establish processes for patient flow monitoring & repatriation Specialized Population Planning – Ongoing Transfer Information Management System RFP – in progress9
  10. 10. Thank You!10

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