Friday, February 8, 2013

Health News

Hallway to Health

Fraser Health reduces patient overflow by 40 per cent, tackles infection rates

Released by Fraser Health Authority


fter an intensive 150day campaign in which everyone, from bedside to boardroom, focused on a single imperative reducing hospital congestion Fraser Health has made significant improvements in several key patient care areas, including cutting C. difficile rates, reducing the number of patients being cared for in overflow locations, and improving hip surgery wait time targets.

In June 2012, Fraser Health and the Ministry of Health announced five congestionrelated targets to improve patient care by November. The work done to meet these targets built on the congestion improvement activities initiated with our first Congestion Action Plan in 2008. Building on work already underway, we launched Taking Charge of Congestion an organizationwide campaign to reduce congestion and improve patient care.

When the 150day period ended, Fraser Health had achieved three of the five targets and the remaining two showed considerable improvement.

Reduce the number of patients being cared for in nonclinical locations by 60%

Last spring, faced with systemwide congestion related to population growth and increased demand for healthcare services, there were, on average, approximately 100 patients per day across Fraser Health receiving care in locations not designed for clinical care, such as hospital hallways. This number has been reduced by 60%, and at some sites, "hallway patients" have been eliminated altogether.

Reduce C. difficile rates

C. difficile infection (CDI) is one of the most commonly acquired infections in hospitals throughout the world. Factors that contribute to the spread of this infection include poor hand hygiene, prior, prolonged, unnecessary and inappropriate antibiotic treatment, insufficient number of single or isolation rooms, cleaning practices, and inappropriate contact precautions.

The C. difficile rate in Fraser Health hospitals has been reduced by almost 40% from a rate of 11.3 cases per 10,000 patient days in 2011/12 to a yeartodate rate of 7.2. There have been several reporting periods in recent months when the Fraser Health rate has fallen below the Canadian benchmark rate of 6 cases per 10,000 patient days. Individual hospital sites have also seen good results. The rate at Burnaby Hospital has been cut almost in half from 15.2 cases per 10,000 patient days in 2011/12 to a current, yeartodate rate of 8.2.

Repair 90% of hip fractures within 48 hours

The Fraser Health surgical program has exceeded the provincial target of 90% of patients receiving hip surgeries within 48 hours of admission, up from 76% earlier this year.

61% of Emergency Department patients admitted to an inpatient unit within 10 hours

The length of time a patient waits to be admitted to an inpatient unit from Emergency is a reflection of overall capacity and patient flow. Fraser Health has made significant progress in this area, increasing the percentage of patients admitted from Emergency within 10 hours from 51% to 58%, falling just short of the 61% target.

Reduce average length of stay

The averagelengthofstay in hospital is a good indicator of overall system capacity and whether or not community services and supports that need to be in place for patients to be safely discharged are meeting

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