Using MCAP to Reduce Overnight Stays - Alder Hey Children’s NHS Foundation Trust

ISSUE

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MCAP data identified the specific improvement patient flow processes that would support patients through their pathway efficiently: minimising delays and reducing time spent in hospital. Enabling children and families to spend less time in hospital when it is safe and appropriate to do so.

SOLUTION

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1.       Implementing SAFER model using MCAP as the main enabler

2.       Expanding day surgery service

3.       Pre-operative assessment and planning

a.       Step 1 - Introduction of Hospital Manager of the Week

b.       Step 2 - 13:00 bed meeting moved to 12:0o

c.       Step 3 - Introduction of 15:30 forward look meeting with Crib Sheet

d.       Step 4 - Introduction of Crib Sheet at 8:30 and 12:00 bed meetings

e.       Step 5 - Audit impact of Patient Flow in Control

OUTCOME

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In the targeted wards:

1.       A decrease in the number of delayed discharges by an average of 66% in 6 months.

2.       A reduction in the average LoS by an average of 28% in 6 months.