Problem What was the problem you were trying
Problem • • What was the problem you were trying to solve? 1 sentence summary, and a picture / graphic that brings it to life. #Changing. For. The. Best #No. Going. Back
Cardiology Heart Failure pathway Kenny Naughton Service Line Cluster Manager University Hospitals Plymouth NHS Trust #Changing. For. The. Best #No. Going. Back
Aim • To reduce emergency admissions for patients with Heart Failure #Changing. For. The. Best #No. Going. Back
Plan • Having a nursing presence in the Emergency Department and Acute Assessment Unit (AAU) daily to identify patients, organise tests and aim to avoid admission #Changing. For. The. Best #No. Going. Back
Benefits • Reduced admissions and Length of Stay. The Heart Failure (HF) data indicates that UHP has improved the management of emergency patients dramatically over the last 12 months when looking at HED. UHP now has 20% of emergency patients now discharged on the same day, up from 3% the year before. Table 1, HF same day emergency care rates in UHP, Royal Cornwall Hospital NHS Trust and Royal Devon and Exeter Foundation NHS Trust 2019 -20 2018 -19 2017 -18 UHPNT 20% 3% 9% RCHT 11% 11% RD&E 8% 8% 7% Table 2, HF length of stay showing an improvement to less than 10 days 2019 -20 2018 -19 2017 -18 Patients 586 531 575 Bed days 5644 6062 6411 Average Lo. S 9. 63 11. 42 11. 15 Table 3, HF patients are occupying beds across the South West hospitals 2019 -20 2018 -19 2017 -18 UHPNT 5644 6062 6411 RCHT 5576 5001 5620 RD&E 4632 4137 4064 #Changing. For. The. Best #No. Going. Back
Resources & team • A new nurse within the heart failure team. Working closely with ED, AAU and Cardiology teams. #Changing. For. The. Best #No. Going. Back
Learning • • Great nursing leadership from lead Heart Failure Nurse. Doing a pilot to demonstrate benefit led to investment. #Changing. For. The. Best #No. Going. Back
Questions kennynaughton@nhs. net @UHP_Gastro_Card #Changing. For. The. Best #No. Going. Back
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