Strategies for Rationale Resources use PLAN TO RATIONALE

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Strategies for Rationale Resources use PLAN TO RATIONALE

Strategies for Rationale Resources use PLAN TO RATIONALE

Proposed Strategies Reduce inappropriate admission (less Admissions) Reduce inappropriate days of services (shorter stay)

Proposed Strategies Reduce inappropriate admission (less Admissions) Reduce inappropriate days of services (shorter stay) Standard services as in guidelines (Standard Care)

Reduce inappropriate admission Seniors in OPDs Seniors in ED Seniors in Short stay units

Reduce inappropriate admission Seniors in OPDs Seniors in ED Seniors in Short stay units Privileges for seniors ion site Privileges for senior off site

Reduce inappropriate days of services Consider discharge on day 2 OPERATE ON DAY 1

Reduce inappropriate days of services Consider discharge on day 2 OPERATE ON DAY 1 CONSIDER SAME DAY SURGER Discharge on weekends Discharge on vacations

Standard services as in guidelines Adhere to protocols Adhere to lab work guidelines Adhere

Standard services as in guidelines Adhere to protocols Adhere to lab work guidelines Adhere to imaging guidelines adhere to unit dose system

Standard services as in guidelines Fill in the file and medication Kardex Less trainees

Standard services as in guidelines Fill in the file and medication Kardex Less trainees Less assignment for trainees Let trainees work under supervision

Special Areas Procedures ED OPD ICU’S • TRIAGE • SCREENING • FEEDBACK • ADMISSION

Special Areas Procedures ED OPD ICU’S • TRIAGE • SCREENING • FEEDBACK • ADMISSION CRITERIA • DISCHARGE CRITERIA

Who will lead? Hospital manager HEADS OF DEPTS Medical director Pharmacy chief Nursing director

Who will lead? Hospital manager HEADS OF DEPTS Medical director Pharmacy chief Nursing director Radiology chief Lab chief

How to lead? Hospital statistics Medical records Duty roster Direct observation Lab requests Imaging

How to lead? Hospital statistics Medical records Duty roster Direct observation Lab requests Imaging requests

Hospital statistics ADMISSIO NS` INPATIENT DAYS ALOS OPERATIO NS LAB/IMAGI NG REQUESTS

Hospital statistics ADMISSIO NS` INPATIENT DAYS ALOS OPERATIO NS LAB/IMAGI NG REQUESTS

Medical records MORNING ROUNDS DRY ROUNDS COMPLIANCE WITH CLINICAL GUIDELINES COMPLIANCE WITH LAB AND

Medical records MORNING ROUNDS DRY ROUNDS COMPLIANCE WITH CLINICAL GUIDELINES COMPLIANCE WITH LAB AND IMAGING GUIDELINES COMPLIANCE WITH CLINICAL AND NURSING PRIVILGES

DUTY ROSTER SENIORS IN OPDS ADEQUATE STAFF NURSING SUPERVISIONS SENIORS IN ER SENIORS IN

DUTY ROSTER SENIORS IN OPDS ADEQUATE STAFF NURSING SUPERVISIONS SENIORS IN ER SENIORS IN SHORT STAY UNITS

Direct observation WATCH COUTCH REPORT

Direct observation WATCH COUTCH REPORT

LAB & IMAGING REQUEST AND RESULTS JUSTIFIED REQUISITION GUIDELINES COMPLIANT SECURE RESULTS DISPATCH DESSEMINATE

LAB & IMAGING REQUEST AND RESULTS JUSTIFIED REQUISITION GUIDELINES COMPLIANT SECURE RESULTS DISPATCH DESSEMINATE ABNORMAL RESULTS PROMPTLY

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