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Stairway to Satisfaction

Will you make the climb?

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Why are we here today?

2014 Discharge Planning Conference with

thanks to plenary speaker Professor Clifford

Hughes CEO, Clinical Excellence

Commission who prompted a change in

perspective and the Stairway to Satisfaction

climb began…

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10 Dignity in Care Principles

> Zero tolerance of all forms of abuse

> Support people with the same respect you would want for

yourself or a member of your family

> Treat each person as an individual by offering a

personalised service

> Enable people to maintain the maximum possibly level of

independence, choice, and control

> Listen and support people to express their needs and

wants

> Respect people’s privacy

> Ensure people feel able to complain without fear of

retribution

> Engage with family members and carers as care partners

> Assist people to maintain confidence and a positive self

esteem

> Act to alleviate people's loneliness and isolation.

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Engagement: Plans for the Stairway

> Step 1: Executive Support and

endorsement for the plan

> Step 2: Linking with Education

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But the stairway is blocked…

• Extended length of stay: patients decondition:

a never-ending cycle begins

• Bed block: decreased access to hospital

services where do we transfer too?

• Patients not admitted to home wards, lack of

understanding of needs

• Emergency Department over capacity

• Unnecessary re-admissions, poor clinical

handover and transfer planning

• Lack of accommodation options

• Lack of transfer champions

• Limited communication between acute, sub-

acute and community sectors, who should be

doing what?

• Poor communication/handover

• Ownership: who’s responsibility is it?

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Engagement: Building the Stairway

> Step 1: Executive Support and

endorsement

> Step 2: Linking with Education

> Step 3: Sharing the message

> Step 4: Walking the walk

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Transferring Care: what does this mean?

To the Organisation

To the Ward and for individual Staff

To the patient

To the family and carers

To the receiving care provider

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The Top of the Stairway

> We have confident and proactive staff

throughout the organisation

> Improved cross sector communication

> Consumer engagement

> Improved inter-disciplinary collaboration

> Improved Education opportunities

> Improved pathways and networks

> Staff requesting the session be

repeated for their colleagues

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Central Adelaide Local Health Network

Patient Centred

Team Work

Respect

Professionalism

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Stairway to Satisfaction

Worth the Climb!