How To Improve Health And Safety

Transcription

1 HOSPITAL DISTRICT OF HELSINKI AND UUSIMAA LOHJA HOSPITAL AREA LOHJA AREA HOSPITAL CONTEXT TO DO DEVELOPMENT WORK WITH LOHJA LAUREA AND ARCADA LbD confrence in Vejle /Liisa Astala 1

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3 POPULATION IN Karkkila Lohja Siuntio Vihti Total INHABITANTS 2010 Sammatti joined with city of Lohja Nummi-Pusula Karjalohja Karjalohja Karkkila Lohja Nummi-Pusula Siuntio Vihti Total

4 HOSPITALS Lohja Hospital Paloniemi Hospital

5 VALUE BASE OUR VALUES WHICH MUST BE VISIBLE IN ALL OF OUR FUNCTION Top results through cooperation We succeed together, thanks to openness, trust, competence and networking. The will to act as a pioneer We work innovatively to drive our patients interests and make use of future possibilities. We respect our customers and each other We treat our patients, other customers, partners and colleagues fairly, responsibly and with tolerance. We all follow the same rules. We take responsibility for our environment.

6 KEY FIGURES, Treatment periods (NordDRG-products) Treatment days (Psychiatry and patients with paralysis of the respiratory muscles) Outpatient visits Surgical operations Deliveries 982 Number of individual service users

7 FINAL ANNUAL ACCOUNTS, t Closing 2012 Total income from operations Sales income Operating costs Personnel costs

8 HOSPITAL OFFICIAL BEDS Internal Medicine 29 Neurology 12 Respiratory Medicine 6 Surgery 38 Orthopaedic 25 Gynaecology 4 Obstetrics 15 Paediatrics 2 Psychiatry 60 Total 191

9 PERSONNEL Nursing staff 408 Doctors 79 Specialized employees 17 Other personnel 77 TOTAL 581 In addition, 140 HUS business enterprise personnel and other support field personnel, who provide the following services and support: 11

10 SERVICES OF THE BUSINESS ENTERPRISES HUS Medical Engineering (with expertise in equipment maintenance, training, R&D and consultant services) HUS ICT Engineering HUS-Servis (archives and patient files, personnel and administration) HUS Pharmacy HUS-Desiko (maintenance services for facilities and equipment) HUS-Logistics (materials administration and transport). HUS-Röntgen, also known as HUS Medical Imaging Center (medical imaging for specialist medical care and health care) HUSLAB (laboratory testing and consultation, tests for the diagnosis and monitoring of common and rare diseasesand) RAVIOLI (catering for patients, personnel, nutrition therapy services, guests, and café services.) Construction and property services as well as laundry services are produced by subsidiaries owned mainly by HUS.

11 INTERNAL DISEASE UNIT Wards Internal Medicine Respiratory Medicine Neurology Monitoring Unit Outpatient Departments Internal Medicine Clinic Respiratory Medicine Clinic Neurological Clinic Dermatology and Allergology Clinic Emergency Clinic Clinical Physiology Laboratory Respiratory Arrest Patient Department

12 OPERATIVE UNIT Wards Surgery Ophthalmology (eye diseases) Ear, nose and throat diseases Outpatient Departments Surgical Clinic Ophthalmologic Clinic Ear, nose and throat diseases Clinic Operating theatres Day care surgery Physiotherapy Department

13 PAEDIATRIC, OBSTETRICS AND GYNAECOLOGY UNIT Wards Gynaecology Obstetrics Maternity Outpatient Departments Gynaecological Clinic Maternity Clinic Paediatric Clinic (including child psychiatry)

14 PSYCHIATRIC UNIT Wards Outpatient Departments General Hospital Psychiatry Acute Psychiatry Psychiatry Clinic/Lohja Psychiatry Clinic/Vihti Adolescence Psychiatry Child Psychiatry Day Care Ward Activity Centres in Lohja, Vihti and Karkkila Rehabilitation Centres in Lohja, Vihti and Karkkila

15 H U S Nursing action and implementation plan Patient-centered and timely care High quality research and education Close partnership with primary health care Effective and competitive performance N U R S I N G The patient has the right to optimal pain management The patient s nutritional condition directs his/her nutrition therapy Nursing methods are safe to patients Nursing- / healthscientific research meets the HUS strategic goals The healthcare field education meets the learning needs of HUS Student guidance meets the education goals of the health care field The functionality of service chains are developed as a part of evidence based nursing in collaboration with the primary health care services Nursing care is developed systematically and in coordination towards evidence based and proven work models C A R E The promotion of a patient s health is part of daily nursing care The defined goals for ; may be prioritized differently each year. 17

16 Nursing action- and implementation plan C O N D T I O N S H U S Skilled and motivated staff Controlled and balanced economy Transformational leadership and organisation The trust of ownership communities and stakeholders N U R S I N G HUS is a desired work place and recruitment of personnel is successful Leadership is interactive Skills development is goal-oriented Nursing is effective Nursing staff resources are allocated optimally Nursing management is knowledge-based Nursing management is dedicated to common nursing development goals HUS nursing care and nursing science is visible and well known 18

17 Lohja hospital area nursing action and implementation plan Patient-centered and timely care 2. Close partnership with primary health care services 3. Effective and competitive performance Lohja hospital area realizes its part of the Lohja hospital area action- and implementation plan, as well as the action- and implementation plan of HUS, with an emphasis on the following priority points: Evidence based practices (evidence and experience) guide the implementation of the nursing action plan. The implementation of the action plan will be evaluated quarterly. Patient-centered and timely care The patient has the right to optimal pain management The patient s nutritional condition directs his/her nutrition therapy goal implementation Indicator (s), target value operators/ responsibility evaluation 4/8/12/ /- Pain management nurse Director of nursing/head nurse 1. Pain management nurse activity activity has been restarted Extended Executive Board of 2. HUS Pain week survey 2.+/- A survey will be carried out Nursing/ substance group/ PLAN 3. Nursing pain management 3.+/- Pain management recommendation recommendation has been implemented Nursing methods are safe to patients Patient reporting during work shift exchange is safe and effective 1. Nutrition indicator 2. Policies of HUS/Lohja hospital area s nutrition working group 1. Assessment measuring tool for the risk of falling 2. Risk measuring tool for pressure ulcers 3. The measures for secure pharmacotherapy (HUS) 4. HaiPro program 5. Patient safety online training 1. Patient reporting methods during work shift exchange 1.+/- Nutrition indicator in use 2.+/- Nutrition policies control guidelines and activities 1.+/- Assessment measuring tool is in use in the wards 2.+/- Risk assessment tool is in use in the wards 3.+/- HUS pharmacotherapy training policies of oro are implemented 4.+/- HaiPro reportings are fewer in /- Online training is implemented as planned in the Lohja hospital area 1.+/- Patient reporting methods during work shift exchange, has been developed as planned Director of nursing/head nurse Extended Executive Board of Nursing/ substance group/ PLAN Director of nursing/head nurse Extended Executive Board of Nursing/ substance group/ PLAN Director of nursing/head nurse Extended Executive Board of Nursing/ substance group/ PLAN 19

18 Lohja hospital area nursing action and implementation plan Patient-centered and timely care 2. Close partnership with primary health care services 3. Effective and competitive performance Lohja hospital area realizes its part of the Lohja hospital area action- and implementation plan, as well as the action- and implementation plan of HUS, with an emphasis on the following priority points: Evidence based practices (evidence and experience) guide the implementation of the nursing action plan. The implementation of the action plan will be evaluated quarterly. The functionality of service chains is developed in collaboration with the primary health care services Close partnership with primary health care services goal implementation Indicator (s), target value operators/ responsibility evaluation 4/8/12/ National nursing Director of nursing/head recommendations nurse 2.Primary health care and Extended Executive Board of specialized health care Nursing/ substance group/ consult specialist listing PLAN 1.+/- Introduction of national nursing recommendations in accordance with HUS guidelines 2.+/- Specialist listing updated and its use is monitored Nursing is developed together with the primary health care services 1. Hiiden area nursing care developers activity 1.+/- Action completed as planned Directors of nursing Extended Executive Board of Nursing/ substance group/ PLAN 20

19 Lohja hospital area nursing action and implementation plan Patient-centered and timely care 2. Close partnership with primary health care services 3. Effective and competitive performance Lohja hospital area realizes its part of the Lohja hospital area action- and implementation plan, as well as the action- and implementation plan of HUS, with an emphasis on the following priority points: Evidence based practices (evidence and experience) guide the implementation of the nursing action plan. The implementation of the action plan will be evaluated quarterly. Effective and competitive performance goal implementation Indicator (s), target value operators/ responsibility evaluation 4/8/12/ 2013 Nursing is developed into a proven action model as part of the overall care of the patient 1. Implementation of nurse-led general practice activity 2. Wound care management 1.+/- Nurse-led general practice activity is carried out according to HUS MO 2.+/- Wound care management project is Director of nursing/head nurse Extended Executive project carried out according to plan Board of Nursing/ substance group/ PLAN Nursing leadership is knowledgeand skill based, where productivity and efficiency are written in The skills needed to meet the needs of the staff operations, is being reviewed The allocation of staff meets the operational needs Student guidance meets the agreed goals Development cooperation with vocational education fields (AMK, YO and II degree) 1. HUS management training 2. HUS nursing indicators 3. Care intensity report information 1.NCS measuring tool 1. Model for daily allocation CLES measuring tool 1. ProStars project 2. JOINT WRITING 1.+/- All nursing managers participated in the HUS training for supervisors (EVA 1 and 2) 2. +/- Using HUS nursing indicators, is a part of management routine 3. +/- Care intensity reporting is in use as planned and guides the activity 4.+/- Work shift exchange reporting 1.+/- The measuring tool will be piloted in one unit 1.+/- Model for daily allocation is in use according to agreed timetable and game rules 1.+/- Results are >HUS level 1.+/- Carried out according to plan 2.+/- Carried out according to plan Director of nursing/head nurse Extended Executive Board of Nursing/ substance group/ PLAN Director of nursing/head nurse Extended Executive Board of Nursing/ substance group/ PLAN Director of nursing/head nurse Extended Executive Board of Nursing/ substance group/ PLAN 21

20 The priority areas used to compare the quality of patient care in whole HUS, and at the moment in Lohja: We have four leading projects fall prevention pain management: Just now we are making the program to relief patients painsufferings: to measure pain and then treat it pressure ulcer prevention nutrition care: to maesure patients nutrition status and then treat it malnutrition risk screening NRS 23

21 Cooperation with Laurea and Arcada Students make their practical training periods in Lohja hospitals and mainly their scholarly thesis also, and that is our development work together with Laurea and Arcada AND NOW OUR SHARED DEVELOPMENT WORK IS TO IMPROVE ELECTRONIC SERVICES TO OUR PATIENTS Year 2012 we had 226 students and 944 studyweeks We measure regulary the quality of our student guidance The measuring tool is CLES (Clinical learning enviroment scale) There is four viewpoint: 1)work atmosphere2) the points of treatment 3)the points of guidance 4) the guidance functionality. There are 41 questions Year 2012 Lohja have got summary 8,32 (scale 1-10) 29