Releasing Time to Care ................... General Introduction Manitoba Health November 2011

Disclosure of potential conflict of interest • Presenter(s) have received no grants, consulting fees or honoraria • No conflict of interest to declare

Thanks to Saskatchewan Health Quality Council who provided some of the content in this presentation.

“If we keep doing what we’re doing, we’re going to keep getting what we’re getting.” -Stephen Covey

RTC’s Purpose? • To improve standards of safety and quality of care by helping you put your time towards patient care in the most efficient way possible.

What is “Releasing Time to Care”? • Releasing Time to Care is a suite of proven, trademarked improvement programs for health care delivery • Developed in the UK by the NHS’s Institute for Innovation & Improvement • Based on Lean & Six Sigma methodology • The “Productive Ward” series is applied directly to the “Ward” /inpatient care environments, that is unit led (manager or designate), driven by care providers/senior leadership and guided by facilitators

Who else is Doing RTC? • In 175/179 National Health Service (NHS) hospitals in the UK • In 24 other countries • In Canada: – SASKATCHEWAN: Saskatchewan intends to roll RTC out to all their medical and surgical wards by 2012.

– ONTARIO:

based on the promising results from the RTC pilot sites in four acute-care hospitals in 2009, Ontario expects to more than double the # of participating hospitals beginning in 2010.

How does RTC work??.....

RTC is….. • •

•

RTC is a systematic approach to process improvement focused on inpatient nursing procedures. The Productive Ward includes 3 foundation modules that provide the knowledge/skills on using the baseline measuring tools and identifying what happens on your ward in terms of daily/regular processes/activities: - Knowing How We Are Doing - Well Organized Ward - Patient Status at a Glance Once the foundation modules are complete, then the ward staff will decide which of the eight process modules will be most benefit for them to start with: - Shift Handovers - Medicines - Patient Hygiene - Nursing Procedures - Ward Rounds - Meals - Patient Observations - Admissions and Planned Discharge

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This kit provides all the necessary steps to guide RTC teams through the process!

These are typically the people that will be engaged along our journey……. Maintenance/Facilities Services Health Records Department Housekeeping/Aides Home Care Pharmacy Dietary PT/OT Clinical Nurse Educators Discharge Coordinators

Let’s Review…… • Goal of RTC is to increase the amount of direct care time that nursing staff spend with patients • Improves nursing staff satisfaction with their work environment • Improves patient satisfaction with their stay • Not a cost containment or staff reduction strategy So at the end of it all….RTC is to help staff save time & steps in order to do the work that will support optimal patient care!

Some E.G. of Outcomes in Saskatchewan RTC Sites: • Sick time decreased by 300 hours in one year. • Overtime decreased by 162.34 hours. • Nurses increased their direct care time from 24 to 44.5%. • Overall staff well-being substantially increased and sustained from 60% to 85%.

“For the most part it’s about empowerment…to actually feel you are a part of a change and it’s not just people out there somewhere - that we don’t know who “they” are - making the change for you.” ~ RN, Regina site

Where is RTC in Manitoba? • 3 “flagship” sites started October 2010 • Brandon RHA – Brandon Regional Health Centre • Assiniboine RHA – Neepawa Health Centre • Winnipeg RHA – Grace General Hospital

• Seven new sites have come on board and completed RTC training for 2011/12: • • • • •

Central RHA – Boundary Trails & Portage Hospital Parkland RAH – Dauphin Hospital North Eastman RHA – Beausejour Hospital Winnipeg RHA – Seven Oakes & Grace Hospital Brandon RHA – Brandon Regional Hospital

• RTC beds across the Province:

Cycle 1:

105 beds

Cycle 2: Total

222 beds 327 beds

Thank you!! For more information, please contact:

Darlene Dreilich, Manitoba Health, Health System Innovation PH: 204-788-6756 E-mail: [email protected]