Written by Lisa Bournelis, Senior Consultant, Strategic Transformation Team

Imagine there was a way to dramatically enhance your patients’ experience and outcomes while improving your own experience as a dedicated care provider? Enter the Fabulous Five!

Fraser Health is focusing on strengthening communication between health care teams, patients and families by reintroducing the consistent use of best practices in daily care and discharge planning. These include having the following in place for each and every patient in our care:

  1. Having an estimated discharge date for all patients.
  2. Completing pre-admission screening and initiating a care and discharge plan with patient and family-centered goals and interventions within 48 hours of admission (48/6).
  3. Ensuring safe and regular mobilization for all patients.
  4. Collaborating as a team through regular structured interdisciplinary rounds using the five key questions.
  5. Communicating with patients and families by keeping the bedside whiteboard up-to-date (including the Estimated Discharge Date).

On October 4, 130 staff and physicians were invited to a regional summit to hear patients share their own experience of care and discharge planning. Participants also learned from sites demonstrating excellence with the five practices – including how they achieved success and overcame challenges in integrating these standardized practices.

The patient’s voices were heard loud and clear. Their messages were simple:

  • Patient and family need to be involved in discharge planning process. This supports readiness, and relieves anxiety.
  • Bedside whiteboards populated with plain, user-friendly language, with estimated discharge dates and checklist documentation are powerful communication tools to help patients get ready and work towards their own personal goals in their care journey.
  • Clear conversations between care teams in rounds improve both the care provider’s experience and patient outcomes.
  • The tools identified should be treated as supports to the discharge process, not thedischarge experience.

As a result of the interactive learning session, a number of creative, locally based solutions were developed. Fears were dispelled around the importance of giving patients a goal to work to towards discharge, and inspiration was piqued around unique ways of integrating the Fab Five in everyday care.

Some examples of excellence in practice include:

  • Langley shared the profound impact having a physician note the estimated discharge date on the patient’s chart upon arrival has on team planning, and patient outcomes.
  • Peace Arch demonstrated how keeping patients and families updated with bedside white boards during their care journey helped to avoid feelings of patient anxiety and improve team communication. This led to greater consistency and fewer delays.
  • Chilliwack showed how giving clear guidance on what mobility means and reinforcing that everyone is accountable in this process meant patients were avoiding deconditioning and other adverse events.
  • Abbotsford shared how the use of the standardized five-question round process actually decreased the amount of time care providers spent in rounds.
  • Burnaby demonstrated how they overcame inconsistent planning, a lack of collaboration and reactive care through the use of 48/6.

By now you may have seen announcements refreshing these practices, along with a toolkit to support their use. You may have also participated in a series of education webinars. For new webinar dates or to view the presentation deck, visit FH Pulse.


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