ANNUAL REVIEW master Final3a - St Vincent's University Hospital
ANNUAL REVIEW master Final3a - St Vincent's University Hospital
ANNUAL REVIEW master Final3a - St Vincent's University Hospital
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<strong>St</strong>. Vincent’s Healthcare Group Limited - Annual Review 2007<br />
Report from the Director of Operations<br />
Estates <strong>St</strong>rategy<br />
The Estate <strong>St</strong>rategy Group was established in November 2007. This group has developed a structured and<br />
transparent process for future campus developments, ensuring where possible that the development is<br />
carried out in a planned, effective, efficient and progressive manner.<br />
Frank Smyth is the driving force behind this group and provides a monthly update on all projects. There is a<br />
considerable amount of building development underway to develop our services, improve our infrastructure<br />
and support patient care. Frank covers this more in his section of the annual review in terms of how projects<br />
are identified, proposed, evaluated and taken forward.<br />
A number of major capital projects have been completed in 2007 and further ones launched. The ADCC is<br />
now fully operational and is an impressive achievement, delivering 21st Century facilities for our patients and<br />
staff.<br />
Work has commenced on the New Private <strong>Hospital</strong> and should be complete in the first quarter of 2010.<br />
The new Day Care Ward is on track for delivery in June 2008 and we now have planning permission for a<br />
new 120 bed ward Block.<br />
2008 will be an exciting year for SVUH and a further example of our progressive approach to healthcare<br />
delivery.<br />
Services Initiatives<br />
Specialty Specific Admissions<br />
In order to improve utilisation of the <strong>St</strong> Vincent’s <strong>University</strong> <strong>Hospital</strong> bed base, provide consultant delivered<br />
integrated care to patients, enhance access to hospital services for primary care providers, create<br />
streamlined care pathways for local patients and reduce both attendance and waiting times in the<br />
Emergency Department (E.D.), we have developed a Speciality Specific Admissions policy. Developed by the<br />
Medical Executive Committee, this approach is now been rolled out across SVUH.<br />
In order to allow specialty specific admissions and a consultant provided service, work practices in the<br />
hospital are and have changed to follow the model outlined by Hanly (Hanly Report; DOCH 2003). It is<br />
particularly relevant that this proposal should stem from <strong>St</strong> Vincent’s <strong>University</strong> <strong>Hospital</strong>, as this was one of<br />
the core hospitals studied by Hanly and colleagues.<br />
Considerable progress has been made in establishing a protected bed base, which promotes effective clinical<br />
management and helps reduce length of stay. Coupled with a fundamental review of our discharge planning<br />
process, we are starting to see some benefits to this approach. We are also reviewing interfaces with Primary<br />
Care to provide whole system services. Respiratory, Neurology and Care of the Elderly multidisciplinary<br />
project teams have been established and have made significant progress in reengineering services in the<br />
short term and outlining a long-term vision for the service.<br />
This will continue to be a key part of our approach for 2008, with rollout across all specialties and a<br />
fundamental review of our catchment areas and bed base.<br />
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