Balmain Hospital Strategic Plan 2012-2017 - Sydney Local Health ...

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BALMAIN HOSPITAL STRATEGIC PLAN 2012 - 2017 Inpatient activity and bed need is projected to increase in coming years, as shown in Table 8. Table 8: Balmain Hospital Projected Bed Need to 2022 Inpatient Hospital Activity Acute Sub & Non-Acute Total Bed Need Source: AiM 2010 Separations 2009 2017 2022 Beddays Beds @85% Separations Beddays Beds @85% Separations Beddays Beds @85% Overnight 985 3,601 43 1,203 10,417 38 1,363 11,736 43 Day Only 247 247 1 286 286 1 311 311 1 Total Acute Bed Need 44 39 44 Overnight 721 13,311 821 14,788 947 16,461 Day Only 3 3 4 4 4 4 Total Sub & Non- Acute 724 13,314 22 825 14,792 48 951 16,465 53 Bed Need 66 87 97 The hospital also operates a 14-bed Transitional Care Unit providing short-term support (up to 12 weeks) for older people to complete their restorative process at the conclusion of an inpatient hospital episode, allowing time to maximise their capacity to function independently and finalise longer term arrangements. The Centre for STRONG Medicine is a service for both inpatients and outpatients of Balmain Hospital. The Centre uses exercise-based medicine to treat disease in older people. It is the first centre of its kind in Australia and has been functioning for over 10 years. It is involved in the treatment of inpatients and outpatients, is a leading researcher in the area of depression, hip fracture and diabetes, and provides education to health professionals. Balmain Hospital also offers a range of other outpatient services including Aged Care, Diabetes and Endocrinology Clinics, Continence Clinic, Acupuncture Clinic, Homeopathy Clinic, Podiatry Clinic, Neuropsychology and Physiotherapy, including individual treatments and a pulmonary rehabilitation group. Outpatient activity at Balmain is increasing and it is expected to increase further in the future. Figure 2 displays data for a selection of outpatient services and compares the 2011/12 year-to-date occasions of service as of April 2012 with the 2010/11 and 2009/10 figures. The statistics reflect increasing activity over the past two years. 14
Outpatient activity at Balmain is increasing and it is expected to increase further in the future. Figure 2 displays data for a selection of outpatient services and compares the 2011/12 year-to-date occasions of service as of April 2012 with the 2010/11 and 2009/10 figures. The statistics reflect increasing activity over the past two years. BALMAIN HOSPITAL STRATEGIC PLAN 2012 - 2017 Figure 2: Occasions of service for selected outpatient services Figure 2: Occasions of service for selected outpatient services 16000 14000 14095 Occasions of Service 12000 10000 8000 6000 4000 10021 10096 11746 3285 2785 3342 Centre for STRONG Medicine Pulmonary Clinic Ambulatory Care Clinic 2000 0 1720 567 1365 1395 2009/10 2010/11 2011/12 YTD (APRIL) 1674 Projected 2011/12 Pertinent Pertinent service service issues issues and challenges and challenges for for Balmain Balmain Hospital Hospital are are as as follows: follows: • Addressing limitations associated with inpatient rehabilitation services; • Addressing limitations associated with inpatient rehabilitation services; • Increasing the provision of care on an ambulatory basis for people with conditions that do not require a hospital admission; • Increasing the provision of care on an ambulatory basis for people with conditions that do not require a hospital admission; • Increasing access to, and public awareness of, outpatient programs, such as the Centre for STRONG Medicine; • Increasing access to, and public awareness of, outpatient programs, such as the Centre for STRONG and Medicine; and • Ensuring the delivery of appropriate services to cater for cultural and linguistic diversity among patients. • Ensuring the delivery of appropriate services to cater for cultural and linguistic diversity among patients. Priority service development directions for Balmain Hospital include: Priority service development directions for Balmain Hospital include: • Enhancing the Ambulatory Care service in order to reduce demand on hospital beds; • Enhancing the Ambulatory Care service in order to reduce demand on hospital beds; • Increasing flexibility in models of care to better integrate inpatient geriatric and rehabilitation services, address occupancy • Increasing issues and flexibility respond in to models patient of flow care pressures; to better integrate inpatient geriatric and rehabilitation services, address occupancy issues and respond to patient flow pressures; • Improving coordination between inpatient and outpatient services offered at Balmain Hospital; • Improving coordination between inpatient and outpatient services offered at Balmain Hospital; • Developing additional outpatient and Hospital in the Home services to meet the unique needs of the local population; • Developing additional outpatient and Hospital in the Home services to meet the unique needs of the local population; • Strengthening discharge planning, and responding to issues related to timely patient discharge; and • Strengthening discharge planning, and responding to issues related to timely patient discharge; and • Further developing information technology, especially enhancing data management, improving medical and administrative information systems, introducing telemedicine, and implementing wireless technology. The roll out of the electronic medical record will be a key component. Balmain Hospital Strategic Plan 2012-2017 12. Numerous strategies for Balmain Hospital over the next five years directly align with the service strategies outlined in the strategic plan for the SLHD and are outlined in Table 11. 15
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