The Medicine and Specialized Geriatric Patient Service Group (PSG) is committed to providing optimal care to the patients it serves. The goal of the Hospitalist Program is to provide a patient/family centred model of quality care, from admission to discharge, using an interdisciplinary approach. The Hospitalist Program is an interdisciplinary model of care aimed at improving quality of care, clinical outcomes and continuity of care for patients, reducing length of stay and emergency department wait times, and improving patient and staff satisfaction. The Hospitalist Program addresses four key areas of care: patient flow, timely service, quality of care, and volumes. The Hospitalist Program is built on the foundation of an interdisciplinary team approach to care that is patient/family centred. The hospitalists are onsite 8-4 daily on weekdays. During this time the hospitalists engage in daily interdisciplinary bullet rounds to review patient care plans and discharge plans, as well as participate in patient and family conferences, ensuring that patients and families are active participants in the planning of care. Since the implementation of the Hospitalist Program, several successes have been achieved. Successes include decreased length of stay, decreased alternate level of care days, improved staff satisfaction, and improved patient satisfaction regarding physician availability and information/education. The hospitalist model of care has also laid a strong foundation to integrate a LEAN management system that enables transformation to a culture of continuous quality improvement. The units have initiated a Business Performance System that includes daily status reports with the team, daily performance improvement huddles, and unit performance scorecard. The priority is to build capacity within the team to solve problems faced on the unit and to provide quality and safe patient care.
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