Abstract
The demand for acute care hospital beds is a constant pressure for most hospitals in Canada today. Health care centres must optimize the supply of open beds to accommodate the daily pressures that are presented each day. Southlake Regional Health Centre is located within the Central LHIN in Ontario and is the only centre providing advanced cardiac services for this region. The population of men and women aged 50-69 in this region is expected to increase anywhere by 27-69% between 2007 and 2016. As a Regional Cardiac Centre, Southlake responds to the needs of eleven parterner hospitals, for patients requiring angiogram/angioplasty. The Interventional Cardiology Program has developed a “Same Day Discharge” strategy and a post angioplasty (PCI) repatriation process with five referring centres. Despite these initiatives, our open door policy for acute ST elevation myocardial infarctions, (STEMI) patients, began developing delays in timely access to acute care beds within the region. This presentation will outline the initiative to optimize bed flow within the region. A select patient group, referred non ST elevation myocardial infarction (NSTEMI) was identified to stay in the CSSU for discharge the following morning. This was done in collaboration with our referring/repatriation hospitals. This presentation will provide the dimensions of a collaborative inter hospital team approach, to improve inter hospital bed flow, patient satisfaction and significant cost savings, while still providing timely access to advanced cardiac care.
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