Footscray Outpatients

Staff

Orthopaedic Clinic Coordinator – TBD

Jose Reyes – Orthopaedic Clinic Coordinator – josejr.reyes@wh.org.au

Joanne Garratt – Orthopaedic Clinic Coordinator – joanne.garratt@wh.org.au

Ortho Contact Phone Number for Outpatients

  • 0478 853 527 (Bone phone)
  • a dedicated mobile phone for the Ortho Team that will be used by the Ortho Clinic Coordinators
  • This number can be used by any Consultant, Registrar or HMO to contact the Outpatient Ortho Nurse via voice call or text.  The phone number will only be used during business hours- 0800-1800

Email: ASCFHNurseClinicMgmt@wh.org.au (this email is for urgent requests as it is always monitored by someone)

ASCSHNurseClinicMgmt@wh.org.au (this email is for the Sunshine Outpatient Clinics – paediatric clincs/plastics enquiries)

Protocols

Projects

  • Reducing Late Clinic Finishes: aim for 9.45 am start and 12.30 pm finish
    • Order Xrays before Appointments (Sunshine HMOs responsibility)
      • Jose will generate a list the week before and email it to the Sunshine HMO to action
      • Excel spreadsheet sent back to Jose
      • Patient to have Xray at any of the campuses before the day of the appointment
    • New Friday Clinic Template – 8/3/24 – 4 new , 6 review = 10 patient, new patient (business – first appointment at 9.30 , news at the start,
      • 20/8/24 Standard Appointments – surgeon to be here by 9.45
        • 4 new, 6 reviews
          • Surgeon 9.45
          • Aim for 2 patients waiting for surgeon (930, 930), last appointment 1050
      • Early Appointments –
        • 4 news, 9 reviews
          • Surgeon 9.15 – (patient 0900,0900), last appointment 1050
    • meeting)= 7 new – 10am start – 9.40am for first patient x 2 (2 new for 9.40am), last 1050 appointment
      • Need to look at Tulloch, Shepherd, – Fellow to contact Lidia if away to notify clinic – Fellow clinic 6 patients – mixed)
      • IF review patient is booked with a time frame, clinic will ask surgeon what time they would like the overbooked patient to arrive (feedback mechanism to surgeons)
      • If overbook, put patient at start of day
      • CALD – first on list – 9.35 am patient to be CALD
    • Option of Adhoc clinics – Tulloch (Eran is seeing his patients)
    • Fellows Outpatient Template to be created for Lachie and Dave’s fellows
    • Ortho Next Available Appointments
      • Weekly sheet put into VMO rooms
      • If overbooked, the appointment will be made before 9.45am
      • Karen will notify Lidia each week of which consultants have an early clinic start
    • New to Review Ratios
      • Durga to pull data manually (Vikki)
      • Karen to provide monthly to Lidia for business meeting
      • If surgeon does not have enough new patients, the operating list will be converted to an ad-hoc clinic.
      • Surgeons needing more New patients – Cam, Dan, Will, Moreira, Shepherd, Pianta (? convert theatre lists to trauma lists or clinic)
        • more clinics for Brett,
        • look at ratios for each person and waitlists
    • Monthly New Patient Clinic with 10am
    • Registrars to sit in with VMOs
  • Connected Care – Transitioning to Telehealth
    • Routine follow-up of THR and TKR via PROMs / Surveys
    • Created dashboard
    • Create document for Dashboard
    • Apply for Best Care Awards (Brad to look at requirements for award) – Vikki, Ben
    • Need Protocol and Data
    • Ben to change ‘No – I do not need to see a doctor and am happy to be discharged’
    • Create Adhoc Telehealth Requests – Ben / Oren – UR number, first, surname, ASC notes for reason, completed by …., date, outcome – category, then write EMR note
  • Improving Wound clinic
    • Reduce number of patients using dissolvable closure
    • Create guideline for Nurses
    • Nurse led wound clinic to deploy interns / HMOs into busy fracture clinic (better training)
    • Utilise telehealth / post acute care
    • ? Process for Wound Review – 1. 2 week wound review clinic, PostAcute Care, Telehealth
    • Reduce Nursing and Medical staff to be deployed somewhere else
  • More Williamstown Fit patients
    • Vikki and Naomi to start new triage system to identify Willi fit patients
    • Stamp for “Willi Fit” with Willi Fit waitlist
    • Retriage patients
      • 50 per week for Willi Fit – to identify patients for Cam Dan Will Moreira Shepherd
    • 4 patients – 3 from Willi pile, 1 from Footscray pile
    • 7 patients – 5 Willi, 2 Footscray
    • Absence of short cases – Short and Willi fit
    • Ending up with 5 piles
    • OAKS referrals to Ortho will also be triaged by Registrars for Willi / Footscray
  • Better Care Awards
  • Fracture Clinic
    • Automatic medical triage – ask VFRAC to help
    • No Non-fracture patients in fracture clinic
    • FTA – 1 and out with letter to patient
  • Do patients receive physical mail?
    • yes, if they don’t open they’re SMS link within 12 hours
  • Script for Admin to answer questions about Surgical Waitlist vs Outpatient Waitlistt