BC Patient Safety & Quality Council

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Releasing Time to Care

We support the provincial coordination of Releasing Time to Care in acute, mental health, community, and residential care settings throughout BC. The number of active teams varies at any given time; in late 2017 it reached 71 teams across 35 sites and 10 organizations.

RT2C is part of the Productive Series, originally developed by the NHS in England. The program provides participating organizations with an opportunity to engage point-of-care staff in leading change to improve care for patients, clients or residents. RT2C has improved patient, client and resident experience and health outcomes while supporting the development of communication, problem-solving and quality improvement skills within care teams.

The following video provides an overview of program features, results, and experiences from teams here in BC:

In 2017, we completed a five-year evaluation of RT2C’s impacts in BC from 2012-2017. Promisingly, it revealed improvements in all four areas of program focus: patient experience, efficiency of care, safety and reliability of care, and staff well-being.

The evaluation endeavored to answer the following questions:

  1. Is RT2C improving quality in BC’s health care system?
  2. What are the key factors for success with the program?
  3. Does RT2C contribute to improving workplace culture for participating teams?
  4. How effective is this program in supporting improvement in the four core areas of focus?
  5. What impacts are we seeing on direct patient care as a result of the program?

Read the Executive Summary or full Evaluation Report here.

Program Objectives

RT2C supports teams to identify and act on improving outcomes related to the following four core areas of program focus:

The Productive Ward Modules

These modules are applicable for acute inpatient units and can be adapted for residential care and community-based settings.

Slide 1

The Productive Mental Health Ward Modules

These modules are applicable for acute inpatient mental health units and can also be adapted for community-based mental health settings.

Results and Successes

Since teams set their own priorities and activities for improvement, outcomes vary across teams and sites. The Evaluation Report provides a summary of results in much more detail.

Some successes by individual teams include:

  • Increases in direct care time, of between 23-48% from baseline
  • Improved hand hygienecompliance, from 67% to 81%
  • 40% more patients feel able to actively participatein their own care
  • Sustained infection-free periods, including being MRSA-free for over a year (62 weeks from 2016 to 2017)
  • Reduced nursing interruptions from an average of 110 to 72 on a typical day

Tools and Resources

RT2C templates, tools, resources, and other program materials are currently available to trained teams through CLWK.ca. A password is required to access these materials because RT2C is a licensed program. If you’re a member of an RT2C team and looking to access resources, please reach out to your facilitator/faculty member, or contact us directly.

Want to learn more?

Email us at productives@bcpsqc.ca or call 604.668.8223.

At a Glance

 

KEY CONTACTS

Geoff Schierbeck
Quality Leader, BCPSQC
gschierbeck@bcpsqc.ca
250.767.3211

Colleen Kennedy
Director, Innovation & Engagement, BCPSQC
ckennedy@bcpsqc.ca
778.471.1366