monash health covid-19 response model of care and site ...€¦ · principles of inpatient care 1....

7/04/2020 1

Monash Health COVID-19 Response

Model of Care and Site Capacity Planning

7/04/2020 2

Model of Care

Principles of Inpatient Care

1. The safety and wellbeing of our employees is paramount

2. We will protect our non-COVID inpatients from transmission, especially our most vulnerable patient cohorts (immunocompromised and elderly)

3. We will equip our employees with the resources they need to provide care (PPE, IT systems, equipment, training, psychosocial support)

4. Where demand exceeds our capacity to provide care, care will be prioritised based on agreed clinical policies

iCARE values

3

Inpatient Model of Care Components3 Phases (currently we are in Phase 1)

- Defined triggers for each phase

Clinical

- Goals of Care

- Prioritisation for intubation

- Maintaining BAU care for non-COVID patients

• Operational

- Based on demand and capacity

- Site configuration to cohort suspected and confirmed COVID patients in dedicated COVID wards

• Workforce

- Dedicated COVID clinical teams

- Segregation of workforce (COVID and non-COVID)

- Support with PPE

4

Phase 1: Demand is Below Capacity (current phase)

5

Trigger for Phase 1: First COVID-19 case presents to Monash Health

Clinical Impact:

Cases may present to ED via Fever Clinics, GP or direct presentation

Confirmed and suspected COVID cases managed in negative pressure rooms (single rooms if no negative pressure)

Goals of Care remains as per usual policy

Operational Impact:

No change to configuration of inpatients clinical areas

Workforce Impact:

No change to configuration of inpatient staff

Training and Upskilling of inpatient staff to prepare for subsequent phases

Phase 2: Demand is At or Approaching Capacity

6

Trigger for Phase 2: Capacity reached for negative pressure / single rooms for COVID confirmed or suspected cases at any acute site

Clinical Impact:

Suspected and confirmed COVID cases will be cohorted in designated wards

Non-COVID patients will be cared for in non-COVID wards and clinical areas

Goals of Care may be altered for some confirmed COVID patients

All Elective Surgery cancelled

Additional MET call teams

Operational Impact:

Current wards will be repurposed for Suspected and Confirmed COVID wards

Suspected cases will move to the Confirmed COVID ward as soon as case is confirmed

Dedicated COVID bedcards will be activated at all acute sites

Confirmed COVID patients from Kingston to transfer to acute site if indicated

Workforce Impact:

Dedicated COVID medical teams

Dedicated COVID nursing teams on Suspected and Confirmed COVID wards

No mixing of COVID and non-COVID care teams

Phase 3: Demand Exceeds Capacity

7/04/2020 7

Trigger for Phase 3: Capacity reached for ICU – unable to accommodate COVID-19 cases for intubation

Clinical Impact:

COVID Intubation Prioritisation activated

Goals of Care will be altered for some confirmed COVID patients

Operational Impact:

Will need increased capacity for Suspected and Confirmed COVID wards at all acute sites

All possible areas where patients can be safely accommodated may be commissioned

Will need increased Mortuary capacity

Workforce Impact:

Will need increased numbers of COVID medical and nursing teams

COVID teams may stay in residence at their acute site (accommodation, cleaning and catering needs)

Inpatient Model of Care - SummaryModel Element Phase 1 Phase 2 Phase 3

PHASE TRIGGER First COVID-19 case presents to

Monash Health

Capacity reached for neg pressure /

single rooms for COVID-19 suspected or

positive

Capacity reached for ICU - unable to

accommodate COVID-19 cases for

intubation

CLINICAL Goals of Care As per usual policy May be altered for certain groups Will be altered as per COVID-19 Altered

GoC policy (TBA)

Critical Care Access Able to access as required within

current capacity

Approaching capacity – increase ICU

capacity

As per COVID-19 Critical Care Access

Policy (TBA)

Intubation Based on clinical need Based on clinical need – dedicated

intubation team

Will not be able to intubate all patients –

need prioritisation protocol (ICU access)

Discharge As per DHHS guidelines As per DHHS guidelines As per DHHS guidelines

Elective Surgery Significantly reduced (CAT 1 and 2A) All elective procedures cancelled All elective procedures cancelled

Emergency Surgery As per usual procedures Cohorting (COVID/non-COVID theatres) Cohorting (COVID/non-COVID theatres)

Care for non-COVID

Patients

Usual Care Care under regular bedcards if capacity

(or Gen Med / Gen Surg)

Care led by Gen Med / Gen Surg with

specialty input (no subspec bedcard)

OPERATIONAL Org-wide configuration Usual configuration COVID and non-COVID segregated All possible clinical areas commissioned

Site-based

configuration

Usual configuration Suspected and Confirmed COVID

Wards commissioned

Will need multiple Suspected and

Confirmed COVID Wards at each site

Visitor Policy Some limitations as per website Significant limitations in all areas Extremely limited visitors in all areas

WORKFORCE Medical Usual configuration Dedicated COVID medical teams,

configured in streams

Will need increased capacity to staff

COVID medical teams (redeployment)

Nursing Usual configuration Dedicated COVID nursing teams aligned

to COVID wards

Will need increased capacity to staff

COVID nursing teams (redeployment)

Support Services Usual configuration ? Dedicated Support Services teams Will need increased capacity (all

available staff redeployed)

Other PPE Training for all staff PPE Super Users in all COVID areas PPE Super Users in all COVID areas

8

Proposed CoVID-19 ward based medical teams

7/04/2020

CoVID-19 bed card Home Team bed card

Determine optimal rotation schedule

Team

Consultant x1 (On Call & Ward Service)

Registrar x 1 (AM, PM & Night)

HMO x 2 (AM, PM & Night)

Caseload 20 patients per team

Roster co-ordinationMonash Doctors and delegated clinical experts

Staggered team rotation where possible

Medical rotation into CoVID-19 bed card for Clayton Site

7/04/2020 10

STREAMS1. Admission Ward (suspected COVID) 2. COVID3. Non COVID

Contribution by all General and Specialty units

Development and “On Boarding” of teams according to the following principles:-1. Available EFT2. Size of inpatient footprint (non COVID pts)3. Capacity generated by reduction/cessation of other services4. Maintaining BAU for non COVID patients

Existing non COVID inpatients admitted under General Medicine bed card with specialist consults

Specialty Critical Care CoVID-19 Response Team to assist ward based management:• Respiratory • Critical Care (ICU/Anaesthetics)are• Intubation team

Support:-• Palliative Care• Geriatric Support service

Proposed Medical Management of CoVID-19 Patients for DH and Casey Sites

7/04/2020 11

STREAMS

1. Admission Ward (suspected COVID)

2. COVID

3. Non COVID

Gen Med Teams with ID and Respiratory expertise will be “on boarded” one at a time

“On Boarding” of other teams as required

Following teams will be required to assist ward based management:

• Intubation Team

• ID consult service

• Respiratory support service

• Critical Care support service

• Geriatric support service

Program Strategies

7/04/2020 12

- Surgical

- Children’s

- Maternity

- Mental Health

- ICU

- Dialysis

- Subacute

- Immunocompromised

7/04/2020 13

Capacity Management

Capacity Management Principles

• Up Front Screening in ED and Inpatient admission

• Dedicated positive and negative ICU at each site

• Dedicated Admission wards whilst waiting for swab results

• Dedicated positive and negative COVID wards

7/04/2020 14

MMC Clayton

DTC

Corporate

SCN / NICU

Site Administration

IPU

IPUTheatre

TherapySCC

Outpatients

Cafe

ED SSU

CCU

ICU

ED

L5

L4

L3

L2

32W

Ward 41

General Medicine General Medicine

Ward 42

Ward 33 Ward 34Nephrology

Gastroenterology

Ward 44Haematology / Infectious Diseases

Dermatology / EndocrinologyRheumatology / Oncology

MonashHeart / CardiologyCardiothoracic Surgery

Respiratory

Ward 32

Ward 54Neurology

NeurosurgeryStroke

Ward 52

Total Capacity: 40 Total Capacity: 41

Total Capacity: 46

Total Capacity: 52

Total Capacity: 46

Total Capacity: 40

Total Capacity: 48

Total Capacity: 48

P Block

Cath Lab

Obstetrics

Cardiac Day Treatment

Centre

TC: 13

General Surgery / Upper GI Surgery / Vascular SurgeryEndocrine Surgery / Gynaecology / Urology

ENT Surgery / OMF Surgery / Gastroenterology

MONASH MEDICAL CENTRE CLAYTON ADULT CAMPUS

Endoscopy Plant PlantPlantL1

Monash Heart / Cardiology

TC: 23

TC: 26

TC: 15

Recovery / Theatre

Sleep Centre

31S / 31N - JMPH

Total Capacity: 52

Cardiothoracic SurgeryNeurosurgery

LIN

KW

AYLI

NK

WA

Y

3B PICUAll Specialties

TC: 10 (7)

ObstetricsSCN

Total Capacity: 19 + 6 SCN

51NSurgery

Total Capacity:

23

51S

HITH

Hospital in the Home

Imaging

Immediate Care Centre Imaging Day Ward

TC: 12 TC: 4

All Specialties

Respiratory

DTC

Corporate

SCN / NICU

Site

Administration

IPU

3A FORREST

TherapySCC

Outpatients

Cafe

ED SSU

CCU

ICU

ED

L5

L4

L3

L2

32W

Ward 41

General Medicine General Medicine

Ward 42

Ward 33 Ward 34Nephrology

Gastroenterology

Ward 44Haematology / Infectious Diseases

Dermatology / EndocrinologyRheumatology / Oncology

MonashHeart / CardiologyCardiothoracic Surgery

Respiratory

Ward 32

Ward 54Neurology

NeurosurgeryStroke

Ward 52


Total Capacity: 46

Total Capacity: 52

Total Capacity: 46

Total Capacity: 40

Total Capacity: 48

Total Capacity: 48

P Block

Cath Lab

Obstetrics

Cardiac Day Treatment

Centre

TC: 13

General Surgery / Upper GI Surgery / Vascular SurgeryEndocrine Surgery / Gynaecology / Urology

ENT Surgery / OMF Surgery / Gastroenterology

MONASH MEDICAL CENTRE CLAYTON ADULT CAMPUS

Endoscopy Plant PlantPlantL1

Monash Heart / Cardiology

TC: 23

TC: 26

TC: 15

Recovery / Theatre

Sleep Centre

31S / 31N - JMPH

Total Capacity: 52

Cardiothoracic SurgeryNeurosurgery

Total Capacity: 52

ADMISSION NON-COVIDMEDICAL

TC: 13

COVID


COVIDNON-COVIDMEDICINE

NON-COVIDIMMUNO-COMPROMISED

Total Capacity: 52

Total Capacity: 40

NON-COVIDSURGERY

Total Capacity: 46

NON-COVIDMEDICINE

NON-COVIDMEDICINE


NON-COVIDMEDICINE

TC: 23

LIN

KW

AYLI

NK

WA

Y

3B PICUAll Specialties

TC: 10 (7)

TC: 32

Paed Medicine

TC: 26

Non-COVID ICU

TC: 32

COVID ICU

TC: 26

COVID ICU

TC: 10

NON-COVID ICU

Additional COVID Capacity• Ward 41 / 42• MHTP• Other Non-Clinical

Areas

ObstetricsSCN

Total Capacity: 19 + 6 SCN

51NSurgery

Total Capacity:

23

51SNON-COVIDMED / SURG

Total Capacity:

23Total Capacity: 67 + 6 SCN

MATERNITY ZONE

Obstetrics

HITH

Hospital in the Home

Imaging

Immediate Care Centre Imaging Day Ward

TC: 12

ED Fast TrackClinic A / B

Respiratory

TC: 4TC: 20

MONASH CHILDREN’S HOSPITAL

Plant

TherapyCafe

MaternityPrecinct

Birth SuiteFoetal

MonitoringPAU

ED SSUIPU

Adult CCUIPU

TheatresAdult ICU

IPU

ED

L5

L4

L3

L2

4A CanopyPaed Haematology / Oncology

Paed Respiratory / Paed IDPaed Monash Heart / Cardiology

Paed Endocrinology and DiabetesPaed General Medicine

Adolescent MedicinePaed General Medicine

Paed NeurologyPaed Rehabilitation

4B Aviary

Same Day Unit

4E Sleep Centre

Paed Sleep Study

PICU

3B Cocoon - PICU

Total Capacity: 32 Total Capacity: 32 Total Capacity: 6

Total Capacity: 208 (SD) + 4 Haemodialysis

Total Capacity: 10

Specialist Clinics

L1

Paed Endocrinology and DiabetesPaed Gastroenterology / Paed ENT

Paed General MedicinePaed Nephrology and Continence

Paed RespiratoryPaediatric Surgery

3A Forrest

Total Capacity: 32

Site Administration

3D Lagoon

Theatre / Recovery

NICU - Newborn

Theatre / Recovery

Stepping Stones

4E Neurodiagnostic / Research

Total Capacity: 6

Vacant

Plant

AdultCampus

Lin

kway

Lin

kway

Therapy

GymPlayroom Playroom

MONASH CHILDREN’S HOSPITAL –CLAYTON – CURRENT STATE

Lin

kw

ay

Total Capacity: 9

4C Children’s Cancer Centre

Total Capacity: 22

Stage One Recovery

Stage Two Recovery

3C Cove

TheatreRecovery

TheatreRecovery

Total Capacity: 8

Oncology

Bereavement Space

3 beds

Oasis


Mental Health Mental Health

Nest – SCN / NICU

Total Capacity: 66 cots + 5 parenting rooms

SCN - Newborn

Plant

TherapyCafe

MaternityPrecinct

Birth SuiteFoetal

MonitoringPAU

ED SSUIPU

Adult CCUIPU

TheatresAdult ICU

IPU

ED

L5

L4

L3

L2

4A CanopyPaed Haematology / Oncology

Paed Respiratory / Paed IDPaed Monash Heart / Cardiology

Paed Endocrinology and DiabetesPaed General Medicine

4B Aviary

Same Day Unit

4E Sleep Centre

Paed Sleep Study

PICU

3B Cocoon - PICU


Total Capacity: 208 (SD) + 4 Haemodialysis

Total Capacity: 10

Specialist Clinics

L1

Paed Endocrinology and DiabetesPaed Gastroenterology / Paed ENT

Paed General MedicinePaed Nephrology and Continence

Paed RespiratoryPaediatric Surgery

3A Forrest

Total Capacity: 32

Site Administration

3D Lagoon

Theatre / Recovery

Nest – SCN / NICU

SCN - Newborn NICU - Newborn

Total Capacity: 56 cots

Theatre / Recovery

Stepping Stones

4E Neurodiagnostic / Research

Total Capacity: 6

Vacant

Opportunity: 10Ambulatory Centre

Infusion Centre and MC@HCapacity: 8

Plant

AdultCampus

Lin

kway

Lin

kway

Therapy

Opportunity:3 beds

GymPlayroom

Opp: 3 beds

Playroom

Opp:3 beds

MONASH CHILDREN’S HOSPITAL - CLAYTON

Lin

kw

ay ADULT COVID

ICU


NON-COVID PICU

NEWBORN ZONE

NON-COVID IMMUNO-COMPROMISED COVID NON-COVID NON-COVIDADMISSION

Total Capacity: 66 cots + 5 parent rooms

Total Capacity: 32Total

Capacity:12

Total Capacity: 6 Total Capacity: 6Total

Capacity: 4

NON-COVID

Total Capacity:

16

Total Capacity: 9

NON-COVID

Total Capacity: 164 Haemodialysis

4C Children’s Cancer Centre

Total Capacity: 22

Stage One Recovery

Stage Two Recovery

3C Cove

TheatreRecovery

TheatreRecovery

NON-COVID PICU

Total Capacity: 8

Total Capacity: 8

Oncology

Bereavement Space

3 beds

NON-COVID IMMUNO-

COMPROMISED

Oasis


Mental Health Mental Health

Total Capacity: 10

COVID PICU

DANDENONG HOSPITAL

DANDENONG HOSPITAL – CURRENT STATEWEST

Children’s

North 3

Maternity

SW4

ICU

SW2

SW3

West 2

W3

W4W4

Birth Suite

ED

DTC

AAU

CCU

Therapy

WRC

Theatre / Recovery

Outpatients

SOUTHWEST

CENTRE NORTH

Cafeteria Plant

General MedicineCardiology

General MedicineEndocrinology

OrthopaedicsGeneral SurgeryVascular Surgery

Diabetes

Sub-AcuteGeneral Medicine

Subacute

Mixed Specialty General Medicine

Cardiology Mixed SpecialtyColorectal SurgeryGastroenterology

Obstetrics

SCN

Paediatric SurgeryPaediatric Medicine

Total Capacity: 4

Mental Health


Total Capacity: 36 Total Capacity: 36 Total Capacity: 17 Total Capacity: 28

Total Capacity: 70



Total Capacity: 25


Total Capacity: 8

Mental Health

Pharmacy

Opportunity: 12

Discharge Lounge

North WardENT / Gynaecology

OMF / Plastic SurgeryOphthalmology

Unit 1Unit 2Unit 3

Total Capacity:

5

Total Capacity: 9

DANDENONG HOSPITALWEST

Children’s

North 3

Maternity

SW4

ICU

SW2

SW3

West 2

W3

W4W4

Birth Suite

ED

DTC

AAU

CCU

Therapy

WRC

Theatre / Recovery

Outpatients

SOUTHWEST

CENTRE NORTH

Cafeteria Plant

Orthopaedics

Sub-Acute

Cardiology

Obstetrics

SCN

Paediatric SurgeryPaediatric Medicine



Total Capacity: 70

Total Capacity: 20

Total Capacity: 25


Total Capacity: 8

Mental Health

Pharmacy

Discharge Lounge

North WardENT / Gynaecology

OMF / Plastic SurgeryOphthalmology

Unit 1Unit 2Unit 3

Total Capacity:

5

Total Capacity: 9

Total Capacity: 30

ADMISSION

Total Capacity: 36

NON-COVID SURGICAL

Total Capacity: 36

COVIDNON-COVIDSAME DAY

Total Capacity: 12

NON-COVIDSURGICAL

Total Capacity: 28

NON-COVIDSURGICAL

Total Capacity: 20

NON-COVIDPAEDIATRIC

Total Capacity: 20

MATERNITY & NEWBORN PRECINCT

NON-COVIDMEDICAL

Total Capacity: 36

COVID

Total Capacity: 36

NON-COVIDMEDICAL

Total Capacity: 4

Non-COVID ICU

Total Capacity: 14

COVID ICU

Total Capacity: 22

NON-COVID

MEDICAL

Total Capacity: 17


Total Capacity: 9

Additional COVID capacityTherapy Areas

Non-Clinical Areas

Casey Hospital

CASEY HOSPITAL – CURRENT STATE

Ward H

Admin

THEA

TRE

Ward F Ward G SCN

Ward DSecure Ward D Ward C Ward B Ward A ED Ward E

OU

TPA

TIEN

TS

Paediatric MedicalPaediatric Surgical

ObstetricsBirth Suite

Neonatology

Mental Health

Total Capacity: 5

Obstetrics

Short Stay Unit

Mental Health

25 beds

Sub-Acute

Breast / ColorectalEndocrine / ENT

Plastics / GeneralNeuroSx / Urology

Gynaecology

IPU L4

IPU L5

ICU Day Ward

IPU L2

Total Capacity 32

IPU L3

Total Capacity 32

Total Capacity 20Total Capacity 12

Total Capacity 32

Total Capacity 32

Vacant Vacant

Vacant

Vacant

Ward ADay Area

IMA

GIN

GTotal Capacity: 20 Total Capacity: 21 Total Capacity: 21

Total Capacity: 30 Total Capacity: 27 Total Capacity: 32 Total Capacity: 22 Total Capacity: 24

General Medicine

General Medicine

Palliative Care

Ward DGym

Dialysis

Dialysis

HITH

9 chairs9 chairs

Cubicles

Vacant

Vacant

Total Capacity: 10

Surgical Specialties

CASEY HOSPITAL – PROPOSED WARD CONFIGURATION

Ward H

Admin

THEA

TRE

Ward F Ward G SCN

Ward DSecure Ward D Ward C Ward B Ward A ED Ward E

OU

TPA

TIEN

TS

Paediatric MedicalPaediatric Surgical

ObstetricsBirth Suite

Neonatology

Mental Health

Total Capacity: 5

ObstetricsShort Stay

Unit

10 beds

Mental Health

25 beds

Sub-Acute

Breast / ColorectalEndocrine / ENT

Plastics / GeneralNeuroSx / Urology

Gynaecology

IPU L4

IPU L5

ICU Day Ward

IPU L2

Total Capacity 32

IPU L3

Total Capacity 32

Total Capacity 20Total Capacity 12

Total Capacity 32

Total Capacity 32

Vacant Vacant

Vacant

Vacant

Ward ADay Area

IMA

GIN

GTotal Capacity: 20 Total Capacity: 21 Total Capacity: 21

Total Capacity: 30 Total Capacity: 27 Total Capacity: 32 Total Capacity: 22 Total Capacity: 24

General Medicine

General Medicine

Palliative Care

Ward DGym

Dialysis

DialysisAnnex

ED

FastTrack

5 rooms

ADMISSION

Total Capacity: 32Total Capacity: 27

COVID

Total Capacity: 32

Non-COVID

MEDICAL

CHILDREN’S, MATERNITY & NEWBORN PRECINCT

Total Capacity: 20 Total Capacity: 21 Total Capacity: 21


Non-COVID

SURGICAL

Total Capacity: 12

COVIDICU

Total Capacity: 32

Non-COVID

Total Capacity: 32

COVID

COVIDMental Health

Total Capacity: 5

Total Capacity: 32

Non-COVID

MEDICAL

Non-COVIDICU / Ward

Total Capacity: 16 + 16

HITH

9 chairs9 chairs

Cubicles

Total Capacity: 10

Non-COVID

SURGICAL

Moorabbin Hospital

MOORABBIN HOSPITAL – CURRENT STATE

Theatre

Theatre

Ward 1 Ward 2

Surgical WardBreast Surgery

Gynaecological Oncology

Gynaecology

Vacant: 28

Medical Oncology

Total Capacity: 22Vacant: 6

ENT Surgery

OMF Surgery

Orthopaedics

Urology


HaemodialysisDay Procedure Centre

15 chairs11 beds3 chairs

Day Procedure Centre

8 beds3 chairs

2 Pre-Op Bays2 Theatres

5 Recovery Bays


8 Recovery Bays

Imaging SPECIALIST CONSULTING

Chemotherapy Day Unit

20 chairs2 beds

Chemotherapy Day Chairs8 Chairs and 1 Bed

Urology BCG Clinic HITH


MOORABBIN HOSPITALPROPOSED FUTURE STATE

Theatre

Theatre

Ward 1 Ward 2

Surgical WardBreast Surgery


Gynaecology

Vacant: 28

Medical Oncology


ENT Surgery

OMF Surgery

Orthopaedics

Urology


HaemodialysisDay Procedure Centre

15 chairs11 beds3 chairs

Day Procedure Centre

8 beds3 chairs


5 Recovery Bays


8 Recovery Bays

Imaging SPECIALIST CONSULTING

Chemotherapy Day Unit

20 chairs2 beds



From Dandenong Hospital

Urology BCG Clinic

HITH

HITH

Breast Surgery


Gynaecology

NON-COVIDAged Care

Transition Ward

Consolidate Specialist Consulting Clinics into Moorabbin• Oncology• Haematology

Oncology / Haematology Clinics

KINGSTON CENTRE

KINGSTON CENTRE – CURRENT STATE

N3 S3 S6

N2 S2 S5

S4S1N1Reception / Administration

TherapyGym

CRCHydrotherapy

NW2NW1

North West North / South

Neurological Rehabilitation

Rehabilitation

Movement Disorders

GEM

Rehabilitation

Rehabilitation

GEM GEM

GEM

Rehabilitation

GEM

Rehabilitation

BBTCP



Total Capacity: 20

Total Capacity: 20

Total Capacity: 30

Total Capacity: 30

Total Capacity: 30

S4 Gym

Therapy

EducationCentre

East 1

East

Gait Lab

APMHCommunity

Undercroft

RITH

Admin

Admin

KINGSTON CENTRE – CURRENT VACANT CAPACITY

N3 S3 S6

N2 S2 S5

S4S1N1Admin

Therapy

CRCHydrotherapy

NW2NW1

North West North / South

Opportunity 21 beds

Other Opportunity Areas:Eastwood South: 40 beds

Concert Hall:20 bedsSocialisation building: 16 beds

SACS Clinic Rehab: 5 bedsHealthwise Gym: 12 bedsStaff Cafeteria: 10 beds

S4 Gym

Oppportunity20 beds

Opportunity20 beds

Opportunity20 beds

Opportunity20 beds

EducationCentre

Opportunity32 beds

East 1

Opportunity30 beds

East

Gait Lab

Opportunity12 beds

APMHCommunity

Opportunity20 beds

Opportunity15 beds

Opportunity60 beds

Undercroft

NON-COVID

NON-COVID

Total Capacity 30 beds

NON-COVID

Total Capacity20 beds


NON-COVID

COVID COVID



Total Capacity: 38(including Lounge)

NON-COVID


Monash Community

7/04/2020 33

• Consolidation of clinical /

clinical support services

to main Community sites

• Repurposing of existing

Monash Health facilities

across the catchment for

other key services away

from bed-based sites

• Maternity Services

(Clayton) to Clayton

CRC

• Specialist Consulting

Services

• Redeployment of clinical

staff to key essential

services

7/04/2020 34

Casey Commissioning

Week commencing

30 March 6 April 13 April 20 April 27 April 4 May 11 May 18 MayWorkflow

Casey Hospital Expansion – Commissioning Timeline

Ward C move to IPU L3 7 AprilM

Ward C becomes Admission ward(32 NEW beds)

Ward D move to IPU L2(8 NEW beds)

Ward D becomes COVID + ward(32 NEW beds)

IPU L5 COVID + ward commissioned (32 NEW beds)

Ward D Therapy Area Haemodialysis Service commissioned(9 NEW haemodialysis chairs)

Intensive Care Unit commissioned (IPU L1) – COVID + (12 NEW beds)

ED Short Stay Expansion – Casey Expansion Beds (10 NEW beds)

20 April – phased commissioning pending COVID + ICU demand

13 April

11 MayM

30 MarchM

IPU L4 NON-COVID ward commissioned (32 NEW beds)

27 April

8 AprilM

8 AprilM

7 AprilM

M

M

ED Fast Track Expansion – Monash Heart Space(5 NEW cubicles)

Dandenong Subacute (W2 / SW2) relocation to Casey Ward C(12 beds from W2 and 20 beds from SW2)

M

Intensive Care Unit commissioned (IPU L2) – NON-COVID 20 April – phased commissioning pending NON-COVID ICU demand M

TBC – Pending consultation and uplift in subacute demand / activity

Casey Redevelopment – Commissioning Timeline

30 March – phased commissioning pending demandM

monash health covid-19 response model of care and site ...€¦ · principles of inpatient care 1....

Documents