Download our Case Study: Waypoint Centre for Mental Health Care Improves Transitions with SBAR Tool



About: Waypoint Centre For Mental Health Care is a comprehensive tertiary mental health care research and academic hospital that provides mental health services for adults and provincial high security forensic mental health services. Located in Penetanguishene, Ontario, the organization has 1,200 employees, 301 beds, and about 27,000 outpatients.

Challenge: In previous years, the Waypoint Centre for Mental Health Care struggled with care transitions. They relied on paper Kardex at shift changes — a slow process that could take up to 40+ minutes for each hand-off. This was extremely frustrating for staff and patients alike. Waypoint also experienced several incidents indicating a need for a more efficient transfer of care process and better staff education on risk factors.

Execution: Waypoint determined that an SBAR format would be the most effective workflow for overcoming their care transition challenges. Waypoint combined the ITCT (Information Transfer at Care Transitions), the Kardex, and chit sheet into an electronic SBAR intervention. By collaborating with partners that had already experienced success with MEDITECH ― they could close gaps related to patient transitions.

Results: Waypoint went LIVE with MEDITECH and SBAR using no paper during shift changes across 14 inpatient units, from day one. Staff was initially concerned about how long it would take to document online, but soon found the new electronic process took between 10-15 minutes, compared to the 40+ minutes for paper documentation.  Other positive results from Waypoint’s successful implementation include:  

  • Significant reduction in the length of shift reports
  • Improved patient satisfaction, since patients no longer have to wait for reports to be completed
  • Improved clinician satisfaction.