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Enhancing the Allied Health Model of Care in the Emergency Department

The Health Roundtable. New Zealand. Enhancing the Allied Health Model of Care in the Emergency Department. Future Role of Allied Health. Presenter: Emma Geor and Sarah Brown Hospital Name: Dandenong and Casey Hospital, Southern Health

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Enhancing the Allied Health Model of Care in the Emergency Department

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  1. The Health Roundtable New Zealand Enhancing the Allied Health Model of Care in the Emergency Department Future Role of Allied Health Presenter: Emma Geor and Sarah Brown Hospital Name: Dandenong and Casey Hospital, Southern Health Key contact for this project: Tina Gray, Physiotherapy Manager, Dandenong Hospital

  2. Key Problem • Demand and Supply of Allied Health services in the Emergency Department • Current service (primarily business hours) was not matching the emergency demand • Recruiting to weekend positions was difficult

  3. Key Strategies / Ideas Implemented Innovative Rostering • Initially 2 physiotherapists commenced working 4 days on, 4 days off • Hours 8am – 6pm • Rolling roster • Seven days per week

  4. Timelines & Resources • 4 x 4 rostering has been in place in physiotherapy for 18 months • 2006/2007 estimated costs of the physiotherapy service to ED including weekend and public holiday cover = $111,138 • The cost of implementing the 4x4 service per annum employing a senior clinician and a grade 2 physiotherapist was $140,785 • Additional funding required was $29,647

  5. Productivity Increase in costs related to rostering changes = 27% Increase in number of patients treated = 89% Increase in hours delivered to ED = 104% Increase in occasions of service = 89% Recruitment and Retention Elimination of recruitment issues Improved staff satisfaction – life/work balance Key Outcomes Achieved

  6. Lessons Learnt • The model was so well accepted by Allied Health it has now been rolled out in Occupational Therapy • When planning rosters – • Allow for cross over between therapists i.e. OT have a cross over day where both ED OTs are on site. • Up skilling staff to cover leave is essential • Hours of service have been extended to provide Allied Health coverage until 8pm weekdays, and 7pm weekends

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