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Meeting Demand Presenter: Aileen Lawther Hospital: Rigel

Meeting Demand Presenter: Aileen Lawther Hospital: Rigel. 30 March 2007 - Auckland. KEY PROBLEM. Under the NSW Health Sustainable Access Program, the hospital failed to achieve benchmark targets for Access and Triage indicators despite introducing new models of Emergency Care and Ward Jonah.

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Meeting Demand Presenter: Aileen Lawther Hospital: Rigel

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  1. Meeting DemandPresenter: Aileen LawtherHospital: Rigel 30 March 2007 - Auckland

  2. KEY PROBLEM • Under the NSW Health Sustainable Access Program, the hospital failed to achieve benchmark targets for Access and Triage indicators despite introducing new models of Emergency Care and Ward Jonah. • In 2005/2006 Triage Category 3 performance was 35% and Category 4 was 46% • Access was 65.6%

  3. AIM OF THIS PROJECT • To improved in patient flow, realign models of care and engage staff in sustainable change. • In the Emergency, inpatient units and in the organisation • By December 2006 • Within existing resources other than some S&W supplementation to regrade a CNS position to CNC grade 2.

  4. KEY CHANGES IMPLEMENTED • There were a number of strategies implemented: ED Access: • Emergency Nurse Practitioners 2.9 fte for Fast Track • Rapid assessment and early commencement of care (Nurse initiated) • Introduction of Triage and Treat • Promoting the message that data is an output and not a driver of activity. • Organisational commitment to improving inpatient bed access

  5. KEY CHANGES IMPLEMENTED Access: • Focus the ED on achieving the 8 hour timeline for care. • Realignment of the Rapid Assessment Model of Care for Aged Care. • Introduction of a Cardiology Patient Flow Coordinator. • Role out and refinement of Ward Jonah and work practice changes for Ward Nursing Unit Managers.

  6. OUTCOMES SO FAR ED Access: • DNW reduced from 7.4% in 2005/2006 to 3.7% in Feb 2007. • Total time in ED for admitted patients from 9.3hrs ytd March 05/06 to 6.45 hrs ytd March 06/07 or 18 %

  7. OUTCOMES SO FAR • Inpatient Access:

  8. PROJECT EVALUATION • Persistence. • Key messages. • Solutions should be simple and be supported be clear business rules. • Changes should be real and sustainable. • Outcomes should be achievable.

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