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Working Together to Achieve the 6 Hour Target.

Working Together to Achieve the 6 Hour Target. Mike Ardagh National Clinical Director of Emergency Department Services. HRT0915. Fixing it. First, we take it seriously. Taking it seriously;. The 6 hour target. 6 hour %. ED performance. Hospital performance. Whole of system performance.

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Working Together to Achieve the 6 Hour Target.

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  1. Working Together to Achieve the 6 Hour Target. Mike Ardagh National Clinical Director of Emergency Department Services. HRT0915

  2. Fixing it First, we take it seriously.

  3. Taking it seriously; The 6 hour target

  4. 6hour % ED performance Hospital performance Whole of system performance

  5. The 6 hour target Insists we take it seriously Emphasises whole of system responsibility But It doesn’t define good performance Because On its own it doesn’t demand quality.

  6. The 6 hour target Should both encourage and reflect good things But doing good things requires a lot of good data from the base of the pyramid.

  7. Thinking about data • Summative vs formative • Performance vs diagnostic • Descriptive vs performance • Time stamps vs outcome measures

  8. Summative vs formative • ‘Summative’ data • The ‘assessment’ of the DHB • ‘Formative’ data • To improve quality of care • Usually as part of an internal loop

  9. Performance vs diagnostic

  10. Descriptive vs performance • Descriptive (demographic) data • Attendance, admission rate, attendance per 1000 population, triage distribution, etc • Performance data • Time stamps • LOS, triage waiting times, 3:2:1, access block, etc • Outcome measures • Time to analgesia, time to thrombolysis, mortality, did not waits, satisfaction, exam success, papers published, etc

  11. Useful performance data • Reliable • Reproducible • Meaningful • Comparable

  12. What the MOH wants; • Descriptive data. • Summative evidence of performance against the 6 hour target (And waiting time by triage categories 1-3 as Hospital Benchmark Indicators) • Reassurance, (and occasionally proof), that good formative processes are in place.

  13. Working together DHB HRT MOH

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