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Trial Physiotherapy Service to Emergency Department Belmont Hospital

Trial Physiotherapy Service to Emergency Department Belmont Hospital. Peter Brown, Kate Rutledge, Judith Henderson HNEH Greater Newcastle Services, Belmont Hospital 4-5 December, 2006 Tasmania. Key Problems.

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Trial Physiotherapy Service to Emergency Department Belmont Hospital

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  1. Trial Physiotherapy Service to Emergency DepartmentBelmont Hospital

  2. Peter Brown, Kate Rutledge, Judith HendersonHNEH Greater Newcastle Services, Belmont Hospital4-5 December, 2006Tasmania

  3. Key Problems • Previous extensive Allied Health ED trial in 2005 produced positive results, however funding not granted • Current service existing at John Hunter Hospital • With ward closures due to renovations over 5 weeks, it was thought that Allied Health service to ED may help reduce admissions and decrease ED wait times HRT AHBG/NAHBC WORKSHOP 2006

  4. Innovation Implemented • 7 day Physiotherapy Service (4 hours/day) • Patients referred from Triage, Medical and Nursing staff • Criteria: soft tissue injuries, casting, respiratory conditions, mobility and fall assessments, referrals to services and advisory service HRT AHBG/NAHBC WORKSHOP 2006

  5. Results • 76% of patients reviewed by physiotherapy were discharged • Triage 5 wait times for those patients reviewed by physiotherapy significantly below benchmark • Access block during 5 weeks trial at 9.2% - under 12% benchmark despite bed closures HRT AHBG/NAHBC WORKSHOP 2006

  6. How We Did It • Project Timeframe: 5 weeks • Resources Used: Current staffing, overtime on weekend • Key Success Factors: Triage 5 (non urgent) greatest impact on waiting time HRT AHBG/NAHBC WORKSHOP 2006

  7. Lessons Learnt Recommendations: • Referral processes communicated and reinforced • ED staff awareness • Accurate data collection of waiting times, triage categories, diagnosis What we would do differently: • Include accurate LOS data over time period • Follow up patients reviewed in ED by Allied Health that were admitted – were discharge plans made earlier and LOS affected? HRT AHBG/NAHBC WORKSHOP 2006

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