Coping with winter demand Forum, 8 April, 2013

The Shorter Stays in the ED Health Target 95% of patients will be admitted, discharged or transferred within 6 hours of presenting to the Emergency Department

Preload After load EDED The Cardiac Failure Analogy for ED overcrowding Contractility

Input Out- put EDED The Cardiac Failure Analogy for ED overcrowding Throughput

The Shorter Stays in the ED Health Target 95% of patients will be admitted, discharged or transferred within 6 hours of presenting to the Emergency Department = a surrogate marker for an overwhelmed acute care system.

We are not doing winter well Its predictable We should be able to do better

Winter plans Starting assumption; –The way to cope with winter is to have a winter plan Alternative position; –The way to cope with any variation in demand (predictable or not) is to have a system capable of coping with variations in demand

Winter plans Do we all have them? Do they work? Which bits work and which dont? What would a good winter plan look like?

Objectives Discuss the problem Share ideas Come up with a list of the components of an appropriate winter plan

TimeTopicPresenter 09:30Refreshments and registration 10:00Opening/overview of the day Mike Ardagh Shorter Stays in the ED Target Champion 10:10 What does winter demand look like? International perspective What we are doing in New Zealand Lynette Drew Senior Advisor – Emergency Departments and Acute Demand Ministry of Health 10:20Managing demand and capacity Jane Lawless Safe Staffing and Healthy Workplace Unit 11:05Forecasting demand Trevor Richardson Bay of Plenty DHB 11.30Hospital at a glance Mark Goodman Northland DHB 11.50Canterbury Influenza Group Angela Pitchford Canterbury DHB 12.10Stranded patients Andrew Davies Auckland DHB 12:30Lunch 13:00COPD project Carol Limber Canterbury Clinical Network 13:20 Urgent care system in West Auckland Key initiatives – winter planning Dr Stuart Jenkins. Colette Parr-Owens, Cathie Lesniak, Waitemata DHB 13:40Primary options for acute care in the ED John Bonning Waikato DHB 14:00An overview of a winter plan Renee Greven-Garcia Hawkes Bay 14:20Tea and coffee break 14:30 Workshop: What would a template look like for DHBs to effectively manage winter demand? 15:30Feedback and comments 16:00Close

Ultimate objective To construct a foundation for a guidance document for DHBs regarding planning for the increased demands of winter

TimeTopicPresenter 09:30Refreshments and registration 10:00Opening/overview of the day Mike Ardagh Shorter Stays in the ED Target Champion 10:10 What does winter demand look like? International perspective What we are doing in New Zealand Lynette Drew Senior Advisor – Emergency Departments and Acute Demand Ministry of Health 10:20Managing demand and capacity Jane Lawless Safe Staffing and Healthy Workplace Unit 11:05Forecasting demand Trevor Richardson Bay of Plenty DHB 11.30Hospital at a glance Mark Goodman Northland DHB 11.50Canterbury Influenza Group Angela Pitchford Canterbury DHB 12.10Stranded patients Andrew Davies Auckland DHB 12:30Lunch 13:00COPD project Carol Limber Canterbury Clinical Network 13:20 Urgent care system in West Auckland Key initiatives – winter planning Dr Stuart Jenkins. Colette Parr-Owens, Cathie Lesniak, Waitemata DHB 13:40Primary options for acute care in the ED John Bonning Waikato DHB 14:00An overview of a winter plan Renee Greven-Garcia Hawkes Bay 14:20Tea and coffee break 14:30 Workshop: What would a template look like for DHBs to effectively manage winter demand? 15:30Feedback and comments 16:00Close