Dr S Rochow. Clinical Lead, Triage Unit. Woodend Hospital Dr S Rochow Clinical Lead, Triage Unit Woodend Hospital Unscheduled Care Meeting, 10th June

Triage Unit Opened July 2009 10 beds on ward 15; 5M/5F Principal outcome measures; % seen by Consultant within 24 hrs ave. length of stay Daily Consultant ward round a.m. Evening review by the on call registrar

No. of Admissions Jan – May 2010 May – Aug 2010 Aug – Dec 2010 Jan – Dec 2010 601 611 793 2005 On average 5.5 admissions per day.

Triage 2010 Total Admissions – 2005 336(17%) – not admitted to assessment bed 220(11%)- home 51%(2.5%)- direct to rehab 41(2%) – transferred to ARI/RCH 17(1%) – died 7(0.04%) – Community Hospital

Outcome of Triage assessments Total 336 (17%) didn’t proceed to assessment bed, 220(11%) went home directly; 51(2.5%) admitted to Rehab ward; 41(2%) Transferred to ARI ; 17(1%) Died;7(0.04%) transferred to comm hospital.

Transfers to ARI/RCH (May-Dec 2010) Total = 41 RCH 4 ITU 5 CCU AMAU A&E 3 1,11,13,12,44,39,19,31,33, 46,49,47 1 each = 12 26 34 2 40

Snap Audit – 18.1.2011 Review of medical notes of patients in wards 15,16,19,20,21,22 & 5N 107 case notes reviewed; 93(87%) had documented Consultant input within 24 hrs

Consultant reviews within 24hrs

% seen by Consultant within 24 hrs June 2008, Soiza et al (pre-triage) – 45% November 2009 – 80% January 2011 – 87%

Summary Patients seen by a Consultant within 24 hrs increased by 52% Since opening of Triage; Patients seen by a Consultant within 24 hrs increased by 52% Average length of stay across DOME reduced by 30- 50%