15: The ‘Admin’ Question Patient flow Dr Tony Kambourakis.

Slides:

Advertisements

Similar presentations

Health Innovation Exchange

Advertisements

Dr Dan Beckett Consultant Acute Physician NHS Forth Valley

Department of Human Services Toolkit Length of stay A toolkit of the Patient Flow Collaborative Click here to continue.

Irish National Acute Medicine Programme Patient Flow Model O’Reilly O, Courtney G, Casey A* Problem Patients requiring urgent care experienced long delays.

Baseline Model of care for proposed community wards Appendix 1.

Achieving NEAT Forum 2013 “Transforming NEAT Performance: The Executive Role Dr Richard Ashby AM Chief Executive Metro South Health Brisbane, Australia.

Stroke Services at HWPH NHS Foundation Trust

The Referral Is the Key 18 weeks Referral to Treatment standard Tracey Gillies National Clinical Lead for 18 weeks Service Redesign and Transformation.

 Thames hospital and it’s emergency department  The quality framework team – what it’s been like  3 audit topics.

Refining and Redefining Emergency Flows

Mr Chris Hill Torfaen Joint intermediate care manager.

2014 Standard Definitions and Metric Goals. Consensus Statement Definitions for consistent emergency department metrics were introduced and signed on.

The Health Roundtable Planned Patient Arrival Update Presenter: Rochelle Condon Austin Hospital Innovation Poster Session HRT1215 – Innovation Awards Sydney.

QUALITY FRAMEWORK – OUR START. QUALITY FRAMEWORK Disclaimers  Have not got this right ourselves yet  It is difficult to measure clinical outcomes 

Oxford Radcliffe NHS Trust

Calculating & Reporting Healthcare Statistics

0 Prepared by (15pt Arial) [Insert name of presenter 15pt Arial Bold] [Insert title] [Insert Hospital name] Month 200X (12pt Arial Bold) Understanding.

My Job? South African Triage Scale and Acute and Emergency Case Load Management Policy Implementation Officer.

Dr Scott Pearson Emergency Physician Christchurch Hospital.

Component 1: Introduction to Health Care and Public Health in the U.S. Unit 3: Delivering Healthcare (Part 2) Outpatient Care (Retail, Urgent and Emergency.

Component 1: Introduction to Health Care and Public Health in the U.S. Unit 3: Delivering Healthcare (Part 2) Lecture 3 This material was developed by.

Department of Human Services Wendy Tomlinson, Melbourne Health Information systems to support patient Flow, UK visit Victorian Traveling Fellowship.

Emergency Care – in and out of hours Now and from 2008.

Redesigning Care in the Paediatric Emergency Department CYWHS, SA Presented by Ms Heather Gray Chief Executive : CYWHS 25 th November 2005.

Understanding and Demonstrating the benefits of improvement A work in progress!

The Health Roundtable Central Network Respiratory Coordinated Care Program Innovation Presenter: Benjamin Kwan Staff specialist respiratory and sleep medicine.

The Health Roundtable Whole of Northern Adelaide Local Health Network (NALHN) Pilot Presenter: Margot Mains Northern Adelaide Local Health Network Innovation.

EFFECTS OF RESIDENTS ON EFFICIENCY IN AN EMERGENCY DEPARTMENT J. Silberholz, D. Anderson, E. Sze, J. Lim, E. Taneja, E. Tao, B. Kubic, K. Johnson, D. Kalowitz,

EFFECTS OF RESIDENTS ON EFFICIENCY IN AN EMERGENCY DEPARTMENT J. Silberholz, D. Anderson, M. Harrington, Dr. Jon Mark Hirshon, Dr. Bruce Golden 1.

Patient seen by the GP. Send patient to hospital? Patient arrives. The GP enters patient information and makes the hospital referral in HealthNet EHR.

Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital, Peter James Centre, Turning Point.

VConnolly Acute Medicine – an out-patient specialty? Dr Vincent Connolly The James Cook University Hospital Middlesbrough.

Improving general hospital care for people with dementia: why, how and with whom? Nye Harries DH SW.

Nicole Sutherlin Brianna Mays Eliza Guthorn John McDonough.

Domains Care Model HomecareOutpatientsInpatients Primary care.

BROUGHT TO YOU BY LEADING EDGE GROUP Welcome Using Simulation Modelling to improve the performance of Healthcare Facilities.

Influencing Demand – Altering Preload for Canterbury EDs Dr Greg Hamilton Planning and Funding.

Patient Flow Mystery Case Whose Problem is it?. What is “Corporate Patient Flow”  The movement of patients through the entire Corporation of St. Joseph’s.

Stirling Management Centre 11 th September 2014 Unscheduled Care National Event Learning Workshop.

ED Capacity Management Admissions Flow through ED Tim Parke ED Consultant through ED.

ED Stream Workshop Acute MOC

ED Stream Workshop Acute MOC August 2013 ED Stream Workshop 1.

CHILDREN AND YOUNG PEOPLE’S HEALTH SUPPORT GROUP Unscheduled Care Helen Maitland National Lead.

Understanding Variation and Setting Capacity. Why do we get backlog and queues? Because demand exceeds activity Because we want to be efficient Because.

Emergency Access Information Network - May 2009 ‘Why do people attend’ NHS Forth Valley A&E and what do we need to do to better manage demand’ Kathleen.

ED Stream Workshop Acute MOC August 2013 ED Stream Workshop 1.

Marian Conde University of Central Florida Leadership and Management

 To identify the Emergency Department efficiency measures for Inpatient admissions.  To demonstrate an understanding of the process of determining median.

Preceptorship Teaching Project Jennifer Nagy Auburn University School of Nursing.

VP Quarterly Report on Strategies Q3 – 2015/16 Vision: Healthy people, families and communities. Acting VP: Dawn Calder Integrated Health Services – Clinical.

Safer Start 8am Monday 08 th February – 8am Monday 15 February.

12 March 2009 Dr Brian Montgomery Associate Medical Director NHS Lothian Emergency Access Delivery Team.

Higgi, 2003 Guide To Emergency Medicine Dr Ian Higginson, Consultant in Emergency Medicine Last updated: Sept 2003.

‘Environment’ Glossary Administrative categories from UK National Health Service.

Dr Katherine Henderson MB BChir FRCP FCEM Consultant in Emergency Medicine London Registrar Royal College of Emergency Medicine UK.

Winter Evaluation for 2013/14 Winter Planning for 2014/15 Dr Paul Kaiser, Clinical Lead IESCCG Richard Cracknell, Winter Planning Manager Mark Cooke, Senior.

Outpatient KPI Management Bernadette Comitti Clinical Service Director Surgery, Perioperative & Outpatient Services Matiu Bush Patient Services Manager.

TUESDAY 05/04/2016 Professional English in Use, Medicine Hospitals.

What Can Go Wrong? How Often? How Bad? Is there a Need for Action?

Virtual Provider in Triage

Dr Chris Schofield Clinical Lead Liaison and CRHT

FRACTURED NECK OF FEMUR

Question The ADMIN question

Wednesday 7 June – Tuesday 13 June

Dr S Rochow. Clinical Lead, Triage Unit. Woodend Hospital

FRACTURED NECK OF FEMUR

Patient Flow A Bird’s Eye View

Operational site management principles

A Day in the life of Emergency Care

Operational site management principles

Presentation transcript:

15: The ‘Admin’ Question Patient flow Dr Tony Kambourakis

Summary Marked out of for each section Pass mark 5 Average mark = 3/10 Median = 4/10 Pass mark 11%

Issues Read the question Factors impacting Measure their impact I am not looking for strategies or solutions Do not repeat the same factor Be specific The following is not acceptable: Factor = access block Measure = audit or measure access block. Write what you will measure – eg % to ward < 4hrs from arrival

Pre –hospital factors Patient demand / demographics annual attendance growth Change in presentations by age % arriving by ambulance (but not ambulance ramping) Alternatives to ED % direct admissions (waiting times) % referred by GP Outpatient clinic waiting times Patients transferred from residential care % presenting for outpatient referral Scheduled reviews in ED

ED factors Cubicle and treatment access Waiting times by triage (arrival to clinician) Arrival to cubicle time (including ambulance offloads) % Left without treatment Processes Time to analgesia - % < 30 mins Time to antibiotics % < 1 hr for neutropenia Time to cath lab / thrombolysis % home < 4hrs for non-admitted patients Unplanned re-attendances < 48 hrs

ED factors Diagnostics Pathology turnaround time – collection to result % < 90 minutes Radiology turnaround time Plain xray Request to test % < 30 minutes CT, ultrasound Request to test Test to report (% < 2hrs for non-critical tests)

ED factors Senior decision making Arrival to Doctor Doctor to clinical decision to admit (eg bed request, SSU) Unplanned re-attendances < 48 hrs Referrals ED doctor to specialty unit time Mental health referral to seen time

Flow out of ED Discharges & transfers Decision to discharge Ambulance transport request to departure Time to allied health referral Time to pharmacy referral Short Stay model of care % admitted to SSU % patients in SSU requiring inpatient admission (< 20%) Appropriateness of conditions (eg abdo pain > 65) Transfers

Flow out of ED Admissions Specialty referral timeframes Number ED physician delegated admissions Time from bed available to depart (% < 30 mins) Access to inpatient beds : % admitted < 4hrs; average ED length of stay (LOS) Inpatient LOS Access to subacute - time from referral to bed available Inpatients > 30 days Discharges < 10AM Number of patients going to discharge lounge

Thank you