TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health Service Group

Enablers Culture-STUDER pilot site. We stopped blaming our patients! Staff Mix-70% RMO’s are PGY3, non rotating. Fast Track-no nurse, PGY3 or CMO. Heads of Department Meetings formal and informal Registrar Orientation and backing it up (DMS). Executive Buy in-in practice!

What and How Executive rounding-asking the pointy questions at the coalface Utilising Network beds-capacity gain Weekly HSG bed meetings-culture again RAD model-non Senior, PGY3 again NP’s in ED-to work We increased our FTE by ZERO ED Orientation and expectation-measure and feedback We spoke about……KPI’s

Outcomes Access Block dropped from ~45% to <10% Bypass-what’s bypass? Triage category KPI’s were met-patients weren't waiting for hours. We meet and exceed all TC KPI’s The Did not waits reduced- 2% The compliments went up The ‘chatter’ changed

Key learnings Don’t forget your culture Accountability is everything It doesn’t work if your Executive don’t back up ED staffing needs to be built for success, not as a RMO repository.

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