1. ED Performance Des FitzGerald Consultant in Emergency Medicine, UHW Clinical Lead for UnScheduled Care

2. ED Performance In God we trust All others bring data

3. UnScheduled Care ED/AMU PsychOPDDay WardsDay CasesPaeds/Mat

4. ingressprocessegress

5. Egress Process Ingress

9. ED Crowding

11. DATA acquisition iPMS Get our house in order ED processes / streaming / admission avoidance AMU / AMAU Co-horting on wards Ward based “firms” vs teams Patient Flow Coordinator Visual Hospital Delayed Discharges Sharing good news / achievements

12. DATA acquisition iPMS Get our house in order ED processes / streaming / admission avoidance

13. Data Acquisition Unrecognised sources Unaware of numbersIncorrectly namedIncorrectly counted The unpredicted predictables

14. iPMS New IT system UHWNovember 2013Teething ProblemsLack of clinician buy-inPoor compliance Excellent opportunity to instil data and performance focus

15. Get our house in order Admitted patients are not “ours” We have no control over them Emergency Medicine patients are our patients Therefore do the best for OUR patients 25% of ED attendances are admitted.

16. Get our house in order Admitted patients are not “ours” We have no control over them Emergency Medicine patients are our patients Therefore do the best for OUR patients 75% OF ATTENDANCES ARE DISCHARGED!!

20. 6hr YTD9hr YTD ADMITTTED 6hr PET9hr PET DISCHARGED 6hr PET9hr PET A59%74%50.4%73.9%65.7%81.0% B72%87%70.1%81.6%68.6%87.1% C62%77%---- D76%86%62.9%72.5%71.6%79.9% UHW79%87%44.3%57.4%88.9%95.6% National Rank (UHW) #3#7#1#4

21. PET 2013

22. PET 2014

24. How others see you…

26. Why the deterioration in Performance in Nov & Dec?

30. Stay Focussed! UHW Highest performing ED in the country for NON-ADMITTED PATIENTS Week 4 2015 94.9% for 6 hr 97.5% for 9 hr

32. But not focussed on “targets”