Clinical support tools
A key feature of the health reforms is the national introduction of Activity Based Funding (ABF). A variety of resources on this have been collated that provide more information, detail out the specifics as well as focus on the implications for Emergency Departments.
Click the link above to view the presentation delivered by Ms Susan Dunn at the 9 August 2013 ECI Leadership Forum.
Independent Hospital Pricing Authority, August 2015
The NSW Health Website linking to comprehensive information about funding reform overall including presenations, videos, recent Symposium information and factsheets including the Emergency Department Activity Based Funding Paper.
Implementing Activity Based Funding in NSW - ABF BulletinNSW Health
A regular bulletin for health service executives, clinicians, staff involved in funding, costing, clinical coding, performance and health information management. This is only available on the NSW Health Intranet. The latest bulletin for April 2014 is also available in PDF by clicking here.
A series of short papers produced by the CHSD to explain some of the key issues related to the funding reforms and ABF.
A paper outlining a workshop held with ED clinicians and LHD representatives to investigate how to improve the quality of NSW ED costing data and other related issues.
A recent presentation given at the NSW ED Operational Efficiency Workshop looking at ABF specifically in the ED.
Transfer of Care & Transfer of Care Reporting System
Transfer of Care is defined as the transfer of accountability and responsibility for patient care from an Ambulance Paramedic to a hospital clinician. Contact your local transfer of care reporting system representative for further information.
Emergency Department Data Dictionary, PD2009_071, NSW Health, 6 November 2009
The Emergency Department Data Dictionary (Version 4) outlines the data standards for the Emergency Department Data Collection.
Emergency Department Collection (EDC) – Reporting Requirements, PD2005_198, NSW Health, 27 January 2005
Specifies the data which specified hospital Emergency Departments are required to report re presentations
- NSW Clinical Services Planning Methodology Review - Informing future ED builds and resources, Lisa Brady, A/Director, Strategic Analysis and Investment Unit, NSW Ministry of Health and Jim Pearse, Director, Health Policy Analysis at the ECI ED Leadership Forum 1 April 2016
- Planning new EDs: what works, what's challenging, and how to optimize ED design. Insights from the planning team at Health Infrastructure at the ECI ED Leadership Forum 5 August 2016
ACEM Emergency Department Design Guidelines, 3rd Edition, October 2014
Timely attendance of Police Crash Investigators to serious motor vehicle collisions is vital to police investigation of these incidents and the efficient clearing of major on road incidents. To assist in the proper assessment of these incidents and to asses the level of police resources deployed to investigate these collisions the assistance of Admitting Officers in Hospital Emergency Departments is vital. The below sets out the procedures that will be followed by Police Crash Investigators in obtaining information regarding injuries received by victims involved. These protocols are consistent with current government policy and legislation for the sharing of information between government agencies for law enforcement purposes.
The following tools and resources have been developed to assist with improving patient flow:
- Nuffield Trust, Briefing prepared by Sasha Karakusevic, October 2016
This is a page developed by the ECI (October 2013) which presents information on overcensus strategies along with evidence and papers which may help you engage your hospital in the problems of overcrowding in the ED.
This is a NSW Health program that provides staff with the knowledge and tools to minimise delays in patients moving through care. Within this program are three core elements:
The Patient Flow Systems Framework was developed to identify elements that contribute to good patient flow
Tools and updates to use the NSW Patient Flow Portal
Resources supporting the measurement and implementation of effective patient flow
This 2012 document details Models of Care (MoC) in operation across NSW and features MoC
- within the ED
- outside the ED
- within the community setting
Self assessment checklists have also been produced to assist EDs and hospitals to have a clearer picture of where the MoC works well as well as identifying priority areas to improve the operation of the MoC to assist with improving patient flow.
- Frequent Flyers and Smarter check-in program, Dr Pip Keir at the ECI Emergency Care Symposium 2014
- Auditor General's Report: Reducing Ambulance Turnaround time at Hospitals - Recap of findings, Sally McCarthy, ECI Clinical Director at the ECI ED Leadership Forum 1 April 2016
- Ambulance service: the end of ART and other initiatives, Paul Tonge, Manager Sustainable Access, NSW Ambulance at the ECI ED Leadership Forum 1 April 2016
- Site report: our trial of ambulance offload bays, Tim Green, Director of Emergency, Royal Prince Alfred Hospital at the ECI ED Leadership Forum 1 April 2016
Emergency Department Short Stay Units, NSW Health PD2014_040
This policy outlines the mandatory requirements for the use of Emergency Department Short Stay Units (EDSSUs) in NSW hospitals. EDSSUs are Inpatient Units, managed by Emergency Department staff, designated and designed for the short term (generally up to 24 hours) treatment, observation, assessment and reassessment of patients initially triaged and assessed in the Emergency Department.
At the ECI Leadership Forum on 27 June 2014 there was a series of presentations delivered on ED Short Stay Units. These are listed below:
- From the literature, Dr Sally McCarthy
Contemporary SSU Policy in NSW, Ms Sarah Hoy
Case Study: examining our own practice, Dr Amith Shetty
Privacy Manual for Health Information, NSW Health
The NSW Health Privacy Manual for Health Information provides operational guidance to the legislative obligations imposed by the Health Records and Information Privacy Act 2002. The manual outlines procedures to support compliance with the Act in any activity that involves personal health information.
How to ace a consultant interview ~ Article by Dr Clare Skinner, Director of Emergency Medicine at Hornsby Ku-ring-gai Hospital and Chair of the Emergency Medicine Network for NSLHD
Originally developed by the Sydney Children's Hospital, Randwick this form has been developed to:
meet the clinical skill requirements in an emergency department setting
provide an example of a possible career pathway for ED nurses
support managers efforts to enhance and manage performance
It is recommended that the use of this tool should be accompanied by a recognition of prior learning document.
Managers access point (MAP), NSLHD and CCLHD
MAP is an Intranet-based resource available on the Intranet since December 2010. It aims to support managers in their management role. It has been developed around key management functions and is both an orientation site for new managers and an information portal for existing managers and staff who would like to increase their knowledge of management roles within the Local Health Districts.
Underpinning the key management functions are the following resources:
Links to policies, procedures and guidelines
Links to education and training opportunities
Frequently asked questions
Orientation tasks (specifically aimed at new managers)
Quality Standards for Australian Emergency Departments and other hospital based emergency services, 2015
ACEM and CENA
This aims to provide guidance and set expectations for the provision of equitable, safe and high quality emergency care in Australian emergency departments and other hospital based emergency care facilities.
Department of Health, Australia
The Australian Government has released the first National Antimicrobial Resistance Strategy to guide the response tothe threat of antibiotic misue and resistance. The strategy was developed in partnership with industry and government, and will guide action by governments, health professionals, veterinarians, farmers and communities to reduce the emergency of resistance bacteria.
The Australasian College for Emergency Medicine (ACEM) Policy on a quality framework for emergency departments was developed due to the belief that ‘a quality culture is fundamental to the provision of the highest standard of care in Australasian emergency departments’.
This policy was developed by the ECI into standards (with supporting tools and resources) to allow assessment and implementation in Emergency Departments (EDs) across NSW. Quality Support Officer (QSO) posts were funded by the MoH in 23 EDs throughout NSW to help support ED teams to establish a quality team, implement and evaluate the ED Quality Framework and undertake a range of quality projects.
- Less waste, better care, what's the evidence telling us? - Dr Rod Bishop at the ECI Emergency Care Symposium 2015
- Quality Care and Emergency Departments, Prof Chris Baggoley at the ECI Emergency Care Symposium 2014
- Delivering the Right Care, A/Prof Adam Elshaug at the ECI Emergency Care Symposium 2014
- Quality in the Rural ED: Where did we start? Dr Jacqui Irvine at the ECI Emergency Care Symposium 2014
- Quality Care Out There, Dr Blake Eddington at the ECI Emergency Care Symposium 2014
Victorian Quality Council, Rural and Regional Health and Aged Care Services Division, Victorian Government Department of Human Services, Melbourne, Victoria, June 2008
The purpose of this guide is to assist all members of the health care team to understand the role of data in quality improvement and how to apply some basic techniques for using data to support their quality improvement efforts.
Australasian College for Emergency Medicine, April 2012
These guidelines provides ACEM's recommended quality framework for Emergency Departments based on the following profiles:
- Education and Training