Clinical support tools

Activity Based Funding

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.

ABF in Emergency Departments

Click the link above to view the presentation delivered by Ms Susan Dunn at the 9 August 2013 ECI Leadership Forum.

Emergency care services costing and classification project: Costing study discussion paper

Independent Hospital Pricing Authority, August 2015

Funding reform

NSW Health, 2012

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 Bulletin

NSW 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.

Education and Information Series on Activity Based Funding

Centre for Health Service Development (CHSD), University of Wollongong, March 2011

A series of short papers produced by the CHSD to explain some of the key issues related to the funding reforms and ABF.

Background paper on NSW Emergency Care Services - Activity Based Funding Issues

NSW ED Working Group, March 2012

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.

NSW ED Activity Based Funding Workgroup Presentation

Daniel Comerford, Project Director, Emergency and Patient Flow Redesign, NSW Ministry of Health, 2012

A recent presentation given at the NSW ED Operational Efficiency Workshop looking at ABF specifically in the ED.

Data collection and reporting

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

ED Design

ACEM Emergency Department Design Guidelines, 3rd Edition, October 2014

NSW Police Crash Investigation

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.

Patient Flow

The following tools and resources have been developed to assist with improving patient flow:

Overcensus strategies

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.

Patient Flow Program

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

Models of Care

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.

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:

Privacy

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.

Professional development

ED General Clinical Progression Pathway

ED Paediatric Clinical Progression Pathway

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:

  • General information

  • Links to policies, procedures and guidelines

  • Links to education and training opportunities

  • Frequently asked questions

  • Orientation tasks (specifically aimed at new managers)

Quality

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.

National Antimicrobial Resistance Strategy 2015 - 2019

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.

ED Quality Framework Project

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.

A guide to using data for health care quality improvement

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.

Policy on a quality framework for emergency departments

Australasian College for Emergency Medicine, April 2012

These guidelines provides ACEM's recommended quality framework for Emergency Departments based on the following profiles:

  • Clinical
  • Education and Training
  • Research
  • Administrative
  • Professional

© Agency for Clinical Innovation 2017

Send us feedback on the site