tweed ed where patients come first!

TWEED ED Where Patients come First!

Dr Rob DaviesNetwork Director Of EmergencyTweed Byron Health Service Group

EnablersCulture-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 informalRegistrar Orientation and backing it up (DMS).

Executive Buy in-in practice!

What and HowExecutive rounding-asking the pointy questions at the coalfaceUtilising Network beds-capacity gainWeekly HSG bed meetings-culture againRAD model-non Senior, PGY3 againNP’s in ED-to workWe increased our FTE by ZEROED Orientation and expectation-measure and feedback

We spoke about……KPI’s

OutcomesAccess 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’sThe Did not waits reduced- 2%

The compliments went up

The ‘chatter’ changed

Key learningsDon’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.

www.health.nsw.gov.au/wohpwww.ecinsw.com.au/neat

Level 4, Sage Building , PO Box 699 T 02 9464 4674 www.ecinsw.com.au

67 Albert Avenue, Chatswood NSW 2067 Chatswood NSW 2057 F 02 9464 4728 ABN 89 809 648 636