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

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

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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!

Transcript of TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health...

Page 1: TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health Service Group.

TWEED ED Where Patients come First!

Dr Rob DaviesNetwork Director Of EmergencyTweed Byron Health Service Group

Page 2: TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health Service Group.
Page 3: TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed 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!

Page 4: TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health Service Group.

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

Page 5: TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health Service Group.

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

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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.

Page 7: TWEED ED Where Patients come First! Dr Rob Davies Network Director Of Emergency Tweed Byron Health Service Group.

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