Emergency Department Models of Care 2012 - NSW Health

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Monitor and Evaluation ■ Admissions to EDSSU – the number of patients, the number who did not meet admissioncriteria■■■■■■Length of stay in EDSSU‘Failure rate’ – proportion of EDSSU admissions subsequently admitted to hospitalinpatient bedsLength of stay in EDEmergency Access Performance Target (4-hour target)Did not wait ratesPercentage of patients who breach the 24-hour EDSSU discharge target.PAGE 44 NSW HEALTH Models of Emergency Care
SECTION 4Streamlining access to acute careThis section provides an overview of models of care that are outside the ED that can support patient flow and provide timelyaccess to acute care services.The models included in this section can facilitate the diversion of non-emergency department patients away from the ED andinto the most appropriate care setting. Models of Care that provide acute care outside of the ED include:■■■■Medical Assessment UnitsSurgical Assessment UnitHospital in the HomePsychiatric Emergency Care CentresEach of these initiatives is detailed on the following pages.4.1 Medical Assessment UnitThe Medical Assessment Unit model of care is currently being evaluated in NSW and as such elements of the model maychange. You can find information about the MAU model on the ARCHI website at: http://www.archi.net.au/resources/moc/complex/mau-nswWhat is the model? ■ Medical Assessment Units (MAUs) are inpatient short stay units that are usually close toor co-located with an Emergency Department. They are typically staffed by inpatientteams.■■■MAUs provide an alternative to treatment in the ED for undifferentiated, complex,chronic, non-critical medical patients. These patients are not critically ill but havecomplicated conditions that take time to assess, and require a range of medical expertiseto diagnose and treat.The MAUs provide these patients with an experienced and comprehensivemultidisciplinary team that is able to conduct rapid assessments, reach faster diagnosesand provide earlier treatments.Once patients are assessed, their condition diagnosed and some treatment provided,patients will be able to return to home within 48 hours (with community services ifneeded) or if further treatment is needed, they will be referred to an inpatient team andtransferred to a specialty ward.Models of Emergency Care NSW HEALTH PAGE 45
Page 2 and 3: NSW MINISTRY OF HEALTH73 Miller Str
Page 4: Executive SummarySince the publicat
Page 7 and 8: 1.2 A review of Emergency Modelsof
Page 9 and 10: ■■■patients who need only a s
Page 11 and 12: SECTION 3Emergency Department Model
Page 13 and 14: In determining your skill mix requi
Page 15 and 16: Benefits of the model ■ Improved
Page 17 and 18: 3.2 Clinical Initiatives NurseResus
Page 19 and 20: ■■Demonstrated ability to inter
Page 21 and 22: Predictive planning■■■■■
Page 23 and 24: 3.4 Acute Care2 hoursED Senior Asse
Page 25 and 26: What you need to runthe modelStaff
Page 27 and 28: Key principles ■ This is not a st
Page 29 and 30: Monitoring andevaluation■Waiting
Page 31 and 32: Challenges ■ Establishing guideli
Page 33 and 34: 3.7 Fast trackED Senior Assessment
Page 35 and 36: What you need to runthe modelStaff
Page 37 and 38: 3.8 Sub-acute2 hoursED Senior Asses
Page 39 and 40: 3.9 2 : 1 : 12:1:1This model requir
Page 41 and 42: Monitoring andevaluation■■■
Page 43 and 44: Why use the model?Key principlesBen
Page 45: What you need to runthe modelStaff
Page 49 and 50: Challenges ■ Identification of
Page 51 and 52: ■■■Patient Flow pathways and
Page 53 and 54: Case for implementationWhat you nee
Page 55 and 56: Operating Principles■■■■■
Page 57 and 58: Case for implementationWhat you nee
Page 59 and 60: Mental Health LiaisonNursesApproxim
Page 61 and 62: 5.1 Urgent Care CentreThe Urgent Ca
Page 63 and 64: 5.3 Connecting CareWhat is the mode
Page 65 and 66: SECTION 7Self-Assessment ToolsInclu
Page 67 and 68: NHS Gloucestershire 2006, UK Urgent

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