Emergency Department Models of Care 2012 - NSW Health

Case for implementationWhat you need to runthe modelMonitoring andevaluationTo assess the need for implementation of this model, consider the following:■■Is there an existing HITH service available?Which of these avoidable admission DRGs, that could be targeted for referral to HITH, arecommon in your ED?E61B Pulmonary Embolism without Catastrophic CCE62C Respiratory Infections/Inflammations W/O CCE65B Chronic Obstructive Airways Disease W/O Catastrophic CCF63B Venous Thrombosis without Catastrophic or Severe CCI64B Osteomyelitis W/O Catastrophic or Severe CCJ64B Cellulitis W/O Catastrophic or Severe CCL63B Kidney & Urinary Tract Infection without Catastrophic or Severe CCQ61B Red Blood Cell Disorders W/O Catastrophic or Severe CCCare delivery should not be limited to only these 8 DRGs. These are priority target groups.Business processes■■■■■■■Inclusion of HITH in whole-of-system patient flow and coordinationClear referral pathwaysInitial identification of a patient in the Emergency Department or inpatient area by HITHcase negotiator or referralSenior Medical Staff consulted regarding appropriateness of the patient for HITH. Medicalresponsibility determined.Development of care plan with patient/family, hospital staff, GP, and community servicesShort-term care and discharge undertaken in collaboration with the relevant medicalofficer/servicesDischarge summaries initiated.Time to admission to HITH service■% of presentations to ED that result in an admission (for each agreed avoidable admissioncondition)■ % of overnight separations in HITH Bed Type 25■ % of Avoidable Admission DRGs in HITH Bed Type 25Models of Emergency Care NSW HEALTH PAGE 55