Emergency Department Models of Care

Emergency Department Models of Care
July 2012

NSW MINISTRY OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. [phone] Fax. [phone] TTY. [phone] www.health.nsw.gov.au This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. © NSW Ministry of Health 2012 SHPN (HSPI) 120204 Further copies of this document can be downloaded from the NSW Health website www.health.nsw.gov.au or Emergency Care Institute NSW website www.ecinsw.com.au August 2012

Contents

Executive Summary ........................................... 1 Section 1
The need for Emergency Care Models............................4

Section 2
The ideal ED patient journey ..........................................6

Section 3
Emergency Department Models of Care.........................9

Section 4
Streamlining access to acute care .................................39

Section 5
Other Community healthcare services ..........................52

Section 6
Monitoring measures ...................................................56

Section 7 Self-Assessment Tools .................................... 57 Section 8
References ...................................................................58

Models of Emergency Care NSW HEALTH PAGE 1

Executive Summary

Since the publication in 2006 of the ‘Emergency Models of Care’ document for NSW Hospitals, the acceptance and implementation of emergency care models have broadened. This has been coupled with the creation of new models to assist Emergency Departments (ED) to provide safe and timely access to emergency care. Six years later, PricewaterhouseCoopers has been engaged to, in consultation with the NSW Ministry of Health (NSW Health), the