Special delivery unit unscheduled care strategic plan (quarter 1, 2013)

Hdl Handle:
http://hdl.handle.net/10147/305965
Title:
Special delivery unit unscheduled care strategic plan (quarter 1, 2013)
Authors:
National Treatment Purchase Fund
Publisher:
National Treatment Purchase Fund
Issue Date:
2013
URI:
http://hdl.handle.net/10147/305965
Additional Links:
http://www.ntpf.ie/home/PDF/SDU%20UCSP%20Irish%20Logo.pdf
Item Type:
Report
Language:
en
Description:
Prolonged occupancy of Emergency Departments (ED) leads to poorer outcomes for patients. This not only involves longer in-patient length of stay but increased morbidity and mortality (Liew et al 2003, Richardson 2006, Spivulis et al 2006, Richardson and Mountain 2009). Therefore, the need to address this is not simply an issue of poor resource utilisation but one of patient safety. The Unscheduled Care Strategic Plan (Q1, 2013) describes the process that will operate in 2013 for delivery of improved performance. The Unscheduled Care Strategic Plan (Q1, 2013) is framed in the context of Future Health (2012-2015) and outlines accelerated efforts towards key targets balanced with enhancing capacity and capability building. The SDU continues to work closely with the National Clinical Care Programmes in delivering the performance improvement agenda for Unscheduled Care. In that regard meeting Emergency Department Patient Experience Times (PET) is fundamentally about the overall quality of the patient journey and not merely about meeting a target. Meeting a target is not the same as improving performance. The use of key metrics as evidenced currently by TrolleyGAR and CompStat and taken together with the expansion of Patient Experience Times (PET) measurement, will form the basis of key performance indicators for Unscheduled Care. The SDU performance improvement approach remains congruent with the HSE Escalation Framework and is triggered by key indicators evidenced by TrolleyGAR, Patient Experience Times and Compstat. The SDU intends to increase engagement with hospitals where there is a major concern that the trajectory towards a maximum wait of 9 hours for all patients by July 2013 will not be achieved. Maximum waiting times are set with reference to the risks associated with prolonged ED waiting times. Consequently anyone exceeding 24 hr wait in ED from 30.1.13 will be a notifiable serious incident. An Executive Lead, identified by each site, will be responsible for delivery of performance improvement for Unscheduled Care in their service (Appendix 1). The SDU intends to issue a suite of resources to support organisations in addressing the principal targets associated with Unscheduled Care throughout 2013. In keeping with the balance between delivering on identified performance measures and building capability, the SDU will facilitate the development of Innovation sites. There will be an increasing emphasis on Integrated Planning across Unscheduled Care that will create incentives to ensure there is a ‘pull’ as well as ‘push’ dynamic between hospital and community services.
Keywords:
FINANCE; PATIENT CARE

Full metadata record

DC FieldValue Language
dc.contributor.authorNational Treatment Purchase Funden_GB
dc.date.accessioned2013-11-29T15:16:28Z-
dc.date.available2013-11-29T15:16:28Z-
dc.date.issued2013-
dc.identifier.urihttp://hdl.handle.net/10147/305965-
dc.descriptionProlonged occupancy of Emergency Departments (ED) leads to poorer outcomes for patients. This not only involves longer in-patient length of stay but increased morbidity and mortality (Liew et al 2003, Richardson 2006, Spivulis et al 2006, Richardson and Mountain 2009). Therefore, the need to address this is not simply an issue of poor resource utilisation but one of patient safety. The Unscheduled Care Strategic Plan (Q1, 2013) describes the process that will operate in 2013 for delivery of improved performance. The Unscheduled Care Strategic Plan (Q1, 2013) is framed in the context of Future Health (2012-2015) and outlines accelerated efforts towards key targets balanced with enhancing capacity and capability building. The SDU continues to work closely with the National Clinical Care Programmes in delivering the performance improvement agenda for Unscheduled Care. In that regard meeting Emergency Department Patient Experience Times (PET) is fundamentally about the overall quality of the patient journey and not merely about meeting a target. Meeting a target is not the same as improving performance. The use of key metrics as evidenced currently by TrolleyGAR and CompStat and taken together with the expansion of Patient Experience Times (PET) measurement, will form the basis of key performance indicators for Unscheduled Care. The SDU performance improvement approach remains congruent with the HSE Escalation Framework and is triggered by key indicators evidenced by TrolleyGAR, Patient Experience Times and Compstat. The SDU intends to increase engagement with hospitals where there is a major concern that the trajectory towards a maximum wait of 9 hours for all patients by July 2013 will not be achieved. Maximum waiting times are set with reference to the risks associated with prolonged ED waiting times. Consequently anyone exceeding 24 hr wait in ED from 30.1.13 will be a notifiable serious incident. An Executive Lead, identified by each site, will be responsible for delivery of performance improvement for Unscheduled Care in their service (Appendix 1). The SDU intends to issue a suite of resources to support organisations in addressing the principal targets associated with Unscheduled Care throughout 2013. In keeping with the balance between delivering on identified performance measures and building capability, the SDU will facilitate the development of Innovation sites. There will be an increasing emphasis on Integrated Planning across Unscheduled Care that will create incentives to ensure there is a ‘pull’ as well as ‘push’ dynamic between hospital and community services.en_GB
dc.language.isoenen
dc.publisherNational Treatment Purchase Funden_GB
dc.relation.urlhttp://www.ntpf.ie/home/PDF/SDU%20UCSP%20Irish%20Logo.pdfen_GB
dc.subjectFINANCEen_GB
dc.subjectPATIENT CAREen_GB
dc.titleSpecial delivery unit unscheduled care strategic plan (quarter 1, 2013)en_GB
dc.typeReporten
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