| Hospital |
Project |
Description of Project |
Status |
| Alfred |
Integrated ED Charting System |
Current ED documentation will be redesigned through
developing a new charting system to improve communication between
patients, carers and General Practitioners. |
In Progress |
| Alfred |
Disease Management Program (Incorporating GP Link) |
The establishment of a controlled study to review
frequent presenting patients with chronic heart disease. The
study will review the cost effective management of these patients
via a dedicated disease management call centre incorporating
a telecommunications link to referring General Practitioners. |
Completed |
| Alfred |
Enhancing Discharge Planning Practice |
This project will focus on improving discharge
processes commencing in or for patients passing through the
E D. |
Completed |
| Angliss Health Service |
Models of Care for 3 Selected Groups of Patients |
Development of models of care and pathways for
three selected groups of patients who present to the Angliss
Emergency Department. |
Completed |
| ARMC |
Physiological Parameters Study |
A trial will be conducted of a protocol which
identifies patients at risk of critical illness according to
defined parameters to facilitate early intervention. |
In Progress |
| ARMC |
Impact on Patient Movement from the ED using Interim
Orders |
This study will review audit sheets looking at
ED diagnosis versus discharge diagnosis/ED LOS with and without
the use of interim orders to ascertain whether it is necessary
to continue with a system involving both ED and ward registrar
diagnosis. |
Completed |
| ARMC |
Provision of a Telephone Advisory Service |
Implementation of a telephone triage/advisory
service to improve customer service and allow more appropriate
allocation of emergency department resources. |
In Progress |
| ARMC |
Risk Management Strategy |
Evaluation of a risk management strategy based
on case notes review. |
In Progress |
| Ballarat Base |
Time Linked Care Pathways |
To introduce time linked care pathways into the
emergency dept in an effort to decrease waiting times for 3
groups of patients presenting to the emergency dept and improve
the efficiency in the way patients move through the emergency
phase of their care. |
In Progress |
| Bendigo |
Development of A&E Intranet Server |
Development of A&E virtual intranet server to
facilitate dissemination of secure clinical and administrative
information/ data to internal and external agencies (eg General
Practitioners, Consultants). To be integrated with BHOG group
intranet. |
In Progress |
| Bendigo - Acute Campus |
Enhanced General Practitioner Liaison |
"Programmable" fax/ modem linked to VEMD generated
patient summaries for immediate transmission to GP surgeries.
This transmission would include advice regarding the patient's
treatment and ongoing management. Outcomes sought are improved
communication, better patient care and enhanced continuity of
care between service providers. |
In Progress |
| Dandenong |
Reconstruction of the Triage Area |
Upgrading of the triage area to improve the efficiency
and accuracy of nursing assessment of patients presenting to
the Emergency Department. |
In Progress |
| Dandenong |
Clinical Nurse Educator for the ED |
To introduce a clinical nurse educator into the
emergency department for staff development and support and improve
staff retention. |
In Progress |
| Dandenong |
Introduction of Clinical Guidelines |
Improve waiting times in category 2 and 3 and
enhance quality of delivered care to patients. |
In Progress |
| Dandenong |
Improving Communication Between General Practitioners
& ED |
Emergency Department communication with General
Practitioners by mandatory fax or e-mail notification to be
established, and appropriate information technology developed
to support this. |
In Progress |
| Dandenong |
Nurse Practitioner Fast Track Service |
A fast track service will be run by advanced nurse
practitioners in collaboration with senior MD to improve care
of low triage category patients. |
In Progress |
| Frankston |
Emergency Dept and X-Ray Room Upgrade |
Installation of daylight processor in emergency
department's x-ray room and emergency desk area. |
Completed |
| Frankston |
IT Software Upgrade |
Development & and installation of HOSPRO software
in emergency department to improve data entry and workload management. |
Completed |
| Geelong |
Triage Redevelopment and Computer Upgrade |
Redevelopment of triage and reception area. Computer
software and hardware improvements. Purchase of portable monitor
defibrillator for triage area. |
Completed |
| Goulburn Valley Base |
Emergency Department Staffing Trial |
Trialing an alternative staffing model in the
ED, involving the use of senior clinicians to provide a more
timely, higher quality service, including to the local Aboriginal
population. |
Completed |
| LaTrobe |
Patient Information Computer Support |
A clinical decision support system will be developed
to enhance the accuracy and timeliness of quality patient management |
Completed |
| LaTrobe |
Real Time Delivery of Xrays |
The capacity for real time access to X-ray reports
from the ED will be developed to allow access as reports are
generated |
Completed |
| Maroondah |
Emergency Department Communication with General
Practitioners |
A fax facility linking the hospital main frame
to General Practitioners to enhance patient care through improved
communication regarding patient management upon admission and
discharge from the Emergency Department. |
In Progress |
| Monash |
RAT Team |
To develop guidelines for and implement a rapid
assessment team to facilitate investigation management of patients
in category 2 and 3. |
In Progress |
| Monash |
Nurse Directed Minor Injuries Clinic |
To develop and implement a nurse directed minor
injuries clinic aimed at facilitating high quality care delivery
while decreasing waiting times for non-urgent conditions |
In Progress |
| Monash |
Introduction of Satellite Laboratory in the ED |
A blood gas/biochemistry analyser will be introduced
to the emergency department. Its use is expected to reduce time
spent by patients in the department by reducing the time spent
waiting for results. The improvements in efficiency will be
measured as part of the project. |
In Progress |
| Monash |
Clinical Guidelines |
Development of clinical guidelines to facilitate
investigations of and treatment of category 2 and 3 patients
based on patients presenting problem. |
In Progress |
| Monash |
Improving Computer Data Entry and Producing a
Discharge Letter for General Practitioners |
Upgrading workstations (number and performance)
along with software enhancements to speed data-entry along with
an improved discharge letter to General Practitioners. |
Completed |
| Monash |
Clinical Pathways to Manage Elderly Patients Presenting
to the ED after Falls |
The project will develop agreed pathways for investigation
and management of patients presenting with falls with the aim
of reducing morbidity and demand on acute services, reducing
unnecessary diagnostic investigations. |
In Progress |
| Northern |
Development of Emergency Management System |
A single Patient Master Index for use by the Acute,
Psychiatric and Primary Care facilities in the Northern region
will be developed to maximise continuity of patient care and
better discharge planning. |
Completed |
| Northern |
Electronic Referral Project |
Electronic patient referrals and patient information
will be developed between the Plenty Valley Community Health
Services and the Northern Community Health Services and the
Northern Hospital Emergency Department using the Local Area
Network and extending the current inpatient system. |
In Progress |
| RCH/ Western Hospital Sunshine |
Improving Quality of Care Through Telemedicine |
To install telemedicine facilities which will
allow the transmission of photos, x-rays and live video between
the ED at WHS and clinicians at RCH to enable management decisions
at WHS to be made with specialist paediatric input and minimal
delay. |
Completed |
| Royal Children's Hospital |
Emergency Radiology Project |
A new radiology suite within the ED will be built.
A combination of state of the art digital radiological equipment
and a dedicated room equipped with ne radiology tables, monitoring
and resuscitation facilities to provide an improved service
for ill and injured children. |
Completed |
| Royal Melbourne |
Use of IT Strategy to Improve Emergency Admission
Practices |
Provision of infrastructure to allow access to
Emergency Department data at a ward level thereby facilitating
improved admission practices for emergency patients and reducing
admission block. |
Completed |
| Royal Melbourne |
Emergency Software Development |
To develop software to improve work practices
by reducing duplication of data entry and streamlining processes
which currently result in inadequate documentation, and allowing
quick access for real time data entry for clinicians. |
Completed |
| St Vincent's |
Emergency Software Development |
The development of automatic admission and discharge
notification to General Practitioners and referring practitioners
and emergency system scanning and image incorporation for more
complete discharge information and medical records. |
Completed |
| St Vincent's |
Electronic Medical Catch-up and Data Entry |
One-off data entry to improve electronic access
to existing patient records, to increase clinician use of the
electronic system and facilitate more timely access to records
and communication with other health services. |
In Progress |
| Western/Sunshine |
Nurse Practitioner Clinic for Paediatric Patients |
To develop the nurse practitioner role by trialing
processes to reduce waiting times for selected groups of paediatric
patients. |
Completed |
| Wimmera Base |
Adverse Event Screening Program in the ED |
To adapt the inpatient adverse event patient occurrence
retrospective medical record screening and medical review program
for patients treated in the Emergency Department |
Completed |
