OzEMedicine - Wiki for Australian Emergency Medicine Doctors edadmin

ED overcrowding and bed access block

anonymous@undisclosed.example.com (Anonymous) — Mon, 22 Apr 2019 21:39:14 +0000

ED overcrowding and bed access block see also: * administrative aspects of Emergency Medicine in Australia * queue theory * ED system and patient complexity * edstats * UK 2015 Report: A&E delays: Why did patients wait longer last winter? (pdf * Commentary: At last, a decent analysis of the English A&E crisis * Commentary: The catastrophe is coming * summary * ED bed access bl…

change management

anonymous@undisclosed.example.com (Anonymous) — Wed, 01 Nov 2017 08:34:36 +0000

change management see also: * welcome to the OzEMedicine Wiki change management is difficult * there is ALWAYS a cost to any change * if it ain't broke, don't fix it! * change always creates a new process and new processes have a habit of causing anxiety, fear, and confusion

clinical handover

anonymous@undisclosed.example.com (Anonymous) — Tue, 29 Mar 2016 07:17:24 +0000

clinical handover see also: * WH policy - clinical handover

ED system and patient complexity

anonymous@undisclosed.example.com (Anonymous) — Mon, 07 Sep 2015 04:32:00 +0000

ED system and patient complexity see also: * administrative aspects of Emergency Medicine in Australia * queue theory * ED overcrowding and bed access block * edstats introduction * ED patient complexity can be defined as the total diagnostic and procedural effort expended in assessing and managing a patient during an emergency department attendance

Australian Refined Diagnosis Related Groups (AR-DRGs)

anonymous@undisclosed.example.com (Anonymous) — Thu, 16 May 2013 17:19:19 +0000

Australian Refined Diagnosis Related Groups (AR-DRGs) see also: * Urgency Related Groups (URGs) * funding of Emergency Departments in Australia introduction * DRGs is a system of classifying patients in a manner primarily related to their principal diagnosis and co-morbidities, procedures and complications, which forms the basis for calculation of public hospital

ED capability levels

anonymous@undisclosed.example.com (Anonymous) — Thu, 18 Apr 2019 05:11:19 +0000

ED capability levels see also: * Vic DHHS State Trauma Guidelines * Vic DHHS ED Care Coordination guidelines

ED design principles

anonymous@undisclosed.example.com (Anonymous) — Fri, 19 Apr 2019 08:22:56 +0000

ED design principles see also: * Australasian Health Facility Guidelines Part B - Health Facility Briefing and Planning 0300 - Emergency Unit (pdf) * Vic DHHS Statewide Design, Service and Infrastructure Plan 2017-2037 * Vic DHHS Guidelines for ED SSUs 2017 * Vic DHHS Guidelines for Behavioural Assessment Rooms * ED capability levels

So you want to be an ED director?

anonymous@undisclosed.example.com (Anonymous) — Sun, 05 Mar 2017 08:51:00 +0000

So you want to be an ED director? see also: * welcome to the OzEMedicine Wiki the many roles and accountabilities of an ED director * an ED Director requires many skills and attributes in addition to being a respected EP clinician * an ability to be a dynamic respected leader is critical

Australasian Triage Scale (ATS)

anonymous@undisclosed.example.com (Anonymous) — Fri, 02 Aug 2019 03:47:38 +0000

Australasian Triage Scale (ATS) see also: * administrative issues * vital signs, clinical deterioration, MET calls, acute illness scoring systems (eg. NEWS) * ACEM policy - Australasian Triage Scale Nov 2000 (pdf) * “Where Emergency Department resources are chronically restricted, or during periods of transient patient overload, staff should be deployed so that performance is maintained in the more urgent categories.

"non urgent" patients in the ED

anonymous@undisclosed.example.com (Anonymous) — Mon, 23 Feb 2009 06:32:16 +0000

"non urgent" patients in the ED see also: * administrative issues * ED bed access block and over-crowding * Australasian Triage Scale (ATS) * ED fast track and streaming * ACEM fact sheet (2001): ATS triage 4 and 5 patients are DIFFERENT to GP-type patients (pdf) Introduction * Governments are often very keen to explain away ED bed access block and over-crowding as being largely due to excessive numbers of patients attending the ED who should really be attending general practitioners (…

medical officer remunerations, EBAs and awards

anonymous@undisclosed.example.com (Anonymous) — Mon, 19 Oct 2009 02:04:16 +0000

medical officer remunerations, EBAs and awards see also: * Administrative issues - main index * general information relevant to ED doctors as employees Introduction * whilst intern, hospital medical officer (HMO) and registrar remunerations are generally according to State awards, remunerations for ED physicians are often based upon memoranda of understanding between the employer and the ED physicians as a craft group.

efficiency in the ED

anonymous@undisclosed.example.com (Anonymous) — Tue, 29 Mar 2016 07:16:52 +0000

efficiency in the ED see also: * administrative aspects of Emergency Medicine in Australia * ED fast track and streaming * ED overcrowding and bed access block * queue theory * clinical handover introduction * efficiency of ED's is critical for safe and high quality timely patient care in an ever strained system process improvements to improve efficiency simplify the environment / lean thinking

escalation, notification, communication in the ED

anonymous@undisclosed.example.com (Anonymous) — Mon, 03 Apr 2023 02:33:12 +0000

escalation, notification, communication in the ED see also: * administrative aspects of Emergency Medicine in Australia Introduction * communication, notifications and escalations of issues are critical components to safe delivery of effective healthcare in the emergency department * care however must be given to ensure these processes do not become too complex, too time consuming or contribute to unnecessary cognitive overload

ED fast track and streaming

anonymous@undisclosed.example.com (Anonymous) — Mon, 23 Feb 2009 06:31:47 +0000

ED fast track and streaming see also: * administrative aspects of Emergency Medicine in Australia * ED overcrowding and bed access block * "non urgent" patients in the ED introduction * in Australia, traditionally, ED's utilise the Australasian Triage Scale (ATS) to appropriately triage emergency presentations so they are seen in a timely manner. * unfortunately, there are a number of true ED presentations who will be allocated lower priority triage scores of 4 or 5 (see

Frequent attenders and representers to ED

anonymous@undisclosed.example.com (Anonymous) — Fri, 19 Dec 2008 06:54:03 +0000

Frequent attenders and representers to ED see also: * ED overcrowding and bed access block Other references * MJA 2008 - Frequent attenders at emergency departments: a linked-data population study of adult patients

funding of Emergency Departments in Australia

anonymous@undisclosed.example.com (Anonymous) — Thu, 07 Nov 2013 23:06:41 +0000

funding of Emergency Departments in Australia see also: * administrative aspects of Emergency Medicine in Australia * Victorian DoH casemix funding information * Vic DoH ED Activity Based Funding Presentation 30 March 2012 (pdf) * Vic DOH ED funding 2013-2014 faqs introduction * Emergency departments attached to public hospitals in Australia are funded by State Governments under the National Activity Based Funding model as of 1 July 2012.

Systems to ensure adequate and timely follow up of investigation results such as radiology and ...

anonymous@undisclosed.example.com (Anonymous) — Tue, 17 Feb 2009 23:30:41 +0000

Systems to ensure adequate and timely follow up of investigation results such as radiology and pathology see also: * administrative aspects of Emergency Medicine in Australia * Emergency Department Information Systems (EDIS) for Australia introduction * it is generally regarded that the responsibility for ensuring timely and appropriate follow up of investigation results such as Xrays, pathology tests and scans falls onto the shoulders of the person who orders the investigations.

medical indemnity

anonymous@undisclosed.example.com (Anonymous) — Thu, 26 Nov 2015 23:21:50 +0000

medical indemnity see also: * general information relevant to ED doctors as employees * medico-legal issues in the ED * software indemnity and the law * APRA - the body responsible for administering the Insurance Act (1973) * FindLaw - latest Australian legal news * Doctors Reference Site - links to medical indemnity pages (see also their home page) * AMA medical indemnity providers for Australian doctors * MIPS * MDAV * MDV Insurance brokers * UMP * MDA National *

economy and medicine

anonymous@undisclosed.example.com (Anonymous) — Sun, 27 Sep 2015 23:48:14 +0000

economy and medicine see also: * * MJA 2012 appendix - procedures which waste money for no real benefit

general information relevant to ED doctors as employees

anonymous@undisclosed.example.com (Anonymous) — Mon, 26 Oct 2009 02:10:56 +0000

general information relevant to ED doctors as employees * medical officer remunerations, EBAs and awards * webmail * administrative aspects of Emergency Medicine in Australia * Victorian Doctors Health Program * stress * shift work * Managing jet lag and your body clock * sleep hygiene * medico-legal issues in the ED * medical indemnity * prescribing medications in Australia * professional health care bodies and registration boards * events and conferences relevant to ED profession…

National Weighted Activity Unit (NWAU)

anonymous@undisclosed.example.com (Anonymous) — Thu, 16 May 2013 17:44:00 +0000

National Weighted Activity Unit (NWAU) see also: * funding of Emergency Departments in Australia * Urgency Related Groups (URGs) * Australian Refined Diagnosis Related Groups (AR-DRGs) * Weighted Inlier Equivalent Separation (WIES) introduction * Australian Government's new case mix hospital funding model * NWAU is very similar to Weighted Inlier Equivalent Separation (WIES) NWAU calculation for ED patients * see Urgency Related Groups (URGs) NWAU calculation for inpatients 13 var…

open disclosure following adverse events

anonymous@undisclosed.example.com (Anonymous) — Sun, 10 Nov 2019 23:43:00 +0000

open disclosure following adverse events see also: * ED quality, mortality and morbidity * welcome to the OzEMedicine Wiki * Australian Commission on Safety and Quality in Healthcare * Open Disclosure Framework (pdf) * Vic Health Open Disclosure Framework Introduction * when an adverse event occurs affecting a patient, it is now expected that Open Disclosure process is followed whereby the patient and/or family have communication regarding the event, this is mandated for IRS 1 and IR…

buying investment property in Victoria

anonymous@undisclosed.example.com (Anonymous) — Sat, 25 May 2024 06:48:10 +0000

buying investment property in Victoria see also: * investment strategies for busy 50 year old doctors * disclaimer: * this website takes NO responsibility for any decisions you make, nor for the accuracy of the information provided as it applies to your situation, it is merely to provide you with a broad initial understanding to get you started in the thought process of buying.

queue theory

anonymous@undisclosed.example.com (Anonymous) — Mon, 25 May 2015 08:08:07 +0000

queue theory see also: * administrative aspects of Emergency Medicine in Australia * ED fast track and streaming * ED overcrowding and bed access block * efficiency in the ED introduction * whenever demand exceeds capacity in a given time period, a backlog will develop resulting in a wait queue * it is thus important to try to match capacity to demand over the time periods *

salary packaging for public hospital employees

anonymous@undisclosed.example.com (Anonymous) — Fri, 05 Feb 2010 05:23:15 +0000

salary packaging for public hospital employees see also: * salary packaging meals and entertainment * superannuation * general information relevant to ED doctors as employees * SmartSalary salary packaging * Search for ABN for tax invoices introduction * if an employer provides non-salary benefits, these are called Fringe Benefits, and usually the employer will have to pay a tax on these called Fringe Benefits Tax (FBT)

salary packaging meals and entertainment

anonymous@undisclosed.example.com (Anonymous) — Mon, 26 Oct 2009 02:12:26 +0000

salary packaging meals and entertainment see also: * salary packaging for public hospital employees * SmartSalary salary packaging introduction * if an employer provides non-salary benefits, these are called Fringe Benefits, and usually the employer will have to pay a tax on these called Fringe Benefits Tax (FBT) *

observation medicine and short stay units (SSU)

anonymous@undisclosed.example.com (Anonymous) — Wed, 13 May 2009 04:11:14 +0000

observation medicine and short stay units (SSU) see also: * Vic. DHS Observation Medicine Guidelines 2009 (pdf) introduction * In 2001, a number of new observation medicine models were established across Victoria through the Hospital Demand Management Strategy (HDMS). * emergency department observation medicine units are called various titles including:

superannuation

anonymous@undisclosed.example.com (Anonymous) — Tue, 03 May 2016 11:19:01 +0000

superannuation see also: * salary packaging for public hospital employees * investment strategies for busy ED doctors aged under 50 years * investment strategies for busy 50 year old doctors * ATO superannuation limits, caps and tax rates introduction * the following applies to superannuation for salaried employees in Australia but you should verify the details and discuss them with your financial planner or accountant before making any decisions as each person's circumstances and requi…

investment strategies for busy 50 year old doctors

anonymous@undisclosed.example.com (Anonymous) — Sat, 25 May 2024 06:43:13 +0000

investment strategies for busy 50 year old doctors see also: * superannuation * buying investment property in Victoria disclaimer * the following applies to superannuation for salaried employees in Australia but you should verify the details and discuss them with your financial planner or accountant before making any decisions as each person's circumstances and requirements differ, while the ATO tends to change the laws relating to superannuation more frequently than one would like.

investment strategies for busy ED doctors aged under 50 years

anonymous@undisclosed.example.com (Anonymous) — Fri, 19 Feb 2010 03:58:33 +0000

investment strategies for busy ED doctors aged under 50 years see also: * superannuation introduction * unfortunately the Rudd government changed its superannuation laws to DISCOURAGE you from investing in super. * if you are under 50 years, the cap on concessional superannuation contributions is now only $25,000 per annum inclusive of compulsory 9% employer contributions which severely limits your capacity to

Urgency Related Groups (URGs)

anonymous@undisclosed.example.com (Anonymous) — Thu, 16 May 2013 10:15:52 +0000

Urgency Related Groups (URGs) see also: * funding of Emergency Departments in Australia * Australian Refined Diagnosis Related Groups (AR-DRGs) introduction * URG's form a main component of the ED funding model for Australian ED's as of 1 July 2012 * Urgency Disposition Groups (UDG) and Urgency Related Groups (URG) classification system developed in 1992 by Dr. George Jelinek (FACEM)

Weighted Inlier Equivalent Separation (WIES)

anonymous@undisclosed.example.com (Anonymous) — Mon, 07 Nov 2016 06:22:32 +0000

Weighted Inlier Equivalent Separation (WIES) see also: * funding of Emergency Departments in Australia * Australian Refined Diagnosis Related Groups (AR-DRGs) introduction * Victorian Government uses WIES as their activity based case mix funding policy for public hospitals * each hospital admission is assigned a WIES value * each hospital is then paid for their total WIES activity for the fiscal year up to a capped WIES target