This third section of the clinical internal tool is used to evaluate the type of patient related data that is collected and analysed in the ED/UCC for quality improvement purposes. The data is separated in to process and outcome data. The audit does not collect and verify the raw data but looks at the units own collection and analysis of this data. CRITERIA DESIRED DATA TO ADDRESS CRITERIA EVIDENCE METHOD (record evidence sighted) Demand Data Presentations/demand data is Total presentations Evidence of collection and analysis of demand and peak demand All data collected and analysed in the Presentation by date of week and hour of day times reviewed ED/UCC Presentation by ambulance or self onsite by ED expert Process Data Complaints data is collected and Number and type of complaints /10,000 ED /1000UCC Evidence of collection and analysis analysed in the ED/UCC presentations and trend over time Incident data is collected and Number and type of incidents /10,000 ED/1000UCC Evidence of collection and analysis analysed in the ED/UCC presentations and trend over time National Emergency Access target 2013 (VIC) 75% of all ED patients leave within 4 hours Evidence of collection and analysis (ED only) (NEAT) data is collected and 2014 (VIC) 84% of all ED patients leave within 4 hours analysed in the ED 2015 (AUS) 90% of all ED patients leave within 4 hours Access block data is collected and Percentage of patients with a length of stay longer than Evidence of collection and analysis analysed data is collected and 8 hours analysed in the ED Length of stay data is collected Percentage of patients with a length of stay longer than Evidence of collection and analysis and analysed 24 hours
This third section of the clinical internal tool is used to evaluate the type of patient related data that is collected and analysed in the ED/UCC for quality improvement purposes. The data is separated in to process and outcome data. The audit does not collect and verify the raw data but looks at the units own collection and analysis of this data. CRITERIA DESIRED DATA TO ADDRESS CRITERIA EVIDENCE (record evidence sighted) METHOD Demand Data Presentations/demand data is collected and analysed in the ED/UCC Total presentations Presentation by date of week and hour of day Presentation by ambulance or self Evidence of collection and analysis of demand and peak demand times All data reviewed onsite by ED expert Process Data Complaints data is collected and analysed in the ED/UCC Number and type of complaints /10,000 ED /1000UCC presentations and trend over time Evidence of collection and analysis Incident data is collected and analysed in the ED/UCC Number and type of incidents /10,000 ED/1000UCC presentations and trend over time Evidence of collection and analysis National Emergency Access target (NEAT) data is collected and analysed in the ED 2013 (VIC) 75% of all ED patients leave within 4 hours 2014 (VIC) 84% of all ED patients leave within 4 hours 2015 (AUS) 90% of all ED patients leave within 4 hours Evidence of collection and analysis (ED only) Access block data is collected and analysed data is collected and analysed in the ED Percentage of patients with a length of stay longer than 8 hours Evidence of collection and analysis Length of stay data is collected and analysed Percentage of patients with a length of stay longer than 24 hours Evidence of collection and analysis
vmia_ecucc_internal_audit_tool_d17-63759.docx