Shorter average length of stay (approximately 2 day reduction) Prompt effective discharge with no adverse – increased readmission 3.2.4 Access to diagnostics Access to diagnostics- Ensure full implementation of Group CEO/ Immediate Target 7 day radiography service initially on pilot HSE AHD Qtr. 2 2015 8-8 working day for laboratory and radiology services Hospital Mgr basis using overtime. Evaluate impact on ED and in line with the national protocol in all sites for AMAU performance and length of stay with diagnostic services, and having regard to additional emphasis on timelines for access for inpatient and resource requirements. Within context of extended emergency patients. Capital constraints need to be day, seek to optimise access for emergency borne in mind. serviceshaving regard to resources. It is recognised that there is a need to develop additional consultant manpower to meet additional reporting requirements In the short term, the options for developing HSE Q2 2015 Develop a plan for targeted increase in diagnostic HSE AHD 2016 additional diagnostic capacity may be considered AHD/Group capacity (MRI/CT) to ensure that GP and particularly for outpatient workloads in order to CEO consultant access is appropriate (-) improve overall bed utilisation and patient flow. This should be progressed in consultation with relevant stakeholders in recognition of pre-existing protocols and agreements. The prioritisation of inpatients access to diagnostics Group CEOs, Q 4, 2015 Seek to secure the necessary additional consultant HSE AHD, 2016/2017 should be a core principle to effect reductions in Hospital manpower to meet the additional reporting National HR length of stay. Requirement to implement agreed Managers requirements associated with extended day and 7 metrics to measure specific impact of extended day day service. on wait for diagnostics for emergency patients
Shorter average length of stay (approximately 2 day reduction) Prompt effective discharge – with no adverse increased readmission 3.2.4 Access to diagnostics Access to diagnostics- Ensure full implementation of 8-8 working day for laboratory and radiology services in line with the national protocol in all sites for diagnostic services, and having regard to additional resource requirements. Within context of extended day, seek to optimise access for emergency serviceshaving regard to resources. It is recognised that there is a need to develop additional consultant manpower to meet additional reporting requirements Group CEO/ Hospital Mgr Immediate Target 7 day radiography service initially on pilot basis using overtime. Evaluate impact on ED and AMAU performance and length of stay with emphasis on timelines for access for inpatient and emergency patients. Capital constraints need to be borne in mind. HSE AHD Qtr. 2 2015 In the short term, the options for developing additional diagnostic capacity may be considered particularly for outpatient workloads in order to improve overall bed utilisation and patient flow. This should be progressed in consultation with relevant stakeholders in recognition of pre-existing protocols and agreements. HSE AHD/Group CEO Q2 2015 Develop a plan for targeted increase in diagnostic capacity (MRI/CT) to ensure that GP and consultant access is appropriate (-) HSE AHD 2016 The prioritisation of inpatients access to diagnostics should be a core principle to effect reductions in length of stay. Requirement to implement agreed metrics to measure specific impact of extended day on wait for diagnostics for emergency patients Group CEOs, Hospital Managers Q 4, 2015 Seek to secure the necessary additional consultant manpower to meet the additional reporting requirements associated with extended day and 7 day service. HSE AHD, National HR 2016/2017
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