ECI Past Present Future Friday, 10 th November, 2017 Michael Golding: Clinical Director ECI
NSW Health
NSW Health Ministry
ECI 2011 (ACI as one of 5 Pillars from the Garling Report)
ECI 2011 Vision 6 years: Vanessa Evans ECI Manager and Dr Sally McCarthy (Clinical Director) “EDs did not have a combined voice, where the smallest level 1 and the largest level 6 department shared information and understood the others’ challenges, or engaged in common initiatives.” “Even more remarkably, EDs did not have a forum to embed multidisciplinary communication within their own staff at the state level, or to engage collectively with other groups. Even more remarkably, EDs did not have a forum to embed multidisciplinary communication within their own staff at the state level, or to engage collectively with other groups.” (Sally McCarthy)
ECI Web Site “Clinical Resources on clinical, process, quality and administrative resources to enable a clinician to provide evidence based care, at the bedside or running the department, at any hour in any ED”
Committees Clinical Advisory Committee (Matthew Bragg & Kylie Stark)
Committees: Clinical Advisory Group
Committees Clinical Advisory Committee (Matthew Bragg & Kylie Stark) Information Systems and Technology Advisory (ISTAC) (Naren Gunja) Executive Committee (Liz Cloughessy now Wayne Varndell) Incident Advisory Committee (Anne Hawkins & Jacqui Irvine) Research Advisory Committee (Amith Shetty & Kate Curtis)
Research: Research Advisory Group Hatem Alkhouri
Research: Airway Register Airway Register Hatem Alkhouri
Rural ED Support: ECI Project Officer Nurse Delegated Emergency Care (NDEC) program (Nick Goryl project Officer) Equest (Joseph Marwood & Anne Walton) Road Trips
Present: Current Projects Website Improvement - Pediatrics Educational support for Fellowship Strengthening Rural links Suspected Chest pain Pathway Soft Collars
Present: Chest Pain pathway
Present It is never like this
Present It should be like this
Future What will ECI be doing in 6 years? Emergency Medicine is changing Generalist Medicine
Future Emergency Medicine Practice is changing Generalist Chronic Care Generalist Acute Care
Future Emergency Medicine Practice is changing Generalist Chronic Care Generalist Acute Care
Future It doesn’t work
Future: EMR
Future EMR But: I can finally read their writing
Future And in 6 years time:
EMR
Future Ambulance Data Interface
Future Goodbye
Future Workforce
Future Front loading models Ambulance handover Future of Symposiums and Forums Nurse Consultant in ECI ECI Webmaster Better supporting EDs in Rural NSW
Future Rural Sites Road trip to Macksville ED
Future Mission Avoid Duplication: If the same activity is being performed in Emergency Departments across the State – do it once at ECI. Leadership: The voice of the Emergency Department in the System: Is informed via Committees and feedback by engagement. Rural Sites: ECI big brother program.
Future
Today Evaluation sheets Suggested topics for next session
Acknowledgement Vanessa Evans and the ECI group
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