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Quality management and the Emergency Services Enhancement Program.

C Cobelas1, C Cooper, M Ell

  • 1Department of Emergency Medicine, Maroondah Hospital, Ringwood East, Victoria, Australia. carlosc@netspace.net.au

Journal of Quality in Clinical Practice
|March 15, 2002
PubMed
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Staff in Victoria hospitals accurately perceived improvements in emergency care performance indicators following the Emergency Services Enhancement Program (ESEP). Key factors included staff changes, patient flow management, and policy updates, contributing to enhanced patient care.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Public Health Policy

Background:

  • The Emergency Services Enhancement Program (ESEP) was implemented in Victoria in 1995.
  • ESEP aimed to improve emergency care indicators such as waiting times, ambulance bypass rates, and inpatient bed access.

Purpose of the Study:

  • To assess staff perceptions of changes in key emergency care indicators.
  • To identify factors influencing performance improvements attributed to ESEP.
  • To evaluate the perceived contribution of ESEP to overall patient care.

Main Methods:

  • A questionnaire survey was administered to 101 staff across four focus groups in participating hospitals.
  • Respondents included hospital leadership, Emergency Department directors/managers, bed coordinators, and frontline ED staff.

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  • Factor analysis was used to identify key factors influencing perceived improvements.

    • Main Results:

    • Emergency Department staff perceptions of performance changes were generally accurate.
    • Perceived key drivers of improvement included changes in staff profile, patient flow management, administrative policies, and work practices.
    • Staff estimated a 10% improvement in patient care since 1995, with ESEP contributing an estimated 8%.

    Conclusions:

    • ESEP implementation has led to perceived improvements in emergency care performance indicators.
    • ESEP has heightened awareness of quality management issues within healthcare settings.
    • Staff perceptions align with actual performance changes, highlighting the program's impact on patient care and operational efficiency.