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Evaluating the Rate of Emergency Department Avoidance Achieved in a Collaboration Between an Ambulance and Virtual
Chad Lumsden1, Leah Maitland2, Rachel Rossiter3
1Charles Sturt University, School of Rural Medicine, Port Macquarie, New South Wales, Australia.
Objective:
To evaluate whether a collaboration between Mid-North Coast Virtual Care (MNCVC) and NSW Ambulance (NSWA) was effective in diverting ED transfers.
Methods:
A retrospective observational study over 30 months examined NSWA referrals to MNCVC. Referral characteristics, 7-day and 28-day ED presentations were analysed. ED avoidance was defined as an accepted referral without an ED presentation within 28 days.
Results:
Of 629 referrals, 542 (86%) were accepted for management. ED presentations occurred in 53 (9.8%) within 7-days and 130 (24.0%) within 28-days, resulting in a 76% (412 patients) ED avoidance rate over 30 months.
Conclusions:
An ambulance-diversion model to a virtual-care service showed a favourable ED avoidance rate.
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