2013 Clinicians' Challenge winner reporting on progress. Presented by Ruth Large, Thames Hospital, at HINZ 2014, 11 November 2014, 4.30pm, Plenary Room

1. Clinicians Challenge
2013
Dealing with Emergency Department
demand
Dr Ruth Large
Clinical Director, Thames Hospital

4. The size of the problem
• Over the past 3 years there has been an
incremental rise in National Emergency
Department presentations to 1 Million
presentations in 2013.
• In Thames Emergency Department we see
approximately 1000 more presentations
every year.

5. But we face an even more significant challenge
Statistics New Zealand, March 2006

6. In this context
• How do we make ED
visits more efficient and
enable patients to have
more control?

7. A kiosk as a potential solution
• An automated system which utilises red flags from
the history and vital signs could enable patients to
effectively triage themselves on presentation.
• Ideally this system would be integrated with a GP
booking service and the presentation would be
visible to the GP.
• The patient would receive clear guidance as to self-management

8. A kiosk in practice
• A pilot study into the use of a self-registering
kiosk in the ED.
• Funding received and NIHI involved to help
implement the pilot.
• Key question: Can patients use it and how
will they like it?
• Self-register and screening
• Recording of vital signs

9. The hiccups
Design and placement of kiosk
Engaging staff and patients
Keeping Biomedical and Infectious diseases
happy.

10. 10

11. The gristle