KPI’s – key performance indicators. Not just the basic numbers that have to be reported to central agencies but the things that make your ward or department tick, that make it feel pressured, that you know if they’re sorted means that the department will run smoothly?
One of the first things we do when implementing CEMBooks V2 is to sit down with the local team and work out what needs to be reported on as daily work, what impacts how a department feels and what these numbers should be at different times of day.
A core emergency department KPI might be Attendance numbers. If you have more patients attending/hour than can be seen and discharged in each hour the wait for clinician will rise. The number that creates this imbalance is likely to be different at different times of the day. So 15 patients booking in per hour might be GREEN at 10 in the morning but if that were to happen at 4 am that would be PURPLE This would be a significant surge and would impact on how the department feels and the wait to see a clinician. CEMBooks allows you to customise OPEL scoring of any KPI by time of day. CEMBooks also allows you to add weightings to these to reflect exactly how each one impacts on the department function.
Some common KPI’s catergopries that sites using CEMBooks have described to us for use in their ED sit reps include:
Demand – Attendance/hour
Acuity – Number in resus, overall NEWS score
Waiting times -Wait for clinician, wait for initial assessment
Staffing measures – Nurse staffing, CSW numbers, medical staffing
Admission issues – Number of patients waiting to come in (TCI) Longest wait for TCI
We are starting to see the inclusion of the new RCEM quality indicators – 12 hour breaches, mean wait in department being included in department sit reps. too
What would you include as your KPI’s in your department or ward?? Would they be different for different times of day?? Let us know – reply here or on our Twitter thread!!
Thanks
SN
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