MidCentral DHB best immunisation, worst ED triage

LISA KNIGHT
Last updated 08:08 27/08/2014

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MidCentral District Health Board is sitting at the top of the chart for immunisation targets, but continues to be the worst performer in achieving shorter stays in its emergency department.

Figures from the fourth quarter released yesterday show that compared to other health boards, MidCentral remains at the bottom of the table, with only 89 per cent of patients being admitted, discharged or transferred from the emergency department within six hours. This is down from 90.2 per cent in the previous quarter and below the national target of 95 per cent.

MidCentral chief executive Murray Georgel said the DHB was delighted with the improvement in its targets but acknowledged that progress towards achieving the emergency department goal had been slower than all other DHBs.

He said they remained committed to this goal with several initiatives being progressively introduced to help reduce the waiting times.

"During the fourth quarter for health targets the first in a series of eight-week project cycles was completed.

"They included: The creation of a hospital operations centre to facilitate the allocation of staff and beds for patients; the introduction of medical teams' rapid rounds in all the acute ward areas; a tool was developed for identifying and requesting isolation rooms so patients can be moved more quickly and safely from ED; and a fast-track system between ED and paediatric services for children with asthma was trialled," Georgel said. "The second eight-week cycle of activities, now under way, include reviewing the current ward discharges of patients and developing a system whereby patients can be discharged home earlier in the day; including the potential of nurses being able to lead patient discharging."

MidCentral remains at the top of the table in New Zealand for increased immunisation of 8-month-old infants with 96.9 per cent, or 566 infants, receiving their primary course of immunisation on time, exceeding the national goal of 90 per cent.

"We maintained a high immunisation coverage rate across all ethnicity groups over the year, achieving 95.1 per cent for the 12 months ending June 2014 with 2094 infants immunised on time - reaching the new national goal of 95 per cent by December 2014 early."

MidCentral also measured up strongly on the target for improving access to elective surgery, as well as shorter waits for cancer treatment.

Georgel said 210 more patients than originally planned for the year had orthopaedic surgery for procedures such as hip or knee replacements and 195 more eye surgeries than planned were completed.

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Cancer treatment waits was a target achieved consistently throughout the year by MidCentral, with 274 patients who were ready for radiotherapy or chemotherapy in the last quarter all receiving treatment within four weeks.

MidCentral achieved 87.1 per cent in the target for more heart and diabetes checks.

- Manawatu Standard

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