Emergency Department Improvement Strategies Conference

Conference held in Toronto on May 26, 27 & 28, 2003
Chairs: Kathy Sabo, Toronto Western Hospital; Marcia Ladouceur, Niagara Health System, Welland Hospital Site; Dr. Brian Schwartz, Sunnybrook and Women's College Health Sciences Centre; and Dr. Lorne William Martin, Halton Healthcare Services Corporation, Oakville Trafalgar Memorial Hospital

CD-ROM: Approximately 10.5 hours of video presentations plus over 535 pages of original material

To purchase, please contact Federated Press.

Staffing for Success

Measuring and managing workload
Wendy Fortier, Clinical Director-Critical Care Emergency and Trauma, The Ottawa Hospital

• Issues in measuring and benchmarking workloads in the ED
• How realistic are workload formulas and do they convey the real picture?
• Re-validation of workload measurement tools
• Factors to consider in ED workload needs

Video: 30 minutes • Overheads

The emergency physician: Maximizing professional satisfaction and minimizing burnout
Dr. Sheldon Jacobson, Chairman and Professor of Emergency Medicine, Mount Sinai Hospital, New York

• Assessing factors contributing to burnout
• Crafting the professional workplace to limit stress and burnout
• Focus of control: Navigating the institutional matrix
• Developing professional core competencies and multidimensional careers

Video: 51 minutes • Overheads

The nurse practitioner in the emergency department
Kathy Sabo, Director of Nursing and Shirley Strachan-Jackman, Acute Care Nurse Practioner-Emergency, Toronto Western Hospital

• Educational needs in emergency nursing and advanced nursing practice
• Success factors for acute care nurse practitioner role development and implementation
• Defining the goals and desired outcomes of the ACNP role
• Collaborative practice: the four main challenges of the ACNP role in the ED

Video: 43 minutes • Overheads

From bedside to boardroom: A resource management strategy
Beverley R. McFarlane, Director Nursing & Diagnostics, Algonquin Health Services, Huntsville District Memorial Hospital

• Achieving formal and informal power
• Focusing education: Leadership/administration and clinical knowledge
• Benefits of maintaining clinical ED expertise
• Resource management and retention strategies

Video: 35 minutes • Overheads

Management Strategies for the ED

Alternate funding agreement for Milton site emergency services
Darlene Walsh, Patient Care Manager of Emergency and Critical Care, Halton Healthcare Services, Milton Site

• Alternative funding arrangement – benefits to hospital and physicians
• Strategies for patient transfers and removing Emerg bottlenecks
• Physician recruitment and retention – underserviced area designation
• Nursing position control implementation & recruitment

Video: 36 minutes • Overheads

Emergency construction: Planning for success
Marcia Ladouceur, Clinical Manager Emergency and Ambulatory Care, Niagara Health System, Welland Hospital Site

• Initial planning for new construction and meeting functional needs
• Post construction operating plan development & process review
• Ongoing evaluation of progress, deficiencies and issues
• Decanting and move planning/implementation

Video: 48 minutes • Overheads

Bridging the ED and family practice
Dr. Miriam S. Mann, Chief-Emergency Medicine, Stratford General Hospital

• Integration of ERPs into family doctor Emerg model
• Issues surrounding standards, certification and maintaining competence
• Dealing with scheduling and remuneration issues
• Benefits of a healthy FD/ERP relationship

Video: 41 minutes • Overheads

Effective staffing strategies: A paediatric ED nursing perspective
Carleen Ridley, Operations Director-Emergency, Children's Hospital of Eastern Ontario

• Charting staffing levels and RN staffing pattern
• Utilizing actual and preferred point codes
• Creating spreadsheets to project variable staffing requirements
• Successful strategies for hiring, training, staff input and team building

Video: 39 minutes • Overheads

Coordinating Efforts

Effective use of the NP/MD collaborative staffing model
Debbie Selkirk, RN-EC Nurse Practioner Emergency Services, Chatham-Kent Health Alliance

• The role of the primary care nurse practitioner
• Opportunities and challenges of introducing the NP role into the ED
• Collaboration model of care: physicians, nurses and other support personnel
• How to implement the role of NP – experiential challenges and benefits

Video: 30 minutes • Overheads

Advancing disaster preparedness
Dr. Brian Schwartz, Director, Division of PreHospital Care, Sunnybrook & Women's College Health Sciences Centre

• Promoting partnerships & enhance communication in disaster planning
• Understanding incident management systems: components and benefits
• Standardizing the emergency management approach for a coordinated response
• IMS disaster preparedness: planning, logistics and support needs

Video: 52 minutes • Overheads

Coordinating a multi-disciplinary team in the emergency department
Maureen Cole, Clinical Site Leader, South Huron Hospital

• Building synergies for better use of resources in patient care
• Hospital teams: Enhancing care delivery through teamwork
• Enhancing care delivery and coordination
• Recognizing the value and contributions of support teams

Video: 47 minutes • Overheads

Coming of age in ambulance services
Gail Ure, Executive Director, Health Care Program, Ontario Ministry of Health and Long-Term Care

• Provincial and municipal responsibilities
• Significant changes in ambulance standards and funding
• Improvements for land ambulance response times
• Basing EMS service standards on evidence - OPALS

Video: 20 minutes • Overheads

Optimizing the Process

Hospitalist programs in Ontario
Dr. Lorne William Martin, Program Leader Emergency and Ambulatory Care, Halton Healthcare Services Corporation, Oakville Trafalgar Memorial Hospital

• Review of survey of existing hospitalist programs in Ontario
• The costs and benefits of implementing a hospitalist program
• Quality measures of hospitalist programs
• Direct service provision by the hospitalist resource to the ER

Video: 27 minutes • Overheads

Optimizing your disaster plan
Dr. Dan Cass, Chief of Emergency, St. Michael's Hospital

• An integrated response system that is critical to success
• A basic level of preparedness for all acute-care hospitals
• Preparedness for chemical/biological incident
• Communications during a disaster

Video: 40 minutes • Speaker notes

Geriatrics in the emergency department
Lisa Newman, Project Manager, Geriatric Emergency Management (GEM) Task Force, Regional Geriatric Program of Toronto

• Diverse geriatric emergency medicine service models
• Clinician role of the geriatric nurse
• GEM bedside assessments and assessment tools
• Keys to success and dealing with clinical, triage and admin challenges

Video: 34 minutes • Overheads

Improving emergency department tracking systems
Dr. Robert Foster McCormack, Clinical Chief Emergency, Kaleida Health Buffalo General Hospital

• Computerized patient tracking at Buffalo General Hospital
• Tracking ED & fast track volume and LOS daily, weekly and monthly
• "Essential" characteristics of a patient tracking system
• "Essential" characteristics of an emergency department information system

Video: 55 minutes • Overheads