Decision-makers need more accurate and timely information
Operational entities within Queensland Health are working together to improve ED performance. There have been a range of strategies implemented to help improve patient flows; however, the overall performance of the system has not improved. Furthermore, Queensland Health has identified that strategies are not consistently evaluated and understood to ensure the effective rollout across the state.
Despite the Queensland Ambulance Service becoming part of Queensland Health from 1 October 2013, there is a lack of system integration with integrated electronic medical record (iEMR) modules in hospitals. This limits Queensland Health from being more successful in improving performance and identifying root cause issues in the short term.
In Report 3: 2014‒15 we concluded that ‘controls over ED data have been and remain, weak or absent’. In 2021, controls still must be improved to ensure QAS and ED data is complete, accurate, and validated in a timely manner. Queensland Health does not currently have an adequate and efficient approach for detecting and correcting data errors relating to a patient’s length of stay and time taken to be moved off an ambulance stretcher.