NEAT resources
National Emergency Access Target (NEAT) Guidance
National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services
This agreement was developed to contribute to improved public patient access to elective surgery, emergency department (ED) and subacute care services by improving efficiency and capacity in public hospitals. It supports the National Health Reform Agreement and the previous work under the National Health and Hospitals Network and the National Health Reform – National Partnership Agreement. Section C of this agreement outlines NEAT specifically.
Council of Australian Governments, August 2011
Expert Panel Report
This report and the Expert Panel was commissioned by COAG to review the implementation of the National Elective Surgery Target (NEST) and NEAT; and to provide a suite of recommendations that were agreed by COAG. These recommendations were subsequently incorporated into the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services. Section 3 outlines the ED specific information 'Emergency Departments: the way forward'.
Commonwealth Department of Health and Ageing, June 2011
Improving patient access to acute care services: A practical toolkit for use in public hospitals
Clinical Excellence Commission, March 2005
This Toolkit is designed to be an aid for organisations choosing to embark upon the journey to improve patient access to acute services.
National Emergency Access Target
Dr Sally McCarthy, Medical Director, ECI
Implementation of the Four Hour Program at Royal Perth Hospital
Prof Frank Daly, Executive Director, Royal Perth Group, 2012
Four Hour Rule Program Progress and Issues review in Western Australia
Prof Brian Stokes AM, December 2011
Association between reduced overcrowding and decreased mortality for emergency patients following the introduction of the four hour rule in Western Australia
Dr Gary Geelhoed, Director Emergency Department, Princess Margaret Hospital for Children
Demand at the ED front door: Is the 4 hour target the answer?
Judy Lowthian, Doctoral Scholar, Monash University
The great thing about being NEAT
Dr Mark Monaghan, Fremantle Hospital and Western Australia Statewide Rour Hour Rule Clinical Lead
Emergency Physician and Co-Director Fremantle Emergency Department
Member of Expert Panel advising on Emergency Access and Elective Surgery Targets
Increases in patient attendances since the introduction of the Four Hour Rule
Dr Yusuf Nagree, Fremantle Hospital and Centre for Clinical Research in Emergency Medicine, Western Australia Institute of Medical Research, University of Western Australia
Low acuity patients do not significantly contribute to ED workload
Dr Yusuf Nagree, Fremantle Hospital and Centre for Clinical Research in Emergency Medicine, Western Australia Institute of Medical Research, University of Western Australia
Growth in Australian ED demand 2004 to 2011
A/Prof Drew Richardson, Australian National University
2011 Australian access block point prevalence survey
A/Prof Drew Richardson, Australian National University
Clinical process redesign for unplanned arrivals in hospitals
Health Improvement and Innovation Resource Centre
This is an informative and useful website providing resources related to both Emergency Departments and the wider health system in New Zealand:-
- an extensive library of literature
- access to improvement projects, tools and initiatives
- the latest news and innovations
Click here for the ED shorter stay projects.
Shorter stays in ED Health Target, 2009 to November 2011
New Zealand Ministry of Health
Hospital Full - Alert Cascade
Auckland District Health Board
Emergency Department Overload Plan
Christchurch Hospital, April 2009
Improving acute patient and resolving emergency department overcrowding in New Zealand hospitals—the major challenges and the promising initiatives
Mike Ardagh, Gary Tonkin, Clare Possenniskie, New Zealand Medical Journal, 14 October 2011, Vol 124 No 1344
Auckland DHB Emergency Department Performance Summary January - June 2011
Tim Parke, Margaret Dotchin, John McTaggart and Tim Denison, July 2011
A&E clinical quality indicators: Implementation guidance and data definitions
Department of Health, UK, December 2010
Guidance and definitions of the revised clinical quality indicators that the UK measures in emergency deapartments. These were introduced in April 2011 and include waiting time measures, specifically time spent in ED (95% within 4 hours), time to initial assessment and time to treatment.
Emergency Department Clinical Quality Indicators: - The CEM guide to implementation
College of Emergency Medicine, UK, March 2011
The College of Emergency Medicine (CEM) in the UK released guidance to assist clinicians, managers and commissioners in understanding and achieving the revised emergency department clinical quality indicators.
Towards faster treatment: reducing attendance and waits at emergency departments
Department of Health, UK, October 2005
4 hour checklist
Department of Health, UK, January 2004
A checklist developed by the NHS to highlight the actions hospitals should consider to achieve the 4 hour target. Whilst produced in 2004 many of the points remain relevant today.
The Emergency Department: Medicine and Surgery Interface Problems and Solutions
Department of Health, UK, June 2004
This UK paper sets out to identify the particular issues associated with the progress of the recommendations set out in Reforming Emergency Care (2001), relating to the interface between the Emergency Department and medical and surgical specialities. It was developed jointly by representatives of the Royal Colleges of Surgeons and Physicians, the Faculty of Accident and Emergency Medicine and the British Association for Emergency Medicine in discussion with the Department of Health.