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JHH Physiotherapy in ED. Potential need for extended hours physiotherapy service @ JHH ED identified Need identified from audit of after hours referral book, feedback and anecdotal evidence Audit indicated 50% PT referrals were after business hours- Fri, Sat, Sun. JHH Physiotherapy in ED.

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Jhh physiotherapy in ed
JHH Physiotherapy in ED

  • Potential need for extended hours physiotherapy service @ JHH ED identified

  • Need identified from audit of after hours referral book, feedback and anecdotal evidence

  • Audit indicated 50% PT referrals were after business hours- Fri, Sat, Sun


Jhh physiotherapy in ed1
JHH Physiotherapy in ED

  • Trial initiated by JHH PT in Mar 06 for a period of 3/12

  • Coverage included till 6 pm weekdays and 4 hrs coverage over Sat/Sun

  • Weekend coverage occurred across an 8 hour period


Jhh physiotherapy in ed2
JHH Physiotherapy in ED

  • Data suggests service was responsive to patient need, cost effective and helped prevent admissions. Cost benefit approx 115 K-conservative est.

  • PT secured ongoing service for weekend cover


Jhh physiotherapy in ed3
JHH Physiotherapy in ED

  • Response time < 15 min in 90 % cases

  • Facilitated discharge in 56 % cases referred on Sat/Sun

  • Representation rate (within 2 days) with PT intervention was 2.9% c.f. 10 % without


Jhh physiotherapy in ed4
JHH Physiotherapy in ED

  • ? Potential impact/effect on access block via :

  • Decreased representation rate

  • Increased # of facilitated discharges

  • Decrease in time to referral to ward PT if admitted- Postulate links with decreased LOS


Jhh physiotherapy in ed5
JHH Physiotherapy in ED

Where to from here?

  • Primary care practitioner role

  • How to measure effect


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