Hospital bed management and primary preventive health – Tasmanian Audit Office – May 2013

Posted on May 31, 2013. Filed under: Preventive Healthcare, Primary Hlth Care | Tags: , |

Hospital bed management and primary preventive health – Tasmanian Audit Office – May 2013

Summary brochure

“Executive summary

Background

In the Australian public health sector there is a persistent demand for hospital beds that is fuelled by numerous factors that include an ageing population and increasing rates of illness caused by lifestyle factors.

To ensure that government achieves maximum value for its investment in public health, maximising the use of existing hospital beds is an important strategy. In this audit, we took the approach that more efficient use of existing facilities could be attained through two strategies at opposite ends of the health care spectrum; improving patient throughput in hospitals and preventing people acquiring chronic conditions that could lead to hospitalisation in future years.

Patient throughput in hospitals could be aided through the use of out-of-hospital alternatives (e.g. outpatient treatment, clinics, Hospital in The Home (HITH), aged care or home care), minimising the length of stay and inter-hospital transfers (to free up beds in busy hospitals).

With a focus on improving public health into the future, we examined two areas of primary preventive health; vaccination and encouraging healthier lifestyle choices. Accordingly, the objective of the audit was to assess the effectiveness of the Department of Health and Human  Services’ (DHHS) efforts to improve patient throughput in hospitals and to prevent people acquiring chronic conditions through primary preventive health strategies. ”

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ISBN 978‐0‐9775898

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Data briefing: Emergency bed use. What the numbers tell us – King’s Fund – December 2011

Posted on January 4, 2012. Filed under: Emergency Medicine | Tags: , , |

Data briefing: Emergency bed use. What the numbers tell us – King’s Fund – December 2011

“Summary

The NHS will need to find £20 billion in productivity improvements by 2015 to avoid reducing quality and making significant cuts to services. The acute sector is already receiving less for treating patients and so is under particular pressure to make those improvements. Could reducing the use of hospital beds for emergency admissions help?

Hospital beds are used for emergency admissions and elective admissions, but bed use for elective admissions has fallen significantly in recent years – although they account for 55 per cent of admissions, they occupy less that 30 per cent of overall bed days. So reducing bed use for emergency admissions offers the most potential for savings. Our new data briefing explores the figures in more detail and identifies the groups of emergency patients with the greatest scope for reductions in bed use.”

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