Page 221 - Hospital Authority Convention 2017

Service Enhancement Presentations

F6.6 Enhancing Partnership with Patients and Community 10:45 Room 421

Real-time Information from Accident and Emergency Department (AED) to Public for AED Service Management
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Tong AYH , Wong W , Kwong E , Li R , Chung A , Mok M , Luk E , Kung CM , Cheung I 5
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Health Informatics Section, Information Technology Section, Corporate Communication Department, Quality and Service HOSPITAL AUTHORITY CONVENTION 2017
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Division, Cluster Service Division, Hospital Authority Head Office, Hong Kong
Introduction
Patients make better choice of clinical service with more satisfaction when they can access more timely and relevant
information. The demand for Accident and Emergency Department (AED) service is great over years, in particular during
winter surge. Clinical data is captured for AED clinical service provision. Management information of AED situation is then
available for monitoring of AED operation. Standardisation and transparency of real-time AED service waiting time of patients
in turn helps the management of AED service demand and expectation alignment.
Objectives
AED service information can be generated with clinical data captured during patient care. Through the integrated Hospital
Authority (HA) Information Technology (IT) systems, real-time AED service waiting time can be provided to clusters/hospitals,
corporate management and public. With this relevant information, multi-disciplinary collaboration facilitates support to the
AED services. Moreover, the Project provides standardised message on real-time AED service waiting time to public at the
point of seeking AED service for better choice of clinical service, and helps manage their expectation and demand for AED
service.
Methodology
From November 2015, the integration of clinical data in Accident and Emergency Information System (AEIS) and other clinical
IT systems helps generate and disseminate the real-time AED service management information including waiting time,
waiting list, admission block and the detailed patient list for clusters/hospitals and corporate management via Management
Dashboard of Management Information Portal (MIPo). Automatic alert will be sent to relevant management teams when the
threshold is met for AED and inpatient hospitalisation service accessibility management. The real-time AED waiting time is
also provided to public via HA Touch app and displayed at AEDs for patient’s informed decision of choice of clinical service.
With reference to the service supply pattern, the 95th percentile of waiting time of AED patients in the past three hours or six
hours (for 3:00am-9:00am period) is refreshing every 15 minutes. Standardisation of practice and data definition and also
two-week validation of report generation criteria with all AEDs has been conducted before implementation.

Results
Real-time AED service management information is generated and disseminated to relevant management teams and public for
better service management via the integrated clinical IT systems and mobile app, respectively. In turns, collaborative support
from multi-disciplinary clinical and management team helps improvement of AED service delivery. Informed choice of clinical
service also aligns patient expectation and improves service experience. Wednesday, 17 May

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