Mr Chrissan Segaram1, Mr Reggie Daguio, Ms Katherine Maka, Mr Curtis Wong, Ms Julianne Gibbons, Ms Sharon Millanta, Ms Nicole Hraiki, Ms Lisa Coaster-Garton, Ms Amy Maitland, Ms Bobbi Henao Urrego, Mr Ian Starkey, Ms Jacqueline Dominish
1Western Sydney Local Health District, Sydney/Westmead, Australia
The Rapid Assessment, Intervention, and Discharge-Emergency Department (RAID-ED) model of care (MoC) was a Western Sydney Local Health District (WSLHD) initiative implemented across Westmead and Blacktown Emergency Departments (ED) to lower the demand on inpatient hospitals beds for non-COVID-19 patients. The primary aim of this intervention was to reduce the risk of COVID-19 exposure by preventing unnecessary hospital admissions of patients presenting to ED by facilitating early discharge planning from allied health. The secondary aim was to measure patient experiences of the RAID-ED team and their satisfaction with the treatment received. The intervention included a rapid response seven-day, extended hour’s service, which included of a team physiotherapists, social workers, and occupational therapists providing timely allied health multidisciplinary treatment at the front door.
Since its implementation in October 2020 up until the end of January 2021, the RAID-ED team reviewed over 1,700 patients of which nearly 60% were discharged directly from ED into the community, and approximately 30% of patients discharged receiving additional follow-up care and services. Furthermore, prior to the implementation of this MoC, patient-reported experience measures as captured by the My Experience Matters surveys were well below the LHD benchmark of 85 in relation to the care received by patients in ED (Westmead: 58, Blacktown: 53). However, this same data has been collected and now demonstrates that patients managed by the RAID-ED team have had positive experiences with Westmead scoring 100 and Blacktown 90. Additionally, 86% of patients have felt they have been treated with kindness and respect, with comments received from patients including “that the RAID team have restored their faith in our health system and our whole family is very grateful to the team”.
Chrissan Segaram has worked within the Australian and UK HealthCare system for over 10 years. His clinical experience began in 2011 as a first-year graduate Physiotherapist at Westmead Hospital. Since then, Chrissan has also worked in a range of management positions including his recent appointment as the Allied Health Workforce Manager for Western Sydney Local Health District (WSLHD). Prior to this role, he had been the Project Lead in the Innovation and Redesign Team in WSLHD implementing a variety of projects within the hospital setting in addition to working in the capacity of the Change Manager for the Digital Health Clinical Program involving the new electronic medical records for Surgery and Anaesthetics implemented across WSLHD. Both his extensive clinical and educational experience has enabled him to successfully develop innovative Allied Health initiatives throughout WSLHD, which he continues to be passionate about.