Delivering a Healthy WA
Emergency Access Reform

In 2011, WA signed the Commonwealth Government's National Partnership Agreement on Improving Public Hospital Services. The agreement includes the National Emergency Access Target (NEAT), which will drive improvements in access to emergency care for patients.

The NEAT requires that by 2015, 90 per cent of all patients presenting to a public hospital ED will be admitted, transferred or discharged within four hours. Each state and territory is required to meet annual interim targets which increase progressively until the end of 2015. Performance is calculated as an average of all participating hospitals over the calendar year. In WA the participating hospitals include:

Tertiary Hospitals

Fiona Stanley Hospital *
Fremantle Hospital *
King Edward Memorial Hospital
Princess Margaret Hospital
Royal Perth Hospital
Sir Charles Gairdner Hospital

Metropolitan General Hospitals

Armadale-Kelmscott Memorial Hospital
Joondalup Health Campus
Peel Health Campus
Rockingham General Hospital
Swan District Hospital

Rural Hospitals

Albany Hospital
Broome Hospital
Bunbury Hospital
Geraldton Hospital
Hedland Health Campus
Kalgoorlie Hospital
Nickol Bay Hospital

* Fremantle Hospital Emergency Department closed on Tuesday 3 February 2015 to coinside with the opening of Fiona Stanley Hospital's Emergency Department.

NEAT data is available up until this time point for Fremantle Hospital. While not part of the original grouping of tertiaty hospitals, Fiona Stanley Hospital will now be included in all NEAT Reporting.

NEAT Performance Benchmarks

State

NSW

VIC

QLD

WA

SA

TAS

ACT

NT

Baseline

61.8%

65.9%

63.8%

71.3%

59.4%

66.0%

55.8%

66.2%

1 Jan - 31 Dec 2012 (Period 1)

69.0%

72.0%

70.0%

76.0%

67.0%

72.0%

64.0%

69.0%

1 Jan - 31 Dec 2013 (Period 2)

76.0%

78.0%

77.0%

81.0%

75.0%

78.0%

73.0%

78.0%

1 Jan - 31 Dec 2014 (Period 3)

83.0%

84.0%

83.0%

85.0%

82.0%

84.0%

81.0%

84.0%

1 Jan - 31 Dec 2015 (Period 4)

90.0%

90.0%

90.0%

90.0%

90.0%

90.0%

90.0%

90.0%

This reform will build on the success of WA’s Four Hour Rule Program which allowed WA hospitals to manage the highest demand increases for unplanned care in the country. The Four Hour Rule Program significantly changed the way our hospitals operated, resulting in improved patient care for Western Australians. It involved examining and improving processes across the entire patient journey, from the ED and the wards through to hospital discharge.

Thanks to the Four Hour Rule Program, WA Health has a solid foundation in emergency access reform. We are continuing to build on this foundation to improve patient flow and provide the best possible care to all patients in WA public hospitals.

To see how specific hospitals compare to other hospitals in WA and nationally, visit the myHospital website (external site).

To see how WA is performing compared to the rest of Australia visit the Australian Institute of Health and Welfare website (external site).