AANZER aims to establish a clinical quality registry that functions as a learning health system specifically for emergency departments (EDs)—leveraging real-world data to continuously enhance quality, safety and efficiency.
By linking EDs through shared data and collaborative insights, AANZER will transform fragmented information into actionable knowledge, empowering better decision-making at every level.
Help shape AANZER
ACEM invites health service leaders, policymakers, health information managers, clinicians, and researchers to help co-design the registry for the future of emergency care. Get involved through:
- Participating in upcoming studies to inform AANZER’s development and implementation
- Expressing interest in being a pilot site
Register your interest by emailing: [email protected]
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Why is AANZER needed?
The shift toward data-driven solutions is required due to several persistent challenges:
- Fragmented data sources prevent a complete, integrated view of patient care.
- Lack of holistic insight means EDs can’t fully understand patterns, risks or outcomes across the system.
- Limited access to time-based data reduces opportunities for timely clinical decision making.
- Missed opportunities for cross-institutional learning hinder continuous improvement.
- A lack of standardisation in care delivery places additional burdens on clinicians and patients.
AANZER aims to:
Enable predictive analytics to support higher level decisions
By analysing real-time and historical data, AANZER could help identify patient risk factors early, optimise resource allocation and care pathways, and support clinical and administrative decision making at both local and systemwide levels.
Enable benchmarking of performance and quality across hospitals nationwide
AANZER could provide transparent, standardised performance metrics allowing EDs to compare outcomes, identify best practices and target areas for improvement, fostering a culture of continuous quality enhancement.
Inform and guide national health policies
Insights derived from aggregated ED data could help policymakers understand systemwide trends, resource needs and health outcomes, shaping effective policies that improve emergency care delivery across Australia and Aotearoa New Zealand.
Deliver time-based feedback directly to emergency clinicians
Dashboards and customised reports could provide clinicians with actionable information for patient care, improving decision-making, reducing errors, and enhancing patient safety and outcomes.
Why get involved?
ED Clinicians – Shape the tool that can support your decision making
Hospital Leaders – Gain insights to improve care and performance
Researchers – Collaborate on rigorous, real-world impact studies
Funders/Policymakers – Back and employ innovation with (bi) national significance
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Who's Involved?
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News and Research
Call for Participation: Data Usability Study for the Australia and Aotearoa New Zealand Emergency Registry (AANZER)
Determining the Elements – Strengthening ED Data for Quality and Innovation
AANZER is inviting emergency departments (EDs) across Australia and Aotearoa New Zealand to partner with us in a foundational Data Usability Study. This study aims to explore the types of data currently captured in EDs and how it can be leveraged to improve quality, performance, and decision-making across the sector.
Our goal is to co-develop practical ED data standards and enhance data interoperability, laying the groundwork for a learning emergency care system that benefits clinicians, administrators, and policymakers alike.
Who Are We Looking For?
We’re seeking engaged ED teams who are passionate about quality improvement and innovation. In particular, we welcome participation from:
- ED Directors
- Health Information Managers
- Data Analysts
- Business Intelligence Specialists
If you have a high-level understanding of your ED’s data landscape, your insights will be critical to the success of this study.
Get Involved
To express interest or ask any questions, please contact us at [email protected]
Let’s work together to make emergency data work smarter for patients, for clinicians, and for the future.
FAQs
These FAQs provide key information about the Australia and Aotearoa New Zealand Emergency Registry (AANZER) project – its purpose, how it will differ from other initiatives, and what participating sites can expect. It outlines the benefits of joining, how data will be accessed and governed, and how AANZER will function as a Health Learning System to support continuous improvement, research, decision-making, and professional development in emergency care.
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What is the difference between AANZER and other available initiatives such as minimum datasets reported to state or federal governments or third-party healthcare companies/registries/databases?
AANZER focuses on emergency department (ED) data across Australia and Aotearoa New Zealand.
Unlike state or federal minimum datasets, which generally collect only a core set of mandatory fields for administrative or reporting purposes, AANZER will be designed to:
- Provide timely reports direct to ED stakeholders
- Allow for benchmarking, according to the wishes of ED stakeholders
- Allow sites access to their own data to be used for their own purposes.
- Progressively, provide richer data fields that support both clinical and operational insights.
- Enable standardisation across jurisdictions, ensuring consistency in data definitions and reporting.
- Integrate clinical (patient level), operational, and outcome measures in one platform.
- Serve as a hub for longitudinal data and analysis, enabling tracking and deeper research when needed.
AANZER is different from commercial providers. It is intended to be a collaborative, non-profit registry with a strong focus on quality improvement, research and innovation rather than a subscription analytics service. Participating sites will retain immediate access to their own data and can run their own analyses, while also benefiting from AANZER’s analysis and reporting capabilities.
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What are the benefits of joining AANZER?
Participating sites will have access to:
- Benchmarking reports comparing performance at local, state and national levels, as well as to peered EDs.
- Timely access to aggregated ED data to inform quality improvement and strategic planning.
- Research collaboration opportunities, including co-authorship potential.
- Advanced analytic tools for in-house and collaborative data exploration.
- Influence on policy and practice, backed by robust, standardised data.
- Funding leverage through data-driven project proposals and research partnerships.
In addition, sites will have influence over the governance of their own data stored within AANZER, ensuring local priorities are considered.
AANZER as a Health Learning System
AANZER will be designed to function as a Health Learning System (HLS). In this model, participating sites are not just data providers — they are active contributors to a continuous cycle of knowledge creation, feedback and improvement.
Through high-quality, standardised ED data, AANZER will enable:
- Knowledge Creation – Aggregating and analysing data from multiple sites to generate actionable insights into patterns of care, resource use, patient outcomes, and operational efficiency. These insights can identify best practices, highlight variation and uncover opportunities for improvement.
- Decision-Making Assistance – Interactive dashboards, benchmarking tools and tailored analytic outputs allow clinicians, researchers, administrators, and policymakers to make evidence-informed decisions at the local, regional, and national level. This will support improvements in patient flow, resourcing and clinical quality.
- Rapid Learning and Innovation – With periodic yet timely data availability, lessons from one site’s innovation or challenge can be shared and tested elsewhere, accelerating the spread of effective practices.
- Training and Professional Development – AANZER will provide a unique platform for the training of current and future FACEMs (Fellows of the Australasian College for Emergency Medicine) and other ED clinicians. The registry can be used as a teaching resource for understanding clinical epidemiology, quality improvement methodology and health systems analysis. Participation in AANZER projects can also contribute to scholarly activity requirements for fellowship training.
By embedding these functions within a collaborative, non-profit registry, AANZER will create an environment where data drives learning, learning drives improvement and improvement benefits patients and the health system as a whole.
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How will data accessibility, viewing and custodianship work for participating sites?
- Direct access: Sites will have secure, timely dashboard access to their own data.
- Benchmarking: Sites will be able to compare their performance periodically to peers, jurisdictional and national benchmarks.
- Custodianship:
- Sites remain the primary custodians of their data.
- Participating sites grant AANZER secondary custodianship for the purpose of approved secondary analyses.
- Data protection: All data provided to AANZER will be de-identified in compliance with Australian and New Zealand privacy laws. A secure, trackable system will allow case-level follow-up when necessary for research or quality improvement purposes.
- External access: Researchers and external bodies may apply for access to aggregated data only, subject to a formal AANZER approval process.