Our Experience of Being A Pilot Site - Level 2

Our Experience of Being A Pilot Site - Level 2 PowerPoint PPT Presentation

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Background. South Tees TrustTwo unitsJames Cook > 4000 deliveriesFriarage Northallerton 1250 deliveries Both units are consultant led 13 consultants215 midwives. Our Strategy. Gap analysisTeam selection and motivationRegular meetingsTime orientated goalsOne key lead. The Team. Consulta

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Our Experience of Being A Pilot Site - Level 2

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1. Our Experience of Being A Pilot Site - Level 2 Helen Simpson on behalf of the Team James Cook University Hospital 11th March 2009

2. Background South Tees Trust Two units James Cook > 4000 deliveries Friarage Northallerton – 1250 deliveries Both units are consultant led 13 consultants 215 midwives

3. Our Strategy Gap analysis Team selection and motivation Regular meetings Time orientated goals One key lead

4. The Team Consultant Obstetrician and Lead Head of Midwifery Risk Management Co-ordinators Training Co-ordinators Labour Ward Managers Ward Managers (obs, neonatal) Matrons (obs, neonatal, A&E) Theatre Managers Fetal med consultants Maternal medicine consultant Anaesthetic consultants Antenatal screening co-ordinator Consultant Midwife with responsibility for breast feeding

6. Meetings Weekly meetings Key personnel Sub groups Protected time

7. Gap Analysis Standards released Gap analysis Spread sheet of over 200 actions Each action allocated to member of the team Each action given a time frame for completion

9. Guidelines Identification all relevant guidelines Ensure all auditable standards covered CNST requirements

10. How to prove compliance? Sometimes easier than others

11. Audits 60 audits Best way of easily proving compliance Most done at both sites Try to ensure audits cover as many criteria as possible Same audit tool across sites Ensure standards audited are matched in the guidelines

12. Training Robust training databases within maternity for core subjects – CTG, obs emergency training Had to encourage other areas to develop robust systems Had to develop an understanding of the need to be able to track whether staff had attended training

13. Data Input One data imputer Allowed control but very time consuming Create logical system for storing data By standard and Criteria Allowed information to be easily located and updated Issue – if piece of information in more than one place Use the comment column to keep notes Each piece took on average 30mins to add – allowing for checking and clear marking of relevant section

14. Data Identification When data returned clearly state the standard and criteria it is required for If possible also the paragraphs/ pages that are relevant Data inputting then much easier

15. Identification of Compliance Be honest with the self assessment Helpful as a running assessment of progress

16. Issues Not Solvable Locally Identified key areas which maternity could not deal with Involved Trust Head of Nursing Involved the Chief Executive Staffing issues Meetings with key personal All options discussed

17. Difficulties Time for staff to complete audits etc Time for staff to attend training Time to down load information Versus need to cover wards/ clinical commitments

18. Difficulties Other departments not familiar with CNST Identification of key personnel in each clinical area Using Head of Midwifery Using Chief of Service

20. The Final Week Leave as much time as possible! Don’t do what I did Away the week before Covering labour ward most of the days before assessment! Ensure data base complete and clear All paper information ready and clearly marked – keep this to a minimum Are key personnel available

21. Assessment Relax They aren’t Rottweiler's really! More like pussy cats

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