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Business planning for Clinical Librarian Services

Business planning for Clinical Librarian Services. Jacqui LeMay Head of Knowledge Services University Hospitals of Coventry and Warwickshire NHS Trust SHINE Study Day Aberdeen 21 st March 2013.

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Business planning for Clinical Librarian Services

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  1. Business planning for Clinical Librarian Services Jacqui LeMay Head of Knowledge Services University Hospitals of Coventry and Warwickshire NHS Trust SHINE Study Day Aberdeen 21st March 2013

  2. “Never in any hospital that I have worked in, has somebody worked so hard to come up with the best available evidence.”

  3. Doing your homework • Know your audience • Know the process • Scope and learn the drivers • Do your background research – what IS the evidence? • Network for example BCs • Pilot interest, find your champions, use them. • Be prepared for a fight!

  4. Approval Process Stage 1: This will consist of a brief submission with input from appropriate clinicians and managers from within the Division/Core Department … approved by the appropriate Executive Director, normally the Chief Operating Officer, and copied to the Head of Business Planning for including on the business case log Briefing paper: • BACKGROUND • Current arrangements • Drivers for change • SWOT • BRIEF DESCRIPTION OF PROPOSED CHANGE • BENEFITS • ANTICIPATED IMPACT • LEVEL OF DISCUSSION AND SUPPORT • ANTICIPATED COSTS

  5. Stage 2: Following approval - a more detailed business case. • SERVICE TO BE PROVIDED • THE CASE FOR CHANGE • Current Provision • Strategic Context • Drivers for Change – Gap between current position and strategic need • Option Appraisal • DESCRIPTION OF PROPOSED CHANGE • Non Clinical Impact • Objectives/Benefits • Stakeholder Impact • RESOURCE CONSEQUENCES ( Costs, Pay, Non pay and Capital) • Funding of Start Up Costs • Sources and Value of Funding/Income • Costs v Funding • IMPLEMENTATION PLAN • RISK ANALYSIS / CONTINGENCY PLAN FOR PREFERRED OPTION • MONITORING/EVALUATION • EXIT STRATEGY

  6. Speaking the right language? Q1 What strategic drivers would you use to IMPACT the need for your Trust to approve your business case?

  7. Q1:Drivers – themes to document evidence • Demonstrates the use of evidence based practice • Supports quality patient safety agenda • Facilitates education • Promotes a reflective organisational culture dedicated to improvement and shared learning • Empowers patient choice • Provides a systematic and comprehensive model in achieving quality patient care. • Contribution to achievement of national healthcare standards and performance indicators • Contribution to the achievement of Trust Foundation status • Demonstrates compliance with National quality drivers

  8. Q1:Drivers: make it visual

  9. Q2 • How much would it cost? Provide a breakdown of set up and recurrent cost implications for the Trust.

  10. Revenue – recurrent: Pay Capital – one off: Non-pay Other considerations Increased costs: ILLs Administration time Administration resources Resource expectation Increased income Departmental accounts Q2: Cost:

  11. Q3 How does your business proposal stand up against other options for the implementation of evidence based practice? • Option appraisal • See handouts

  12. Q4 What outcome measures would you use to demonstrate the clinical and non-clinical impact your service would bring to your Trust?

  13. Changed intended practice choice of diagnostic test choice of therapy choice of procedure Confirmed meeting best practice Confirmed lack of evidence Changed prognosis Avoided unnecessary referral outpatient appointment Shortened hospital length of stay waiting time to treatment Prevention Risk Complaint Morbidity Mortality Corporate Change in service delivery Cost saving Change in Care Pathway Guideline development Audit Research Legal investigation Knowledge base Outcome measures

  14. Do not give in or give up • First attempt 2005 • Second attempt • BC document stage 1 approval process (June 2009) • BC document stage 2 – Trust Board (December 2009) • Seeking Divisional Funding (December 2009 – April 2010) • Recruitment process (May – October 2010) • BC Evaluation Meeting (July 2011) • CEBIS System (December 2009 – February 2013)

  15. Any Questions? Thank you Jacqui LeMay Tel: 02476 968838 E-mail: jacqui.lemay@uhcw.nhs.uk

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