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Picking the priorities. Aaron Jones Whole of Hospital Program Lead Royal Prince Alfred Hospital December 2013. NEAT performance. RPA NEAT Clinical Redesign Project. Undertaken in 2012 Massive diagnostic phase: Patient stories Staff interviews Focus groups Process mapping exercises

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Picking the priorities

Aaron JonesWhole of Hospital Program LeadRoyal Prince Alfred Hospital

December 2013



Rpa neat clinical redesign project
RPA NEAT Clinical Redesign Project

  • Undertaken in 2012

  • Massive diagnostic phase:

    • Patient stories

    • Staff interviews

    • Focus groups

    • Process mapping exercises

    • Data analysis


Rpa neat clinical redesign project1
RPA NEAT Clinical Redesign Project

  • 13 solutions working parties convened in 2012

  • 7 priorities identified for 2013 based on the further diagnostic work and a re-focus:

    • Patient Journey Boards

    • Ward Pull trial

    • ED Team Based Care

    • Fast Track reconfiguration

    • Expand and review EMU – increase utilisation

    • NEAT Navigators in the ED

    • ED Admission Policy


Rpa ed timeline from diagnostics
RPA ED Timeline from Diagnostics

2014

2 Hours

2013

2 Hours


Setting our 2014 priorities
Setting our 2014 Priorities

  • Consolidate on successes/priorities from 2013.

  • Remainder of priorities are all “back of house” solutions

  • Report developed with 5 key recommendations

  • Executive support gained

  • January 2014 – commence key stakeholder engagement and implementation

  • Breakdown 5 solutions into staged, workable projects


Lessons learnt
Lessons Learnt

  • Set clear milestones and aim to meet them

  • Undertake a thorough diagnostic

  • Do not rush implementation

  • Meet with key stakeholders regularly (at least weekly)

  • Concentrate on the long term – don’t be distracted by current performance

  • External support and designated project leader essential


Acknowledgements
Acknowledgements

  • RPA Emergency Dept Staff

  • RPA Executive Team

  • RPA WoHP Strategic Committee

  • RPA Patient Flow Unit

  • RPA Discharge Liaison Service

  • RPA Clinicians

  • Ministry of Health WoHP team


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