Streamlining the care system improving the patient experience mary sherry director of performance
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Streamlining The Care System – Improving the Patient Experience Mary Sherry, Director of Performance. Streamlining Care – Where are we?. Systems Thinking principles being applied by the leadership teams and starting to embed throughout the organisation

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Streamlining the care system improving the patient experience mary sherry director of performance l.jpg

Streamlining The Care System – Improving the Patient ExperienceMary Sherry, Director of Performance


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Streamlining Care – Where are we? Experience

  • Systems Thinking principles being applied by the leadership teams and starting to embed throughout the organisation

  • This means looking end-to-end at our processes to redesign and improve the patient pathway

  • Changes are happening in various ways across our pathways

  • Whole hospital metrics focus our attention on stages of patient journey as well as mandatory measures

  • Whole hospital transformation plan developed to realise benefit to:

    • Patient experience

    • Cost

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – What has changed? Experience

Work is underway in the following areas:

  • Referral to Clinic (Diagnosis)

  • Elective Admission to Surgery and on to Discharge

  • Trauma Pathway

  • All work is directly with teams ‘on the ground’ using work place metrics to identify issues and plan and test solutions

  • Further work streams are planned from September onwards

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – What has changed? Experience

Referral to Clinic (Diagnosis)

  • Appointments are being booked more quickly

  • Patient waiting times have reduced – a 15 steps reduced to 5, time reduced from 40 days to 10, flexible hours to contact patients more conveniently

  • Majority of patients requiring surgery are now pre-assessed on the same day as clinic

  • As administrative processes have reduced, so have costs

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – Referral to Clinic Experience

New Booking Process Implemented

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – ExperienceCentral Pre-Assessment Department

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – What has changed? Experience

Elective Admission to Surgery and onto Discharge

  • Work place metrics in place on ward and in theatre to show staff what is actually happening and drive change – good example is start times

  • Admission lounge opened in order to increase patients being admitted on the day – more convenient to patients

  • Theatre start times tackled and new process implemented – to increase patients treated per list and reduce cancellations/overruns

  • Planning of lists being reviewed with consultants – to increase use of theatres, shorten waiting times

  • Review of admission and discharge process – to improve planning of admissions and discharges, giving more certainty to patients

ANNUAL GENERAL MEETING, 29 JULY 2010



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Streamlining Care – Theatres: Admission to Theatre – PS & MF Elective Inpatients

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – What has changed? & MF Elective Inpatients

Trauma Pathway

  • Key objective set that trauma patients, once fit for treatment, will be operated on within 24 hours, plus time elapsed from injury to treatment to be key focus

  • Trauma Co-ordinator appointed, to improve the management of patients through their pathway

  • Electronic Trauma board being designed, with process changes to improve the planning of trauma theatre lists

  • Reasons for cancellations being focussed on the drive change, potentially increasing availability of trauma operating time

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – Trauma Pathway: & MF Elective Inpatients Admission to Theatre PS & MF Inpatients

ANNUAL GENERAL MEETING, 29 JULY 2010


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Streamlining Care – What happens next? & MF Elective Inpatients

ANNUAL GENERAL MEETING, 29 JULY 2010

  • Realignment of Executive role to focus on redesign

  • The establishment of a dedicated team to take this work forward September 2010 to March 2011

  • New work streams to commence in September including cancer pathway and new : follow up appointments

  • The roll out of key metrics to management team so that patient experience is at the heart of management action to drive change


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