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Ms Maureen Carroll. The ‘M’ in MCN. Respiratory MCN Learning Forum 2010 . Respiratory MCN’s Practical approach Logical approach Adaptable Non-academic Facilitation of mutual learning. Workshop Perspective:. Respiratory MCN Learning Forum 2010. CHANGE!!!. RESISTANCE IS FUTILE.

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ms maureen carroll

Ms Maureen Carroll

The ‘M’ in MCN

Respiratory MCN Learning Forum 2010

workshop perspective
Respiratory MCN’s

Practical approach

Logical approach

Adaptable

Non-academic

Facilitation of mutual learning

Workshop Perspective:

Respiratory MCN Learning Forum 2010

change
CHANGE!!!

RESISTANCE

IS

FUTILE

INEVITABLE

Respiratory MCN Learning Forum 2010

why do people resist change
Why Do People Resist Change?:
  • When they don’t understand
    • The reason
    • Its nature
    • The possible consequences
  • If change means loss of
    • Power
    • Status
    • Prestige
    • Respect
    • Security
    • Approval
  • If it is personally inconvenient
    • Disturbs relationships
    • Move in location
    • Alters social opportunity

Respiratory MCN Learning Forum 2010

spectrum of participants
Spectrum of Participants:
  • Champions
  • Change Agent
  • Participant
  • Observer
  • Not Involved
  • Silent Doubter
  • Sceptic
  • Cynic
  • Saboteur

Respiratory MCN Learning Forum 2010

push pull factors
Push & Pull Factors
  • Drivers for Change (Push)
    • 18 Weeks
    • Demand
    • HEAT Targets
    • Quality
  • Restraints against Change (Pull)
    • Current Practice
    • Capacity
    • Skills
    • Time

Respiratory MCN Learning Forum 2010

dissatisfaction with status quo
Dissatisfaction with Status Quo
  • Mapping Current Patient Pathways
  • Patient / User Interviews & Satisfaction Questionnaires
  • Patient Stories / Narratives
  • Data / Data / Data
  • Literature / Service Review
  • Site Visits

Respiratory MCN Learning Forum 2010

co operation collaboration
Co-operation & Collaboration
  • Understand the Need for Change
  • Encourage a Desire to Change
  • Create the Vision
  • Identify the Champions & Change Agents
  • Reduce Resistance / Don’t Force Drivers
  • Involvement in Design & Implementation of Change
  • Active Delegation
  • Create Ownership
  • Phased Approach / Quick Wins
  • Develop Pride / Sense of Achievement
  • Celebrate!!!!!

Respiratory MCN Learning Forum 2010

creating the vision
Creating theVision!!!

Respiratory MCN Learning Forum 2010

setting the workplan
Setting The Workplan:
  • Local Respiratory Stakeholder Objectives
    • Identification
    • Prioritisation
  • National Respiratory Objectives & Directives

Respiratory MCN Learning Forum 2010

2010 2011 workplan
2010/2011 Workplan:

COPD Whole System Service:

  • Implement COPD WSS 2010 Business Case
  • Self-management & Pulmonary Rehabilitation Locality Classes
  • Leisure Services Pulmonary Rehabilitation Classes
  • Spirometry Quality Assurance & Training Programme
  • Respiratory Palliative Care
  • RHSS & Community Services Links
2010 2011 workplan1
2010/2011 Workplan:

Respiratory MCN

  • Asthma Transitions
  • COPD Guidelines for Primary Care
  • Oxygen Guidelines
  • Complex Asthma Patient Pathway
  • Asthma Adult Action Plan
  • Patient Self-management Programme
  • Education & Training Strategy
  • Redesign Patient & Carer Involvement Strategy
  • Sleep Services
  • COPD Standards
  • QAP
corporate objectives
Corporate Objectives:
  • HEAT Targets
    • H6 Links to Stop Smoking Service
    • E4 Outpatients / Inpatients
    • E5 Revenue Resource Limit
    • E6 Cash Efficiency Target
    • E7 Electronic Referrals
    • A10 Referral to Treatment Targets
    • T6 Hospital Admission & Bed Days
    • T8 Older People with Complex Needs Receiving Care at Home
    • T10 Supporting Shifting the Balance of Care
    • T12 Emergency Inpatient Days

Respiratory MCN Learning Forum 2010

corporate objectives1
Corporate Objectives:
  • Long Term Conditions
  • Quality Strategy
  • Patient Safety Programme
  • PFPI
  • Patient Experience
  • Equity & Diversity
  • Spirituality

Respiratory MCN Learning Forum 2010

regular feedback
Regular Feedback:
  • Share & Celebrate
    • Status Reports / Newsletters
    • Activity Data Reports
    • Clinical Outcome Data
    • Performance Outcome Data
    • Patient & User Satisfaction Feedback
    • Trend Analysis
    • Lessons Learned Log

Respiratory MCN Learning Forum 2010

one size can fits all
One Size (can) Fits All:
  • Workplan Status Report
  • Extended QAP Report
    • Core Principles
      • Clinical Effectiveness
      • Patient Engagement
      • Financial Report Position
      • Standards
    • Performance Assessment & Monitoring of the MCN
    • Service Development & Redesign
    • Corporate Objectives
  • Annual Report

Respiratory MCN Learning Forum 2010

annual report
Annual Report:

Core Principles

MCN Workplan:

  • Outcomes of the COPD Whole System Service
  • Financial position
  • Work Plan 2010/2012
  • New teams at each site
  • Paediatric Services
  • Transitions

Patient Engagement / Experience:

  • Patient Open Day
  • Respiratory Fun Day
  • Patient/Carer/Public Involvement Strategy
  • Patient Feedback Summary on COPD WSS

Education & Training:

  • The Chest Club
  • Leisure Services Staff and Community Nursing Teams
  • Staff Training Programme
  • Conferences at which MCN members presented

Respiratory MCN Learning Forum 2010

accountability reporting structures
Accountability & Reporting Structures:

Respiratory MCN Learning Forum 2010

the quantum leap
The Quantum Leap:
  • Achieving More with Less
  • Project Management  Programme Management
  • Utilising the Network
  • Becoming a Strategic Entity
  • Advisory Capacity
  • Corporate Agenda

Respiratory MCN Learning Forum 2010

slide25
Discussion

Respiratory MCN Learning Forum 2010