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Aaron Jones Whole of Hospital Program Lead Royal Prince Alfred Hospital December 2013

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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Aaron Jones Whole of Hospital Program Lead Royal Prince Alfred Hospital December 2013

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  1. Picking the priorities Aaron JonesWhole of Hospital Program LeadRoyal Prince Alfred Hospital December 2013

  2. NEAT performance

  3. RPA NEAT Clinical Redesign Project • Undertaken in 2012 • Massive diagnostic phase: • Patient stories • Staff interviews • Focus groups • Process mapping exercises • Data analysis

  4. 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

  5. RPA ED Timeline from Diagnostics 2014 2 Hours 2013 2 Hours

  6. 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

  7. 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

  8. 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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