Non-surgical ways of improving surgical outcomes
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Recommendations for change in healthcare > Leading practice within complex projects Translate to a Project > Teams create change What does this mean in practice > Use workflow mapping
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Non-surgical ways of improving surgical outcomes
- 1. NON- SURGICAL BEST PRACTICE VIA THE NSA SPINE WORKSHOP, HAKUBA 2017
- 2. DR DOUGLAS FAHLBUSCH DOCTOR, MANAGER, PATIENT Perioperative Healthcare Consulting MBBS, FANZCA, GDM, GAICD Improving Healthcare Risk and Cost via the User Experience
- 3. HEALTHCARE IS >1,000 YEARS OLD PROFESSIONAL MANAGEMENT 100. HEALTHCARE MANAGERS 30…They need our help HEALTHCARE TODAY
- 8. PERIOPERATIVE HEALTHCARE IS COMPLEX
- 9. WHY DO HEALTHCARE PROJECTS FAIL? ▸Isolated improvement objectives ▸infection, DVT etc ▸Isolated business improvement objectives ▸Cost, cost, cost etc ▸Often business projects conflict with clinical ▸Reverse not generally true - good healthcare is cheaper healthcare
- 10. RECOMMENDATIONS FOR CHANGE IN HEALTHCARE HOW DO WE TRANSLATE THIS INTO PRACTICE?
- 11. TRANSLATE TO A PROJECT TEAMS CREATE CHANGE www.IHI.org - Institute for Healthcare Improvement ▸ Individuals and teams can feel powerless ▸ Provide a process for individuals to initiate this process
- 12. WHAT DOES THIS MEAN IN PRACTICE USE WORKFLOW MAPPING 1.Identify a care segment that has opportunities for improvement 2.Develop a first draft of the improvement by interviewing those that do the work (‘experts’) 3.Start with post-it notes - then electronic 4.Validate the draft against the actual process (observation) 5.Close the loop: repeat the exercise with your experts
- 13. IDENTIFY A CARE SEGMENT ▸Care segments ideal for process mapping: ▸high consumption of resources (labor, supplies, time, and space) ▸Specific eg’s include non-value-added clinical and administrative tasks ▸60 minutes draft workflow of the care segment with the team: ▸Use a supervisor/ coach to facilitate the conversation ▸Prepare the attendees with Expected Questions ▸Use two people to take notes
- 14. PROCESS MAPPING 1 - POST-IT NOTES OUTPUT OF 60 MINUTE TEAM MEETING
- 15. PROCESS MAPPING 2 - ELECTRONIC CONVERSION AND VALIDATION CONVERSION TO ELECTRONIC FINDS MISSING STEPS AND MISUNDERSTANDINGS
- 16. VALIDATION/ CLOSE THE LOOP ▸Repeat observation captures: ▸general/ high level flow, and ▸where the detail fits ▸Highlights new opportunities eg ▸gaps, ▸other non-value-added processes ▸Brings reality to the concept(s)/ new workflow
- 17. NEXT STEPS ▸Identify a care segment that has opportunities for improvement ▸Perioperative Healthcare Consulting www.perioperative.com.au ▸Acknowledgments: ▸www.ihi.org ▸www.companydirectors.com.au
- 18. NON- SURGICAL BEST PRACTICE VIA THE NSA SPINE WORKSHOP, HAKUBA 2017 Douglas Fahlbusch Perioperative Healthcare Consulting www.perioperative.com.au 08 8552 1996 ~ 0427 719 046
Notas del editor
- Validation via repeat observation: captures general/ high level flow, and where the detail fits Close the loop: highlights new opportunities eg gaps, non-value-added processes - brings reality to the concept(s)