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Fiona Thow - productive endoscopy service improvement toolkit
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Fiona Thow - productive endoscopy service improvement toolkit


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Fiona Thow NHS IQ Director describes the new productive endoscopy service improvement toolkit

Fiona Thow NHS IQ Director describes the new productive endoscopy service improvement toolkit

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  • 1. design - - - Productive Endoscopy Overview- AUGIB workshop January/February 2014 Fiona Thow
  • 2. These modules create the Productive Endoscopy Unit
  • 3. design - - - Changed modules to reflect Endoscopy more appropriately Executive leaders guide • 10min précis incl. NHS Change Model, followed by full change management module Programme leaders guide- extras added! • • • • Handover, recovery & discharge (combined module) • Identify requirement to standardise the process • Eliminate duplication and delay • The discharge process Session start-up & changeover (combined module) NHS Change model A3 thinking/pdsa Energy for change Benefits realisation • Safe & efficient transfer between functions
  • 4. design - - - Totally New Modules! Referral Management • Understanding referral into & the process within the unit • Reducing inappropriate referrals, delays & cancellation Patient Experience • Putting the patient at the centre of improvement activities • 6C’s-Compassion in Practice- care, communication, courage, competence, commitment, compassion Pre-assessment (& patient preparation) • Correct patient evaluation, advice & support • Creating efficient, no delay, ‘pull’ into rooms
  • 5. design - - - Writing new modules & re-writing modules to ensure endoscopy focus NIL’s working on site •test improvements •develop appropriate case studies/example s for inclusion Partnership with JAG & alignment to GRS (endorsement) •Joint Advisory Group on Gastrointestinal Endoscopyaccreditation of endoscopy units & colonoscopists working in the BCSP Learning workshop (October 2013) • Showcase of achievements to date (see posters displayed) • Training for sites
  • 6. design - - - Approaches used Two differing strategies All modules divided up & module leads selected Selected modules only attempted Very tight timeframe of only 6 months to develop, test and write up! Amazing results from teams so far Case studies/examples of improvements made Posters showcasing progress Quotes from staff & patients involved
  • 7. design - - - Robust Measures quality/ safety staff morale Across the 4 domains to improve the patient experience & outcomes timeliness /delivery cost/ value for money
  • 8. design - - - Robust Measures Measures representing Trust Values & NHS Outcomes Framework mapped to 6C’s individual module measures module lead measures for use in PDR process
  • 9. design - - - Measures
  • 10. design - - - Measures
  • 11. design - - -
  • 12. design - - - "We're trying to create the Bible for the Endoscopy Unit" Jim Buenaventura, Endoscopy Unit Manager, Whipps Cross University Hospital “ I now couldn’t work in a unit that didn’t display metrics to show how it was performing ” Clinical Lead, Barts Health "It's important that the team make the connection that each piece of paper in this unit is a patient!" Koralie Bird, Sister, Portsmouth Endoscopy Unit “Our team now understands the importance of communication & are utilising the brief and debrief to good effect, as well as time-out sessions to plan changes” Lead Nurse, Liverpool "Always end the huddle on a high!" Jim Buenaventura, Endoscopy Unit Manager, Whipps Cross University Hospital "This was a very different approach to what we'd had before. Previous experiences of Lean left us feeling very 'done to' but this was very inclusive" Nicky Taggart, Endoscopy Manager, RLBH NHS Trust “All you need are a few flip charts and some creative minds.” Ed Seward – Consultant gastroenterologist, Whipps Cross Hospital, Barts Health
  • 13. PE Learning Event
  • 14. design - - -
  • 15. PE Mock up