Transforming Access, Using Allied Health Professional Referral to Treatment Times to Deliver Improvement
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Transforming Access, Using Allied Health Professional Referral to Treatment Times to Deliver Improvement

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Transforming Access, Using Allied Health Professional Referral to Treatment Times to Deliver Improvement Transforming Access, Using Allied Health Professional Referral to Treatment Times to Deliver Improvement Presentation Transcript

  • Transforming Access, Using Allied Health Professional Referral to Treatment Times to Deliver Service Improvement Transforming Community Services – Beyond Transfer to Transform Melanie Griffiths Head of Service Improvement Chris Howell Deputy Director of Operations AHP Services Adam Powell Head of Information Skills NHS Warwickshire Your Health, Our Concern
  • National/Local Drivers
    • TCS
    • Community Information Project
    • National AHP RTT
    NHS Warwickshire Your Health, Our Concern
  • Background to AHP RTT
    • Mandate:
    • Collection and reporting of AHP RTT data from April 2011
    • Framing the Contribution of AHPs (DH, 2008)
    • Operating Framework 09/10 and 10/11
    • Aim
    • To understand the lengths of waits experienced by patients to access AHP services
    • To understand the reason why a clock has stopped
    • To publish nationally AHP RTT data for benchmarking of services
    • For patients to use the data to make informed decisions when choosing which AHP service to access
    NHS Warwickshire
  • AHP RTT as an enabler
      • Community Information Project
      •   Allied Health Professionals Referral to Treatment Waiting Times Interim Pilot Sites Report Jan 2011
    • … development of effective commissioning,
    • … the development of community tariffs,
    • ...the introduction of choice for community services patients via the Any Willing Provider model (as set out in the White Paper),
    • … will enable front line clinicians to measure and improve their outcomes, productivity and improve patient safety
    NHS Warwickshire Your Health, Our Concern
  • Organisational Operational Context
    • Historical long waits
    • Staff anxiety about the waits
    • Paper based management information
    • Poor quality cPAS (IPM Fleming) information
    • Complaints Involvement of CEO
    • Local targets
    • Needed a focus for AHP service improvement
    NHS Warwickshire Your Health, Our Concern
  • RTT Pilot Study – setting the seed
      • Pilot Site Winter 2009
      • All AHP services
      • Executive Involvement
      • Impetus to focus on fact rather than anecdote
      • Information Analyst engagement
      • Service Improvement engagement
        • Waiting list management
        • Demand and Capacity
      • Need for easily accessible management information
    NHS Warwickshire Your Health, Our Concern
  • NHS Warwickshire
  • Our Approach NHS Warwickshire Your Health, Our Concern Joint Definition Of Information needs
    • Waiting List numbers
    • Waiting list profiles
    • Demand (Referrals)
    • Activity
    • Capacity
    • Lost Capacity
    • Local testing with Teams
    • Data cleansing & Validation
    • Monitoring by managers
    Joint Development of draft Information Tools Testing with all service managers & teams Organisational Mainstreaming
    • Electronic
    • Central
    • Easily accessible
    • Up to date
    • Flexible
    • Validated
    • Information analyst time
    • AHP manager Workshops
    • Prototypes
    • Access to central repository for information reports (Evolve)
  • Waiting List Tools Initial information developed
  • Demand and Capacity Tools Initial information developed:
  • NHS Warwickshire Your Health, Our Concern Mainstreaming
    • Stand alone excel reports time intensive
    • Existing platform for information reports
    • AHP information technophobes
    • Analyst support – invest to save
  • NHS Warwickshire Your Health, Our Concern
    • Interactive Waiting List tools now available
    • Filter by Service
    • Filter by Team s
    • Filter by snapshot date
  • NHS Warwickshire Your Health, Our Concern Same filters apply Very visual cue
  • NHS Warwickshire Your Health, Our Concern
  • NHS Warwickshire Your Health, Our Concern
    • Very motivating profile for managers to share
  • NHS Warwickshire Your Health, Our Concern
  • NHS Warwickshire Your Health, Our Concern
    • Very motivating profile for managers to act on
  • Combined AHP services waiting list NHS Warwickshire
  • All AHP services - Jan 2010 v Feb 2011 NHS Warwickshire
  • All AHP Services - % of patients waiting longer than 18 weeks NHS Warwickshire
  • NHS Warwickshire Your Health, Our Concern Demand and Capacity Tools
    • Tools to interpret waiting list patterns and manage services
    • Same filter principles as waiting list tools
    • Accessible, up to date
  • NHS Warwickshire Your Health, Our Concern
  • NHS Warwickshire Your Health, Our Concern
  • NHS Warwickshire Your Health, Our Concern
  • Successes
    • Workshops for managers
    • Managers from all AHP services
    • Service improvement, business management & Information engagement
    • Group support
    • Regular public checking
    • Friendly competition in safe place
    • Hard work and enthusiasm from managers & their teams
    • Improved understanding ownership of waiting lists
    • Improved Information confidence and independence
    NHS Warwickshire Your Health, Our Concern Because AHP Managers were actively involved within the planning process, the information that is now available to them is relevant and applicable to what they need to see and is hence very popular
    • Help from Service Improvement Team
      • Demand & Capacity
      • Waiting List Management
      • Mediate between clinicians and information team
      • Help with analysing data
    • Engagement with Information team
      • 2 way process
      • Information team felt appreciated
      • Clinicians felt listened to
      • Mutually beneficial
    NHS Warwickshire Your Health, Our Concern
  • Project Benefits
    • Waiting lists have reduced
    • Data cleansed & reliable
    • Information is now SMART and transparent
    • Clinical Managers spend less time collecting analysing interpreting data
    • Close monitoring of waiting lists at all times
    • Demand and Capacity analysis is now the norm
    • Reduced adhoc requests for information to information analysts
    • Consistency of information –reviewed analysed challenged by Management
    • Changes in the pattern of referral and activity easily monitored – Myths challenged
    • Business cases option appraisals becoming information driven
    NHS Warwickshire Your Health, Our Concern
    • The Future
      • Continue to develop current tools further
      • Add additional demand and capacity tools
      • Roll out the tools to all services – Community & Acute
      • Use Statistical Process Control (SPC) charts
      • Use this approach for the development of future management information tools
    NHS Warwickshire
  • NHS Warwickshire Your Health, Our Concern Take Home Messages
    • Although AHP RTT is a mandatory requirement it should be seen as an opportunity for future service improvement involving collaborative working with your Information department.
    • Don’t underestimate the power of clinicians & information working together in a developmental capacity