Stirring Up an Ant's NEST

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Suellen Gaynor, Surgical Patient Flow Manager, from Wagga Wagga Base Hospital delivered this presentation at the 2012 Elective Surgery Redesign Conference. For more information about our wide range of medical and health events covering a broad range of industry issues, please visit www.healthcareconferences.com.au

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Stirring Up an Ant's NEST

  1. 1. Stirring up an Ants Nest Challenging current process Disrupting normality Presented by Suellen Gaynor, Surgical Patient Flow Manager, Wagga Wagga Base Hospital (WWBH), Murrumbidgee Local Health District (MLHD), NSW Health.
  2. 2. NEST NATIONAL ELECTIVE SURGICAL TARGETS 100% YTD by December 2015
  3. 3. ANT’S NEST ….
  4. 4. Wagga Wagga within MLHD
  5. 5. Wagga Wagga Base Hospital from the air
  6. 6. Background to Achieving NEST
  7. 7. Category 1 - Overdues
  8. 8. Category 2 - Overdues
  9. 9. Category 3 - Overdues
  10. 10. Managing Wait List
  11. 11. Wait list management challenges. • Aging population • Community Expectations • Staffing • New VMO’s • Targets & Activity Base Funding
  12. 12. Surgical Patient Flow Manager
  13. 13. Issue to be resolved Director of Medical Services
  14. 14. NEST Strategies
  15. 15. Predictive Report
  16. 16. Theatre Booking Office Practices
  17. 17. Correspondence review • All letters from Theatre Booking Office • Additional Correspondence • Ongoing review
  18. 18. MEETINGS • Surgical Waitlist Management Group • Patient Flow Manager • Booking Office • Theatre Management
  19. 19. CANCELLATIONS MANAGEMENT
  20. 20. Introduction of the Emergency Surgery Guidelines (2009) • Dedicated Emergency session • Acute Surgical Unit (virtual model)
  21. 21. Capital Works
  22. 22. Utilization of outlying Health facilities
  23. 23. The NEST Challenge 100% for all categories by 2015
  24. 24. National Emergency Access Targets (NEAT)
  25. 25. The Continuing Journey
  26. 26. References  Surgery News can be found on Predictable Surgery Program Newsletters page in ARCHI.  Retrieved 22nd October 2012 from http://www.archi.net.au/resources/delivery/surgery/predictable-surgery/12  Rough Road Ahead, The continuing Journey http://thestarbook.wordpress.com/category/musings  Ants background image by Joe Lencioni at shiftingpixel.com  Maps  http://www0.health.nsw.gov.au/services/lhd/rural.asp
  27. 27. Thanks to…  My mentors, Megan King, Michelle Sleep, Jill Ludford and Bruce Budd, Managers within MLHD  Theatre Booking Staff for teaching me everything that I now know about Waiting List Management  Bruce Budd Access Surgical Performance Manager, for the Category Overdue graphs  Irene Hing, DON&M, WWBH, MLHD for the title for this presentation.  WWBH Librarian, Jenny Price  IIR Healthcare Conference Providers  And my audience today.

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