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Improving Patient Pathways



How to optimise systems & processes to deliver a cost effective service that works for both patients & staff alike, whilst achieving 'must do' targets.

How to optimise systems & processes to deliver a cost effective service that works for both patients & staff alike, whilst achieving 'must do' targets.



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Improving Patient Pathways Presentation Transcript

  • 1. Presented By: Katy Gordon
  • 2. Outline of Presentation Background Requirements Our Approach Advantages of Working with Co-Creating Balance Summary
  • 3. Background: NHS Plan [DoH 2000]
    • Our aim is to redesign the system around the patient
    • This involves:
    • Looking at services from the way the patient receives them
    • Planning the pathway that a patient takes from start to finish
    • Best, modern clinical practice is identified & decisions made about which professional should best carry out which function
  • 4. Care Pathways People and perfect processes make a quality health service – a poor quality service results from a badly designed and operated process, not from lazy or incompetent health care workers” John Ovretviet, Health Service Quality, 1992
  • 5. ICPs – what are they?
    • A tool & a concept that embed guidelines, protocols & locally agreed, evidence-based, patient centred, best practice, into everyday use for the individual patient
    • ICPs record deviations from planned care in the form of variance
  • 6. ICPs aim to have:
    • the right people
    • doing the right things
    • in the right order
    • At the right time
    • In the right place
    • With the right outcome
    • All with attention to the patient experience
  • 7. Bolt on to Current Services
  • 8. Bolt on to Current Services
  • 9. Bolt on to Current Services
  • 10. Background: Each Area Each area is completely concentrating on their own roles and targets Are they managing an integrated patient pathway? 2. Visit G.P 3. Local Hospital
    • Rehabilitation Team
    • Regional Hospital
    • Community Team
    1. Patient
    • Specialist Team
    1. Patient
    • Specialist Team
  • 11. Bolt on to Current Services
  • 12. Requirements 1. Visit G.P 2. Local Hospital
    • Regional Hospital
    • Community Team
    • Specialist Team
    • Rehabilitation Team
  • 13. Requirements
    • Regional Hospital
    • Community Team
    • Rehabilitation Team
    1. Visit G.P 2. Local Hospital
    • Specialist Team
  • 14. Our Approach Create a Strong Base Implement Change Identify core problems Overview of problem Analyse Strengths and Weaknesses of current methods Meet the people
  • 15. Our Approach They own Solution Monitor Effectiveness They control implementation Motivate Client Team Implement Change
  • 16. Bolt on to Current Services
  • 17. Current Pathway for Specialist Respiratory Services Tuesday, 16 Feb 2010 4 weeks 5-6 weeks 3-4 weeks 2 weeks 3 months 3 mths 3 mths 6 mths 6 months 6-8 weeks S&S snoring Obstructive sleep apnoea About 10-20% require home visits for which there is no provision at present Signs & symptoms Obese? Sleepy? Apnoea? Snoring? Tests BMi ESS ABG Book SS Equipment dispensed at this appt Ongoing care by physios via telephone (helpline and/or face to face Phone/see Physio plan Annual replacement consumables Annual engineers CPAP service 20% of patients 25% of patients 75% of patients Ent Referral to Ent Discharge CPAP Discharge from medical follow up PCT 1° care appointment Referral via choose & book 1 st OPA Home sleep study (SS) 2 nd OPA CPAP Urgent Routine 3 rd OPA Issues OPA No issues OPA 80% of patients
  • 18. One Stop Clinic 1 wk 1 wk Dr & Physio multidisciplinary This could be face to face or via telemedicine Issues to be addressed Referred Proforma Choose & book process Backlog on CPAP Space for equipment storage SS admin Any other resources 1 2
    • How many physios required for this?
    • How many engineers required?
    3 SS 1 st OPA Physio contact ongoing as required Annual Physio consumables and also engineers review Ent Discharge Dr OPA Physio Helpline 75% of patients 25% of patients ENT GP CPAP
  • 19. Summary You have a need to improve ……. We have shown how our methodology will help We provide a cost effective solution
  • 20. Thank You