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NON-
SURGICAL BEST PRACTICE VIA THE
NSA SPINE WORKSHOP, HAKUBA
2017
DR DOUGLAS
FAHLBUSCH
DOCTOR,
MANAGER,
PATIENT
Perioperative Healthcare
Consulting
MBBS, FANZCA,
GDM, GAICD
Improving Healt...
HEALTHCARE IS
>1,000 YEARS OLD
PROFESSIONAL
MANAGEMENT 100.
HEALTHCARE
MANAGERS 30…They need our help
HEALTHCARE TODAY
HEALTHCARE TODAY
HEALTHCARE TODAY
HEALTHCARE TODAY
HEALTHCARE TODAY
PERIOPERATIVE HEALTHCARE IS COMPLEX
WHY DO HEALTHCARE PROJECTS FAIL?
▸Isolated improvement objectives
▸infection, DVT etc
▸Isolated business improvement objec...
RECOMMENDATIONS FOR CHANGE IN HEALTHCARE
HOW DO WE TRANSLATE THIS INTO PRACTICE?
TRANSLATE TO A PROJECT
TEAMS CREATE
CHANGE
www.IHI.org - Institute for Healthcare Improvement
▸ Individuals and teams can ...
WHAT DOES THIS MEAN IN PRACTICE
USE WORKFLOW MAPPING
1.Identify a care segment that has opportunities for
improvement
2.De...
IDENTIFY A CARE SEGMENT
▸Care segments ideal for process mapping:
▸high consumption of resources (labor, supplies, time, a...
PROCESS MAPPING 1 - POST-IT NOTES
OUTPUT OF 60 MINUTE
TEAM MEETING
PROCESS MAPPING 2 - ELECTRONIC CONVERSION AND
VALIDATION
CONVERSION TO ELECTRONIC FINDS
MISSING STEPS AND MISUNDERSTANDINGS
VALIDATION/ CLOSE THE LOOP
▸Repeat observation captures:
▸general/ high level flow, and
▸where the detail fits
▸Highlights...
NEXT STEPS
▸Identify a care segment that has opportunities for
improvement
▸Perioperative Healthcare Consulting
www.periop...
NON-
SURGICAL BEST PRACTICE VIA THE
NSA SPINE WORKSHOP, HAKUBA
2017
Douglas Fahlbusch
Perioperative Healthcare Consulting
...
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Non-surgical ways of improving surgical outcomes

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Published on

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


Published in: Healthcare
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Non-surgical ways of improving surgical outcomes

  1. 1. NON- SURGICAL BEST PRACTICE VIA THE NSA SPINE WORKSHOP, HAKUBA 2017
  2. 2. DR DOUGLAS FAHLBUSCH DOCTOR, MANAGER, PATIENT Perioperative Healthcare Consulting MBBS, FANZCA, GDM, GAICD Improving Healthcare Risk and Cost via the User Experience
  3. 3. HEALTHCARE IS >1,000 YEARS OLD PROFESSIONAL MANAGEMENT 100. HEALTHCARE MANAGERS 30…They need our help HEALTHCARE TODAY
  4. 4. HEALTHCARE TODAY
  5. 5. HEALTHCARE TODAY
  6. 6. HEALTHCARE TODAY
  7. 7. HEALTHCARE TODAY
  8. 8. PERIOPERATIVE HEALTHCARE IS COMPLEX
  9. 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. 10. RECOMMENDATIONS FOR CHANGE IN HEALTHCARE HOW DO WE TRANSLATE THIS INTO PRACTICE?
  11. 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. 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. 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. 14. PROCESS MAPPING 1 - POST-IT NOTES OUTPUT OF 60 MINUTE TEAM MEETING
  15. 15. PROCESS MAPPING 2 - ELECTRONIC CONVERSION AND VALIDATION CONVERSION TO ELECTRONIC FINDS MISSING STEPS AND MISUNDERSTANDINGS
  16. 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. 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. 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

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