ECHO
A Close Encounter
New Mexico
• Commandant Colonel Hugo O’Conor fought
under the Spanish crown
• 1846, an Irish-American General named
Stephe...
We All Know
• First-time outpatient waiting list doubles to
340,000
• Over 20,000 patients a month miss hospital
appointme...
Rheumatology
Identified quick wins
Benefit

Selfmanagement
programmes

Encouraging
patient selfmanagement
improves outcome

Implemented...
The Echo Solution
• Pareto Principle
• Knowledge Network
Dr. Trevor duffy, Clinical, Director and Consultant Rheumatologist Connolly Hospital
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Dr. Trevor duffy, Clinical, Director and Consultant Rheumatologist Connolly Hospital

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Dr. Trevor duffy, Clinical, Director and Consultant Rheumatologist Connolly Hospital

  1. 1. ECHO A Close Encounter
  2. 2. New Mexico • Commandant Colonel Hugo O’Conor fought under the Spanish crown • 1846, an Irish-American General named Stephen Watts Kearney led an expedition into New Mexico. • Billy the Kid • 1951, Brother Matthias Barrett
  3. 3. We All Know • First-time outpatient waiting list doubles to 340,000 • Over 20,000 patients a month miss hospital appointments • One-strike rule kicks no-show patients off HSE waiting lists
  4. 4. Rheumatology
  5. 5. Identified quick wins Benefit Selfmanagement programmes Encouraging patient selfmanagement improves outcome Implemented by who? when? Not Arthritis Ireland (ongoing) Review usage of drugs within the GMS (Glucosamine £ 5m/year) Utilisation of this saving into reducing immediate waiting lists. Facilitation of 7 new Consultant positions inc 2 Rheumatology Professional posts. . Development of regional MSK pathway Rheumatology & Orthopaedic Waiting list reduction Facilitation of 24 new Clinical Specialist MSK nationally. 11 Towards Operational Excellence 25 January 2011 Impleme Status X Hap slow On Not Hap slow X On Not x Hap slow On
  6. 6. The Echo Solution • Pareto Principle • Knowledge Network

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