Elective Care Conference: getting buy in to improve performanceNHS Improvement
This document discusses improving performance through collaboration between commissioners and providers. It argues that both sides must work together, as each has some responsibility, knowledge, and ability to solve problems, but no single group has all the answers. The old model of thinking performance is just one group's responsibility is outdated. The new model requires all groups to take responsibility and work together through open dialogue and data sharing to reduce referrals and wait times, as patients expect a collaborative approach. This partnership in Leicester led to meeting referral and cancer backlog targets through a focus on practical solutions over political issues and an atmosphere of support between partners.
Elective Care Conference: welcome and opening addressNHS Improvement
This document provides an agenda and overview for the Fourth National Elective Care Conference on April 20th, 2016. The conference aims to showcase best practices in elective care management, provide opportunities for input to shape NHS Improvement priorities, and allow networking. The agenda includes keynote speeches, workshops on RTT, diagnostics, and cancer over three sessions, and an opportunity to provide feedback. Lunch and refreshments will be provided.
Elective care conference: recovery planning & trajectory developmentNHS Improvement
The document discusses the need for RTT (referral to treatment) recovery planning at CUHFT (Cambridge University Hospitals NHS Foundation Trust). It provides background on the trust's failure to meet the 92% RTT incomplete standard since December 2014. The causes of the deterioration in performance are examined, including issues with data quality following a new IT system, planned activity reductions during the system implementation, and continuing pressure on resources from increased demand and constrained capacity. An overview of the session on RTT recovery planning then outlines exploring why the trust is failing to meet targets, action planning, trajectory setting, financial consequences, stakeholder agreement, and monitoring the plan.
Elective Care Conference: developing & implementing an RTT training strategyNHS Improvement
The document outlines the development and implementation of an RTT (Referral to Treatment) training strategy at NNUH Trust. It discusses:
1) Developing an access policy and standard operating procedures to align with the national RTT standards.
2) Improving RTT reporting to ensure all patients are being tracked appropriately.
3) Creating a training strategy informed by pathway mapping, data quality validation, and staff feedback to outline modules and methods for delivery.
4) Implementing the training strategy with support from senior management and measuring its success through return on investment and improved RTT performance.
Elective Care Conference: keynote speech from Adam Sewell-JonesNHS Improvement
Outlining NHS Improvement's national priorities and how we'll support providers.The slides accompanied NHS Improvement's Executive Director of Improvement's keynote speech.
Elective care conference: theory of Patient Administration System ImplementationNHS Improvement
The document summarizes the challenges of implementing a new patient administration system (PAS) at an acute NHS Trust. It discusses the implementation process, system functionality requirements, and lessons learned from replacing the PAS system at Derby Teaching Hospitals NHS Foundation Trust. Key challenges included extensive data migration, rewriting numerous interfaces, training large numbers of staff, and addressing significant post go-live issues around data quality, reporting accuracy, and operational pressures on staff. Careful planning and testing of processes, as well as dedicated post go-live support, are emphasized as important to successfully replacing a critical PAS system.
Elective Care Conference: using the IST capacity and demand toolNHS Improvement
The document discusses the experience of Ipswich Hospital NHS Trust in using the IST capacity and demand modeling tools. Key points include:
1) The tools require careful planning, clinical input, and support from operational and IT leads to ensure accurate data is entered.
2) Assumptions made when building the models should be well documented.
3) The outputs have helped the trust understand capacity issues, develop business cases, and incorporate capacity planning into routine operations.
4) Future use would involve clearer timelines, more clinical involvement, and better documenting of assumptions.
Elective care conference: the Endoscopy Improvement ProgrammeNHS Improvement
The document discusses issues with endoscopy capacity and performance at 3 sites. It notes high demand, a large diagnostic backlog, and failing targets for urgent cancer referrals. Various operational issues are contributing to problems. The general manager and others are working to improve performance using quality improvement methods, including analyzing capacity and demand data with a business intelligence specialist. Their efforts include identifying constraints, increasing flexibility, and gaining additional temporary capacity. Ongoing monitoring of key metrics will be important to guide further improvements.
Elective Care Conference: getting buy in to improve performanceNHS Improvement
This document discusses improving performance through collaboration between commissioners and providers. It argues that both sides must work together, as each has some responsibility, knowledge, and ability to solve problems, but no single group has all the answers. The old model of thinking performance is just one group's responsibility is outdated. The new model requires all groups to take responsibility and work together through open dialogue and data sharing to reduce referrals and wait times, as patients expect a collaborative approach. This partnership in Leicester led to meeting referral and cancer backlog targets through a focus on practical solutions over political issues and an atmosphere of support between partners.
Elective Care Conference: welcome and opening addressNHS Improvement
This document provides an agenda and overview for the Fourth National Elective Care Conference on April 20th, 2016. The conference aims to showcase best practices in elective care management, provide opportunities for input to shape NHS Improvement priorities, and allow networking. The agenda includes keynote speeches, workshops on RTT, diagnostics, and cancer over three sessions, and an opportunity to provide feedback. Lunch and refreshments will be provided.
Elective care conference: recovery planning & trajectory developmentNHS Improvement
The document discusses the need for RTT (referral to treatment) recovery planning at CUHFT (Cambridge University Hospitals NHS Foundation Trust). It provides background on the trust's failure to meet the 92% RTT incomplete standard since December 2014. The causes of the deterioration in performance are examined, including issues with data quality following a new IT system, planned activity reductions during the system implementation, and continuing pressure on resources from increased demand and constrained capacity. An overview of the session on RTT recovery planning then outlines exploring why the trust is failing to meet targets, action planning, trajectory setting, financial consequences, stakeholder agreement, and monitoring the plan.
Elective Care Conference: developing & implementing an RTT training strategyNHS Improvement
The document outlines the development and implementation of an RTT (Referral to Treatment) training strategy at NNUH Trust. It discusses:
1) Developing an access policy and standard operating procedures to align with the national RTT standards.
2) Improving RTT reporting to ensure all patients are being tracked appropriately.
3) Creating a training strategy informed by pathway mapping, data quality validation, and staff feedback to outline modules and methods for delivery.
4) Implementing the training strategy with support from senior management and measuring its success through return on investment and improved RTT performance.
Elective Care Conference: keynote speech from Adam Sewell-JonesNHS Improvement
Outlining NHS Improvement's national priorities and how we'll support providers.The slides accompanied NHS Improvement's Executive Director of Improvement's keynote speech.
Elective care conference: theory of Patient Administration System ImplementationNHS Improvement
The document summarizes the challenges of implementing a new patient administration system (PAS) at an acute NHS Trust. It discusses the implementation process, system functionality requirements, and lessons learned from replacing the PAS system at Derby Teaching Hospitals NHS Foundation Trust. Key challenges included extensive data migration, rewriting numerous interfaces, training large numbers of staff, and addressing significant post go-live issues around data quality, reporting accuracy, and operational pressures on staff. Careful planning and testing of processes, as well as dedicated post go-live support, are emphasized as important to successfully replacing a critical PAS system.
Elective Care Conference: using the IST capacity and demand toolNHS Improvement
The document discusses the experience of Ipswich Hospital NHS Trust in using the IST capacity and demand modeling tools. Key points include:
1) The tools require careful planning, clinical input, and support from operational and IT leads to ensure accurate data is entered.
2) Assumptions made when building the models should be well documented.
3) The outputs have helped the trust understand capacity issues, develop business cases, and incorporate capacity planning into routine operations.
4) Future use would involve clearer timelines, more clinical involvement, and better documenting of assumptions.
Elective care conference: the Endoscopy Improvement ProgrammeNHS Improvement
The document discusses issues with endoscopy capacity and performance at 3 sites. It notes high demand, a large diagnostic backlog, and failing targets for urgent cancer referrals. Various operational issues are contributing to problems. The general manager and others are working to improve performance using quality improvement methods, including analyzing capacity and demand data with a business intelligence specialist. Their efforts include identifying constraints, increasing flexibility, and gaining additional temporary capacity. Ongoing monitoring of key metrics will be important to guide further improvements.
Elective Care Conference: the elective care approach at Royal Free London NHS...NHS Improvement
The Royal Free London NHS Foundation Trust faced challenges with elective care standards due to legacy issues from two merged trusts, including a backlog of 1.8 million pathways requiring validation and no capacity planning model. To address this, they established a governance structure headed by the CEO and COO, carried out clinical harm reviews, and developed a systematic recovery plan involving centralized validation, real-time monitoring, outsourcing, and training. Their successes included validating pathways, developing e-learning, and establishing an outsourcing team, allowing them to meet elective care standards again.
by Esther Ridsdale from Health & Social Care Information Centre shown at the 1st Lean Healthcare Forum 2006 on 25th June 2006 ran by the Lean Enterprise Academy
University of Utah Health Exceptional Value Annual Report 2013University of Utah
Every year the Exceptional Value Annual Report documents the performance of University of Utah Health on all 45 of the key initiatives identified in the organization's Operational Plan. Focused on value-driven outcomes (quality, service and cost), our successes are celebrated and failures are reviewed for learning opportunities.
University of Utah Health Exceptional Value Annual Report 2016University of Utah
Every year the Exceptional Value Annual Report documents the performance of University of Utah Health on all 45 of the key initiatives identified in the organization's Operational Plan. Focused on value-driven outcomes (quality, service and cost), our successes are celebrated and failures are reviewed for learning opportunities.
Extended Primary Care Access in Southwark Nuffield Trust
Dr Lauren Parry, Improving Health; Rebecca Dallmeyer, Quay Health Solutions and Hayley Sloan, NHS Southwark CCG present on their Extended Primary Care Access programme.
1.1 Workflow optimisation - Jonathan SerjeantNHS England
- Here We Are is a not-for-profit social enterprise that delivers NHS services including musculoskeletal services and wellbeing programs. It partners with primary care practices.
- Workflow optimization is a new approach where administrators process up to 80% of clinical correspondence to enhance data quality and free up clinician time. Here We Are has trained over 300 practices in this approach.
- Benefits include accurate medical records, optimized patient journeys, clinician time savings up to 40 minutes per day, and more resilient healthcare systems through collaborative communities of practice.
Value Summary Online Improvement Portal: Product OverviewUniversity of Utah
The Value Summary is the currency of value improvement work at University of Utah Health. It is an online improvement process tool that creates a common improvement language that results in a one-page summary document. It visually guides the improver through our standardized improvement methodology while teaching improvement science principles in real time. The online Value Summary portal creates a forum to share and spread ideas and a path to earn maintenance of certification credit at University of Utah Health.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
1.4 Document management - Dr Hasnain AbbasiNHS England
Document management. Training clerical staff to manage incoming clinical correspondence. With examples and training updates from Brighton and London. Dr Hasnain Abbasi, Director, AT Medics, London and Dr Jonathan Serjeant, Medical director, HERE, Brighton.
The document summarizes an upcoming Lean London Forum event on March 21, 2012 at the Royal College of Surgeons. The forum aims to share lean solutions in the NHS, engage in debate about lean's strengths and weaknesses, and network with colleagues. The agenda includes presentations on applying lean thinking in pathology and engaging primary care in pre-operative patient evaluation. It concludes with a hot seat question and answer session and networking reception.
Here We Are is a not-for-profit social enterprise that delivers NHS services including workflow optimization. Workflow optimization trains administrative staff to systematically process correspondence, reducing paperwork by 80% and freeing up 40 minutes per GP per day. Here We Are has trained over 500 practices using this approach. Case studies show benefits like timely care decisions and enhanced data quality. Metrics demonstrate impacts such as 80% of correspondence processed by administrators within 4 months, and benefits to practices, patients, and the healthcare system.
1. The document describes a survey of anaesthetic trainees in Merseyside that found they collectively spent over 1000 hours on audits but only 16% resulted in recognizable practice changes.
2. It then outlines the formation of MAGIQ (Mersey Anaesthetic Group for Improving Quality) to help trainees collaborate on quality improvement projects and overcome barriers like lack of time, resources and support.
3. One such project was a Mersey-wide initiative to increase the use of pre-intubation checklists, which through rapid audit and feedback across 11 hospitals was able to increase checklist use from 51% to 87% over 8 weeks.
John Sweeney, Director, Health Care InformedInvestnet
John Sweeney discusses partnerships to improve patient safety through innovation and integration. He describes projects with South Australian Pathology and the W/NW Hospital Group where HCI implemented integrated quality and safety management systems. This led to improvements like reduced missed test notifications, standardized paperwork, strengthened governance, and increased incident reporting. Sweeney acknowledges challenges like change management, roles, and IT systems, but believes partnerships can better use resources through integration and local ownership to improve communication and patient safety.
General Practice Transformation Champions conference, 22 November 2017
Workshop 1.2 Online consultation case study - Jenni Dock Hedge End Medical Cente (With Support from Murray Ellender Leader at WebGP.
The document describes a workshop on using data analytics to improve healthcare delivery and efficiency. It discusses the challenges of assessing innovations, and introduces the Improvement Analytics Unit, a partnership between NHS England and The Health Foundation to provide rapid feedback on national healthcare programs. The unit will use nationally available data and work with local areas on evaluations to help determine if changes have occurred as a result of various interventions.
Elective care conference: rules recap & effective management of diagnostic wa...NHS Improvement
The document summarizes rules around diagnostic waiting times in the UK NHS and provides strategies for effectively managing those waiting times. It discusses patients' rights to access NHS services within maximum waiting times. It then reviews key parts of the patient pathway including referrals, diagnostics, and follow-up appointments. The document highlights the importance of the 6-week diagnostic target. It includes a quiz on the material. Finally, it outlines approaches for effectively managing diagnostic waits such as understanding capacity and demand, workforce issues, utilizing resources efficiently, having a sustainable plan, reducing variability, using data to track performance, and addressing organizational culture.
Elective care conference: MDT workload trackerNHS Improvement
The document discusses an MDT Workload Tracker tool used to help the cancer data manager and staff meet targets and identify gaps. Staff self-assessed their workload using the tracker by completing it in real-time, at the end of each day, or for future planning. The tool identified pros like gaps, justification of staffing, and role clarification, but also cons like flexibility between days. Overall it provided valuable data for configuring staff coverage and procedures across countywide MDTs.
Elective Care Conference: the elective care approach at Royal Free London NHS...NHS Improvement
The Royal Free London NHS Foundation Trust faced challenges with elective care standards due to legacy issues from two merged trusts, including a backlog of 1.8 million pathways requiring validation and no capacity planning model. To address this, they established a governance structure headed by the CEO and COO, carried out clinical harm reviews, and developed a systematic recovery plan involving centralized validation, real-time monitoring, outsourcing, and training. Their successes included validating pathways, developing e-learning, and establishing an outsourcing team, allowing them to meet elective care standards again.
by Esther Ridsdale from Health & Social Care Information Centre shown at the 1st Lean Healthcare Forum 2006 on 25th June 2006 ran by the Lean Enterprise Academy
University of Utah Health Exceptional Value Annual Report 2013University of Utah
Every year the Exceptional Value Annual Report documents the performance of University of Utah Health on all 45 of the key initiatives identified in the organization's Operational Plan. Focused on value-driven outcomes (quality, service and cost), our successes are celebrated and failures are reviewed for learning opportunities.
University of Utah Health Exceptional Value Annual Report 2016University of Utah
Every year the Exceptional Value Annual Report documents the performance of University of Utah Health on all 45 of the key initiatives identified in the organization's Operational Plan. Focused on value-driven outcomes (quality, service and cost), our successes are celebrated and failures are reviewed for learning opportunities.
Extended Primary Care Access in Southwark Nuffield Trust
Dr Lauren Parry, Improving Health; Rebecca Dallmeyer, Quay Health Solutions and Hayley Sloan, NHS Southwark CCG present on their Extended Primary Care Access programme.
1.1 Workflow optimisation - Jonathan SerjeantNHS England
- Here We Are is a not-for-profit social enterprise that delivers NHS services including musculoskeletal services and wellbeing programs. It partners with primary care practices.
- Workflow optimization is a new approach where administrators process up to 80% of clinical correspondence to enhance data quality and free up clinician time. Here We Are has trained over 300 practices in this approach.
- Benefits include accurate medical records, optimized patient journeys, clinician time savings up to 40 minutes per day, and more resilient healthcare systems through collaborative communities of practice.
Value Summary Online Improvement Portal: Product OverviewUniversity of Utah
The Value Summary is the currency of value improvement work at University of Utah Health. It is an online improvement process tool that creates a common improvement language that results in a one-page summary document. It visually guides the improver through our standardized improvement methodology while teaching improvement science principles in real time. The online Value Summary portal creates a forum to share and spread ideas and a path to earn maintenance of certification credit at University of Utah Health.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
1.4 Document management - Dr Hasnain AbbasiNHS England
Document management. Training clerical staff to manage incoming clinical correspondence. With examples and training updates from Brighton and London. Dr Hasnain Abbasi, Director, AT Medics, London and Dr Jonathan Serjeant, Medical director, HERE, Brighton.
The document summarizes an upcoming Lean London Forum event on March 21, 2012 at the Royal College of Surgeons. The forum aims to share lean solutions in the NHS, engage in debate about lean's strengths and weaknesses, and network with colleagues. The agenda includes presentations on applying lean thinking in pathology and engaging primary care in pre-operative patient evaluation. It concludes with a hot seat question and answer session and networking reception.
Here We Are is a not-for-profit social enterprise that delivers NHS services including workflow optimization. Workflow optimization trains administrative staff to systematically process correspondence, reducing paperwork by 80% and freeing up 40 minutes per GP per day. Here We Are has trained over 500 practices using this approach. Case studies show benefits like timely care decisions and enhanced data quality. Metrics demonstrate impacts such as 80% of correspondence processed by administrators within 4 months, and benefits to practices, patients, and the healthcare system.
1. The document describes a survey of anaesthetic trainees in Merseyside that found they collectively spent over 1000 hours on audits but only 16% resulted in recognizable practice changes.
2. It then outlines the formation of MAGIQ (Mersey Anaesthetic Group for Improving Quality) to help trainees collaborate on quality improvement projects and overcome barriers like lack of time, resources and support.
3. One such project was a Mersey-wide initiative to increase the use of pre-intubation checklists, which through rapid audit and feedback across 11 hospitals was able to increase checklist use from 51% to 87% over 8 weeks.
John Sweeney, Director, Health Care InformedInvestnet
John Sweeney discusses partnerships to improve patient safety through innovation and integration. He describes projects with South Australian Pathology and the W/NW Hospital Group where HCI implemented integrated quality and safety management systems. This led to improvements like reduced missed test notifications, standardized paperwork, strengthened governance, and increased incident reporting. Sweeney acknowledges challenges like change management, roles, and IT systems, but believes partnerships can better use resources through integration and local ownership to improve communication and patient safety.
General Practice Transformation Champions conference, 22 November 2017
Workshop 1.2 Online consultation case study - Jenni Dock Hedge End Medical Cente (With Support from Murray Ellender Leader at WebGP.
The document describes a workshop on using data analytics to improve healthcare delivery and efficiency. It discusses the challenges of assessing innovations, and introduces the Improvement Analytics Unit, a partnership between NHS England and The Health Foundation to provide rapid feedback on national healthcare programs. The unit will use nationally available data and work with local areas on evaluations to help determine if changes have occurred as a result of various interventions.
Elective care conference: rules recap & effective management of diagnostic wa...NHS Improvement
The document summarizes rules around diagnostic waiting times in the UK NHS and provides strategies for effectively managing those waiting times. It discusses patients' rights to access NHS services within maximum waiting times. It then reviews key parts of the patient pathway including referrals, diagnostics, and follow-up appointments. The document highlights the importance of the 6-week diagnostic target. It includes a quiz on the material. Finally, it outlines approaches for effectively managing diagnostic waits such as understanding capacity and demand, workforce issues, utilizing resources efficiently, having a sustainable plan, reducing variability, using data to track performance, and addressing organizational culture.
Elective care conference: MDT workload trackerNHS Improvement
The document discusses an MDT Workload Tracker tool used to help the cancer data manager and staff meet targets and identify gaps. Staff self-assessed their workload using the tracker by completing it in real-time, at the end of each day, or for future planning. The tool identified pros like gaps, justification of staffing, and role clarification, but also cons like flexibility between days. Overall it provided valuable data for configuring staff coverage and procedures across countywide MDTs.
Elective Care Conference: system wide approach to improving cancer waiting ti...NHS Improvement
The document discusses the London Cancer Alliance's system-wide approach to improving cancer waiting times performance across North West and South London. It provides an overview of the Alliance's performance monitoring and pathway improvement initiatives. Tumor-specific data is analyzed to identify areas for targeted improvement work. Scorecards with key metrics are used to monitor performance at both the alliance and trust levels, and tumor pathway groups meet regularly to address issues. The goal is continued standard achievement through embedded data analysis and clinical engagement in pathway redesign.
Elective Care Conference: demand and capacity in cancer servicesNHS Improvement
Barts Health NHS Trust is the largest NHS trust in the UK, serving over 1.5 million people across five hospitals. It is working to improve its performance against cancer waiting time standards, which have been challenging to meet consistently. A Cancer Performance Management Team was established to develop a Recovery Action Plan, with a focus on improved demand modeling, standardized pathways and processes, competency training for coordinators, and deep dive reviews of challenged tumor types together with clinical commissioning groups. The goal is to sustainably achieve all cancer waiting time targets through strengthened leadership, data quality, and collaborative working across the care system.
Elective care conference: imaging demand and capacity NHS Improvement
The document summarizes the results of demand and capacity modeling done for radiology services at Bradford Teaching Hospitals NHS Foundation Trust. The modeling found current deficits between 239-290 CT slots and 28-83 MRI slots per week to meet demand at the 65th-85th percentiles. For CT, there is also a backlog of 176-241 patients that requires clearing. The conclusions are that measuring demand, capacity, activity and backlog allows identification of bottlenecks and focus of improvement efforts, and justification of capital investments or alternate solutions to address shortfalls.
Elective Care Conference: the role of the MDT coordinator role NHS Improvement
The role of the MDT Coordinator is to support multidisciplinary team meetings for cancer care. Coordinators prepare for meetings, record discussions, and collect mandatory data on waiting times and patient outcomes. They ensure the efficient running of often fast-paced meetings and act as the main point of contact between the MDT and various clinical teams and databases. Outside of meetings, coordinators manually input a large amount of data from different systems and build relationships across the cancer care network to facilitate information sharing. Effective coordination requires managing workload and coverage for multiple specialties with varying requirements.
The document discusses flow control in TCP. It explains that TCP uses a sliding window mechanism for flow control to balance the sender's transmission rate with the receiver's reception rate. The sliding window allows packets within the window to be transmitted, and slides to the right when acknowledgments are received, making room for more packets. Problems like delayed acknowledgments, silly window syndrome, and solutions like Nagle's algorithm are also covered. TCP provides reliable data transfer using error control mechanisms like checksums, acknowledgments, and retransmissions of lost packets.
The document discusses various topics related to flow and error control in computer networks, including stop-and-wait ARQ, sliding window protocols, and selective reject ARQ. Stop-and-wait ARQ allows transmission of one frame at a time, while sliding window protocols allow multiple outstanding frames using sequence numbers and acknowledgments. Go-back-N ARQ requires retransmission of frames from the lost frame onward, while selective reject ARQ only retransmits the lost frame to minimize retransmissions.
How to Assess and Continuously Improve Maturity of Health Information Systems...MEASURE Evaluation
This document describes a new toolkit for assessing and continuously improving health information systems (HIS) to achieve better health outcomes. The toolkit includes:
1) A five-stage scale to measure the maturity of six HIS components, from emerging to optimized.
2) An assessment tool that maps the current and desired future stages to guide improvement planning. It is administered through key informant interviews and a stakeholder workshop.
3) The goal is to help countries strengthen their HIS through a collaborative, participatory process focused on setting priorities and tracking progress over time.
The document discusses developing an analytics strategy to drive healthcare transformation. It begins by outlining signs an analytics strategy is needed, such as having dashboards but no improvement. It then discusses components of an effective analytics strategy, including understanding business context, stakeholders, processes and data, tools and techniques, team and training, and technology. The strategy ensures analytics align with goals and avoids just collecting reports. Developing the strategy involves understanding requirements, identifying gaps, and executing the plan. The strategy provides a framework to guide analytics development and ensure optimal use of resources.
Developing a Strategic Analytics Framework that Drives Healthcare TransformationTrevor Strome
About the presentation.
Based on Chapter 3 of my book "Healthcare Analytics for Quality and Performance Improvement", this presentation describes the key components of a strategic analytics framework that can enable your healthcare organization to leverage data from source-systems to achieve its quality, safety, and performance improvement goals.
What is an analytics strategy?
Analytics is currently a very “trendy” topic. The internet is scattered with many buzzwords, marketing angles, white papers, and opinions on the topic of healthcare analytics. With all this “noise”, it is easy to get distracted from what is actually required, from an analytics perspective, by your organization. An analytics strategy helps cut through the noise and keep focus on what is important for the organization. Regardless of what the latest “buzz” is, your analytics strategy will enable your organization to Invest now for what is required now, and invest later for what is required in the future.
An analytics strategy helps ensure that analytics development and capabilities are in alignment with enterprise quality and performance goals and helps avoids the “all dashboard, no improvement” syndrome. Furthermore, a well formed strategy document helps to achieve optimal use of analytics within a healthcare organization and can mean the difference between a “collection of reports” versus a high-value information resource.
An analytics strategy can rarely stand on its own. In general, the analytics strategy should use as input an organization’s Quality Improvement (QI) strategy and should be used to inform an organization’s Business Intelligence (BI) or Information Technology (IT) strategy. The analytics strategy is an important input to technical strategies because analytics, after all, can involve a sophisticated use of data and technology. Requirements for analytics may trigger a cascade of enhancements throughout other components of IT and BI (i.e., reporting, data storage, ETL, etc)
The document is intended to accompany Chapter 3, “Developing an Analytics Strategy to Drive Change”, so please refer to the chapter for further information about developing an analytics strategy.
The document provides guidance on conducting evaluations. It defines evaluation as the assessment of a project's level of achievement and impact. Evaluations are important for accountability, transparency, and learning. They focus on determining what worked and did not work in an intervention. The document outlines the key steps in managing an evaluation including developing an evaluation plan, collecting data, and reporting findings and lessons learned.
Case Study “Analytics Strategies to Improve Quality & Outcomes”
Trevor Strome, MSc, PMP
Analytics Lead
WRHA Emergency Program
Assistant Professor, Department of Emergency Medicine
University of Manitoba
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
This document discusses principles for effective research assessment and funding systems. It argues that assessing quality can provide accountability, identify strengths and weaknesses, and encourage improvement. Linking assessment to funding provides stronger incentives to raise standards. An effective system is objective, consistent, fit for purpose, and accepted as credible. Peer review informed by quantitative indicators can best capture diversity across disciplines. Disciplines and research units must be appropriately defined. Management and communication must be transparent to maintain fairness and confidence in the system. Assessment should precede funding decisions to reduce gaming and allow funding to follow excellence.
Write a 4 page report for a senior leader that communicates your e.docxtroutmanboris
Write a 4 page report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels.
Instructions
Choose one of the following two options for a performance dashboard to use as the basis for your evaluation:
Option 1: Dashboard Metrics Evaluation Simulation
Use the data presented in your Assessment 1 Dashboard and Health Care Benchmark Evaluation activity as the basis for your evaluation.
Note: The writing you do as part of the simulation could serve as a starting point to build upon for this assessment.
Option 2: Actual Dashboard
Use an actual dashboard from a professional practice setting for your evaluation. If you decide to use actual dashboard metrics, be sure to add a brief description of the organization and setting that includes:
· The size of the facility that the dashboard is reporting on.
· The specific type of care delivery.
· The population diversity and ethnicity demographics.
· The socioeconomic level of the population served by the organization.
Note: Ensure your data are Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.
To complete this assessment:
1. Review the performance dashboard metrics in your Assessment 1 Dashboard and Health Care Benchmark Evaluation activity, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Note: The writing you do as part of the simulation could serve as a starting point to build upon for this assessment.
2. Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical and sustainable action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on the performance dashboard.
3. Make sure your report meets the Report Requirements listed below. Structure it so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks.
Report Requirements
The report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
· Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies.
. Which metric.
Critical Access Hospital Goal Setting Provided By The Nat.docxwillcoxjanay
Critical Access Hospital Goal Setting
Provided By:
The National Learning Consortium (NLC)
Developed By:
Health Information Technology Research Center (HITRC)
Key Health Alliance, Regional Extension Assistance Center for HIT
http://www.HealthIT.gov
National Learning Consortium
• The National Learning Consortium (NLC) is a virtual and evolving body of knowledge and resources designed to
support healthcare providers and health IT professionals working towards the implementation, adoption and
meaningful use of certified EHR systems.
• The NLC represents the collective EHR implementation experiences and knowledge gained directly from the field
of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research
Center (HITRC) Communities of Practice (CoPs).
• The following resource can be used in support of the EHR Implementation Lifecycle. It is recommended by
“boots-on-the-ground” professionals for use by others who have made the commitment to implement or upgrade to
certified EHR systems.
EHR Implementation Lifecycle
The material in this document was developed by Regional Extension Center staff in the performance of technical support and EHR implementation. The
information in this document is not intended to serve as legal advice nor should it substitute for legal counsel. Users are encouraged to seek additional detailed
technical guidance to supplement the information contained within. The REC staff developed these materials based on the technology and law that were in
place at the time this document was developed. Therefore, advances in technology and/or changes to the law subsequent to that date may not have been
incorporated into this material.
September 30, 2013 • Version 1.0
www.HealthIT.gov
1
http://www.healthit.gov/providers-professionals/regional-extension-centers-recs
http://www.healthit.gov/providers-professionals/beacon-community-centers
http://www.healthit.gov/policy-researchers-implementers/state-health-information-exchange
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__rec_program/1495
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__rec_program/1495
http://www.healthit.gov/providers-professionals/ehr-implementation-steps
http://www.HealthIT.gov
www.HealthIT.gov
2
Description & Instructions
• The Critical Access Hospital Goal Setting guide is intended to aid providers
and health IT implementers with Planning, Selecting, Implementing, and
Achieving Meaningful Use. It can be used to determine what goals are, how
they should be set, and how they should be measured.
• This resource includes goal setting tools and tips.
September 30, 2013 • Version 1.0
www.HealthIT.gov
Goals
• Goals play an important part of many of the aspects of planning, selecting,
implementing, and realizing benefits of HIT
• Help educate about what is possible with an EHR
• Initiate change management by recognizi.
This document provides an overview of various quality tools that can be used to improve processes and solve problems. It discusses both traditional "old" tools like cause-and-effect diagrams, histograms, Pareto charts, and control charts, as well as newer tools introduced in the last 10-15 years. The document categorizes and describes the purpose and use of each tool, including how they can help with cause analysis, decision-making, process analysis, data collection, idea creation, and project planning. Key tools covered include fishbone diagrams, check sheets, scatter plots, affinity diagrams, Gantt charts, and PDCA/PDSA cycles.
1. State the main principles of introducing a tool into an organization.
2. State the goals of a proof-of-concept or piloting phase for tool evaluation.
3. Recognize that factors other than simply acquiring a tool are required for good tool support.
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Whole systems change across a neighbourhood
How can we collaborate with people to help them build their resilience? Get under the skin of the culture and the lives people live. Identify people’s feelings and experiences of community and understand what people think is shaped by different values and by the environment and infrastructure around them. The future of collaboration could bring many opportunities but people find it more difficult to live and act together than before. How can we help people…and communities build their resilience? Understand people’s different situations and capabilities to develop pathways that help them build resilient relationships. Help people experience and practice change together. Help people grow everyday practices into sustainable projects. Turn people’s everyday motivations into design principles. Support infrastructure that connects different cultures of collaboration. Build relationships with people designing in collaboration for the future…now.
This document discusses planning, monitoring, and evaluating health services. It defines monitoring and evaluation as key functions to improve performance and determine whether programs are achieving their goals. Monitoring involves systematic observation of activities, while evaluation assesses achievement against criteria. Both use indicators and data collection to analyze inputs, processes, outputs, outcomes, and impacts. Evaluation can be conducted internally or externally. The evaluation process involves planning, method selection, data collection and analysis, reporting, and dissemination. Both qualitative and quantitative methods are used. The goal is to improve programs and determine their effectiveness, efficiency, and relevance in improving health.
DirectionsWrite a summary (at least 250 words) of We Are the WiAlyciaGold776
Directions
Write a summary (at least 250 words) of “We Are the Wildfire” by Naomi Klein. This article can be found in your They Say/I Say textbook in Chapter 19.
Your goal for this assignment is to summarize the article’s main ideas and important points clearly, concisely, and accurately
Use the templates in They Say/I Say for representing the words of others and for introducing quotations.
Here are a few points for writing a summary:
· In the first sentence, mention the title, author, and the essay’s main idea or thesis
· Be objective and use the third person, “he/she/they,” point of view
· Focus on the text and not your own ideas
· Put the summary in your own words
· If you do use a small quotation, put it in quotes and give the page number in parentheses
· Limit your summary to the key points
Plagiarism
You are expected to write primarily in your own voice using paraphrase, summary, and synthesis techniques when integrating information from class and outside sources. Use an author’s exact words only when the language is especially vivid, unique, or needed for technical accuracy. Failure to do so may result in charges of academic dishonesty.
Overusing an author’s exact words, such as including block quotations to meet word counts, may lead your readers to conclude that you lack appropriate comprehension of the subject matter or that you are neither an original thinker nor a skillful writer. It is best if you write this paper without any materials from outside sources.
How important is the business need that the HPT effort is designed to address?What gains in performance are needed to justify the expense of an improvement effort?Which of several alternative HPT approaches is best?How well is the solution working so far? Is it on track?What changes should be made to keep the HPT effort on track and to make it more effective?How much good has the initiative done?What do clients think of the work and results that have been achieved?What lessons have been learned from this current work that soudl guide future practice?
1) Set HPT goals2) Analyze Performance Issues3) Design HPT initiative4) Implement HPT initiative5) Sustain impact
Level 1 (Reaction)Level 2 (Learning)Level 3 (Behavior)Level 4 (Results)
Level 1 (Reaction)completed participant feedback questionnaire informal comments from participants focus group sessions with participants
Level 2 (Learning)pre- and post-test scores on-the-job assessments supervisor reports
Level 3 (Behavior)completed self-assessment questionnaire on-the-job observation reports from customers, peers and participant’s manager
Level 4 (Results)financial reports quality inspections interview with sales manager
Sources of data:hardcopy and online quantitative reports production and job records interviews with participants, managers, peers, customers, suppliers and regulators checklists and tests direct observation questionnaires, self-rating and multi-rating Focus Group sessions
Collecting ...
Module 02 Assignment - Healthcare SystemsTop of FormBottom of .docxkendalfarrier
Module 02 Assignment - Healthcare Systems
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Module 02 Content
1.
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Instructions
Your supervisor at the Department of Health has lived and worked in many countries internationally. Her experience with healthcare systems abroad has made her realize how the Department of Health could improve its healthcare. She has asked you to create a Microsoft PowerPoint presentation evaluating and comparing the U.S. healthcare system to the healthcare systems in 2 other countries (1 of which needs to be a country that uses universal healthcare).
In your PowerPoint presentation, make sure to explain the type of healthcare system the U.S. has and compare it to the 2 countries you have chosen. Provide a thorough explanation of how effective the systems are and how they are financed.
The presentation must be at least 10 slides with key words and phrases (not text-heavy) and include multiple images that relate back to the U.S. healthcare system and the healthcare systems of the countries you are discussing. Incorporate data from at least 2 professional articles into your presentation.
LLS Resources
PowerPoint
https://guides.rasmussen.edu/writing/powerpoints
PowerPoint Presentations and APA: citing sources and creating reference lists in PPT presentations
https://rasmussen.libanswers.com/faq/32484
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Guiding Questions
Data Analysis and Quality Improvement Initiative Proposal
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Data Analysis and Quality Improvement Initiative Proposal assessment. You may find it useful to use this document as a prewriting exercise, an outlining tool, or a final check to ensure you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment.
Do not turn in this document as your assessment submission.
Analyze data to identify a health care issue or an area of concern.
· What data does your institution gather? (Or, what data were provided in the media piece?)
· What is the quality of the data, and what can be learned from it? What does it tell you? What is missing?
· What is an organized way of looking at different data outputs?
· What metrics indicate opportunities for quality improvement?
· What are the trends? (Existence of data does not necessarily equate to a trend.)
· What are the outcome measures? What information do you need to calculate specific rates?
· Assess the stability of processes or outcomes. Are the outcomes fairly predictable? Identify any problematic variations or performance failures.
· Include the selected data set that was analyzed in the proposal. This could be a table or chart.
Outline a quality improvement initiative proposal based on a selected health issue or area of concern and supporting data analysis..
Introducing a tool into an organization (andika m)Andika Mardanu
This document discusses important factors to consider when introducing a new tool into an organization. It recommends that the organization must be ready for change and the tool should help address weaknesses while building on strengths. A pilot project should test the tool on a small scale to explore uses and ensure it can accomplish needs. Success requires an incremental rollout, adapting processes to fit the tool, training users, and continuously improving based on lessons learned.
Introducing a tool into an organizationYoga Setiawan
The document discusses introducing a new tool into an organization. It recommends starting with assessing the organization's maturity and needs, then evaluating tools based on clear requirements. A proof-of-concept pilot project should experiment with using the tool on a small scale to determine if it can accomplish goals. Success requires an incremental roll-out, adapting processes to fit the tool, training users, and continuously improving based on lessons learned.
Introducing a tool into an organization 2alex swandi
Alex Swandi
Program Studi S1 Sistem Informasi
Fakultas Sains dan Teknologi
Universitas Islam Negeri Sultan Syarif Kasim Riau
http://sif.uin-suska.ac.id/
http://fst.uin-suska.ac.id/
http://www.uin-suska.ac.id/
This document provides a strategic advocacy framework to help organizations like Chintan monitor and evaluate their advocacy efforts. It recommends that Chintan develop a theory of change to integrate its programs, goals, and mission. The framework includes defining goals and interim outcomes and tracking activities. Monitoring and evaluation can help Chintan understand what is effective, adapt strategies, and demonstrate progress. However, advocacy can be difficult to evaluate due to shifting timelines and strategies. The document provides recommendations for Chintan to plan advocacy in its organizational context and become a learning organization that regularly reviews lessons from its work.
Similar to Elective Care Conference: overview of the RTT Sustainability and Assessment Tool (20)
This document provides rationales and summaries for 15 references related to the prevention of urinary tract infections (UTIs). The references discuss factors like asymptomatic bacteriuria, antimicrobial treatment, genital hygiene practices, sexual activity, fluid intake, constipation, post-menopausal status, and use of D-mannose or estradiol treatments that may impact risk of UTIs. Many of the references are randomized controlled trials or literature reviews that aim to determine effective prevention strategies and risk factors for recurrent UTIs.
UTI collaborative 28th June 2018 presentations NHS Improvement
This document provides an agenda for an NHS Improvement Urinary Tract Infection Collaborative event on June 28th, 2018. The agenda includes sessions on storyboard feedback, presentations on reducing UTIs through hydration, measurement for improvement, and Plan-Do-Study-Act cycles. There will also be opportunities for panel Q&A and evaluation of the event. The goal is to support collaborative members in using quality improvement tools to reduce healthcare-associated UTIs within their trusts.
This document discusses process mapping as a quality improvement tool. It provides examples of how to create a process map by mapping out the steps in a process and identifying decision points and handoffs. Process maps can be used to analyze a process and identify areas for improvement. The document also shares an example of a collaborative quality improvement project using process mapping that successfully reduced C. difficile infections at a hospital. Through engaging frontline staff and using PDSA cycles, audit data showed isolation compliance and time between infections improved.
This document summarizes the launch event for an NHS Improvement collaborative aimed at reducing urinary tract infections (UTIs) and catheter-associated UTIs. The event covered improvement methodology like driver diagrams and process mapping. Participants learned about collecting baseline data and examples of successful UTI reduction interventions. Teams were tasked with creating a process map and poster to share ideas at the next event. The goal is to reduce UTIs through a collaborative learning process using quality improvement methods.
Presentations from the 1st May 2018 event Gram-negative Bloodstream infections: ensuring board assurance against national standards. Hosted by NHS Improvement and NHS England
We held an improvement collaborative with 19 NHS providers earlier this year to help improve the management of falls in an inpatient setting.
This resource shows case studies of the providers involved in the collaborative.
Falls in hospitals are common, especially among older patients aged 65 and above. Falls can have serious impacts on patient health and experience. There is evidence that falls could be reduced by 25-30% with focused interventions on older patient wards. One goal of the NHS Improvement Falls Collaborative was to encourage a multi-professional focus on falls prevention and reduction.
The document provides updates from the Falls Collaborative on various clinical topics. One topic discussed improving lying and standing blood pressure assessments. National audit results found that only 16% of patients over 65 had these assessments within 3 days of admission, despite recommendations that all over 65 patients should have them. The updates aim to increase awareness of orthostatic hypotension
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...NHS Improvement
We recently hosted four regional events ‘Evidencing the quality and productivity of AHPs care’ with a target audience of Allied Health Professional leads in NHS provider organisations.
These slides outline sessions from the events and provide an introduction to the Model Hospital, AHP job planning and the early findings of a deployment tracker metric ‘Therapy Hours to Contacts’ that is being implemented.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Elective Care Conference: overview of the RTT Sustainability and Assessment Tool
1. The IST RTT Sustainability
Assessment Tool
20 April 2016
2. About the Tool
• The IST developed an RTT sustainability assessment tool
using the Drivers Tree developed jointly with the IST, NHSE
and McKinsey & Co in 2013.
• It incorporates the 6 areas from the RTT ‘What good looks
like matrix’.
• The Tool has been developed to assist Trusts and wider local
health communities to assess their current level of
compliance against best practice referral to treatment
systems and processes.
3. 3
• The tool is designed to be used by all organisations whether
their RTT performance is securely compliant or subject to a
recovery plan.
• The Tool has been piloted in challenged organisations where
it has been used as a detailed check list for recovery.
4. Scope
4
The RTT Sustainability Assessment Tool covers the following nine areas:
1. Leadership and accountability
2. Access Policy and Standard Operating Procedures
3. Training and expertise
4. Pathway Design
5. Operational management
6. Breach analysis
7. Demand and capacity
8. Reports and information
9. Data quality
In total there are 45 elements (level 2) across the nine areas to review and
rate .
5. Use
5
• The Tool is designed to be used flexibly in a way that best fits
the organisation.
• Level 1, 2 & 3 descriptors define the areas of focus for the
assessment.
• Each element is mapped to a corresponding section of the
‘What good looks like’ matrix.
• There are further directions towards additional relevant
resources e.g. IST information sheets and the Elective Care
Guide.
6. Ratings
6
• Trusts are encouraged to rate their own position against each
indicator and record the justification/evidence:
0 = Nothing in place (no evidence)
1 = Fair (limited evidence of implementation or impact,
document available)
2 = Good (significant evidence of implementation, limited
impact)
3 = Very good (full implementation, clear evidence of
demonstrable impact)
4 = Best practice (evaluated, approach refined, maximum
impact)
7. Onward use
7
• The Tool can be used to conduct a gap analysis of a Trust’s
own position against best practice.
• It can form the basis of an action plan for improvement and is
designed to facilitate the recording of progress.
• Trusts are encouraged to determine what actions will improve
ratings and re-score once actions are complete.
8. Discussion
8
(1) How do you think your respective organisations fair
against these best practice indicators?
(2) How useful do you find the Tool? Is it clear and easy to
use? Is anything missing?
We welcome all feedback!