Scheduling - Elaine Kemp National Improvement Lead
NHSIQ Domain 3
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
Dr chris roseavre seven day consultant present careNHS Improvement
This document discusses implementing 7 day consultant-delivered care in hospitals. It notes that mortality and illness severity tend to be higher for weekend admissions when there are fewer consultants. The benefits of consultant care include improved safety, outcomes, and efficient use of resources. Three proposed standards are outlined: daily consultant reviews, 7 day access to consultant-supervised tests and investigations if results could change patient care, and 7 day community support services. Implementing comprehensive 7 day care may require service redesign and additional resources. Next steps include assessing requirements and implications for each medical specialty. A large study is proposed to evaluate the impact of intensive specialist-led acute care.
This document discusses key learnings about Lean and its evolution. It covers:
- Lean principles like eliminating waste, creating flow, pulling work, and standardizing processes.
- How Agile software development paralleled Lean's path by moving from batched to continuous work and emphasizing frequent feedback.
- The importance of management involvement and showing leaders how better processes lead to better business results.
- Sustaining improvements requires frontline workers to learn and practice Lean daily with coaching and problem-solving skills.
- Lean aims to continuously improve processes through incremental changes to reduce costs and waste while increasing quality, throughput, and customer responsiveness over time.
The document discusses various aspects of time management including common sayings about time, myths about time management, and an overview of the time management process. It describes a five step process for effective time management: 1) set priorities, 2) set goals for each priority, 3) plan for goal attainment, 4) allocate time appropriately for each step, and 5) use time management tools and techniques. It also discusses obstacles to planning, consequences of poor planning, and internal and external time wasters.
This document discusses time management techniques for nurses. It begins by defining time management and listing its objectives. It then defines time wasters and lists common ones such as lack of planning, interruptions, and meetings. The document outlines basic time management principles like prioritizing, planning activities, and controlling interruptions. It also discusses using techniques like setting goals, daily planning, delegation, and minimizing distractions to deal with time wasters. Specific strategies are provided for managing tasks like paperwork, telephone calls, and drop-in visitors to make optimal use of time.
The document discusses time management and its importance. It states that time management is key to efficient working and involves proper planning, goal setting, effective scheduling, prioritizing tasks, organizing work, delegating tasks, analyzing spent time, and staying focused. Good time management increases productivity, helps prioritize and achieve better results, creates discipline, reduces stress, allows for better decisions, and helps one work smarter to achieve success. Poor time management leads to procrastination, lack of planning, poor decision making, increased stress, and lack of focus. The document provides tips for effective time management such as planning, prioritizing, setting SMART goals, communicating, breaking down tasks, working on deadlines, delegating, and reviewing
Scheduling - Elaine Kemp National Improvement Lead
NHSIQ Domain 3
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
Dr chris roseavre seven day consultant present careNHS Improvement
This document discusses implementing 7 day consultant-delivered care in hospitals. It notes that mortality and illness severity tend to be higher for weekend admissions when there are fewer consultants. The benefits of consultant care include improved safety, outcomes, and efficient use of resources. Three proposed standards are outlined: daily consultant reviews, 7 day access to consultant-supervised tests and investigations if results could change patient care, and 7 day community support services. Implementing comprehensive 7 day care may require service redesign and additional resources. Next steps include assessing requirements and implications for each medical specialty. A large study is proposed to evaluate the impact of intensive specialist-led acute care.
This document discusses key learnings about Lean and its evolution. It covers:
- Lean principles like eliminating waste, creating flow, pulling work, and standardizing processes.
- How Agile software development paralleled Lean's path by moving from batched to continuous work and emphasizing frequent feedback.
- The importance of management involvement and showing leaders how better processes lead to better business results.
- Sustaining improvements requires frontline workers to learn and practice Lean daily with coaching and problem-solving skills.
- Lean aims to continuously improve processes through incremental changes to reduce costs and waste while increasing quality, throughput, and customer responsiveness over time.
The document discusses various aspects of time management including common sayings about time, myths about time management, and an overview of the time management process. It describes a five step process for effective time management: 1) set priorities, 2) set goals for each priority, 3) plan for goal attainment, 4) allocate time appropriately for each step, and 5) use time management tools and techniques. It also discusses obstacles to planning, consequences of poor planning, and internal and external time wasters.
This document discusses time management techniques for nurses. It begins by defining time management and listing its objectives. It then defines time wasters and lists common ones such as lack of planning, interruptions, and meetings. The document outlines basic time management principles like prioritizing, planning activities, and controlling interruptions. It also discusses using techniques like setting goals, daily planning, delegation, and minimizing distractions to deal with time wasters. Specific strategies are provided for managing tasks like paperwork, telephone calls, and drop-in visitors to make optimal use of time.
The document discusses time management and its importance. It states that time management is key to efficient working and involves proper planning, goal setting, effective scheduling, prioritizing tasks, organizing work, delegating tasks, analyzing spent time, and staying focused. Good time management increases productivity, helps prioritize and achieve better results, creates discipline, reduces stress, allows for better decisions, and helps one work smarter to achieve success. Poor time management leads to procrastination, lack of planning, poor decision making, increased stress, and lack of focus. The document provides tips for effective time management such as planning, prioritizing, setting SMART goals, communicating, breaking down tasks, working on deadlines, delegating, and reviewing
The document discusses various time management techniques. It begins by explaining how to evaluate current time usage through activity logs and identifying productive vs unproductive periods. Important tips include planning and prioritizing tasks, creating to-do lists, delegating work, avoiding distractions, and learning to say no. The document also stresses starting the day early, bundling meetings, and being prepared and concise. With effective time management, one can complete tasks more efficiently and productively, face less stress, and achieve a better work-life balance.
The document discusses various techniques for effective time management, including prioritizing tasks, avoiding time wasters, managing tasks in a quadrant system of urgent vs important, and managing one's schedule effectively through planning, pacing oneself, and setting realistic expectations. Key aspects of time management discussed include identifying time wasters, managing tasks by importance and urgency, and utilizing techniques like to-do lists, breaks, and delegation.
Assessment Chart for Wound Management Patient ID LabelTracy Culkin
This document contains forms for assessing wounds and developing treatment plans. It includes sections to document factors that could delay healing, mark the location and type of wounds on diagrams of the front and back of the body as well as the feet, note who the patient was referred to for additional treatment, and the assessor's signature and date. Subsequent pages include areas to document details of wound assessments over time such as dimensions, tissue types, exudate levels, peri-wound skin condition, signs of infection, treatment objectives, and wound treatment plans and evaluations. The final page is for evaluating pressure care with sections for the Braden score, pressure relief methods, dressing/cushions used, positioning frequency, and rationale for changes
Time management is the process of planning and exercising control over how time is spent to increase effectiveness, productivity, and efficiency. It involves arranging and scheduling one's time as well as identifying time wasters both internal and external. Some techniques to improve time management include prioritizing tasks, setting goals and deadlines, scheduling time, saying no, exercising, and eating healthy. Effective time management allows one to complete more tasks, be more flexible, and avoid missing events while preserving one's most valuable asset which is time.
This document provides information about time management for nurses. It begins with definitions of time management and lists basic time management principles such as being organized, prioritizing tasks, and managing interruptions. It then discusses the importance of time management for nurses, noting that it allows for prioritizing patient care, reducing stress, and improving quality of care. Common time wasters for nurses like socializing and procrastination are outlined along with solutions. Overall time management techniques emphasized include setting goals, reviewing time usage, matching activities to goals, planning and prioritizing tasks, and monitoring progress.
This portfolio showcases Jane Caliboso's work and abilities as a teacher. It includes her educational philosophy, resume, evidence of content knowledge and pedagogical skills from lessons taught, and documentation of a field trip taken with her students. Her educational philosophy focuses on making learning relevant to students' lives, understanding individual learners, and accommodating diverse needs. Artifacts provided demonstrate her ability to focus on learners, design meaningful lessons, foster communication and assess student understanding. A field trip coordinated by Jane helped students learn about different jobs in the community while fostering relationships with parents.
Nursing encompasses caring for individuals, families and communities across all settings. Key nursing roles include promoting health, preventing illness, caring for those who are ill, conducting research, and advocating for patients. Nurses take on many roles such as caregiver, educator, communicator and collaborator. The scope of nursing practice is expanding with roles such as advanced practice nurses, nurse educators, administrators, and researchers. Nurses work in various settings including hospitals, long-term care facilities, schools, and communities.
This document discusses time management and provides tips for effective time management. It notes that time management allows one to clarify goals and achieve them more efficiently while overcoming stress and procrastination. Effective time management leads to being efficient, successful, and healthy. However, obstacles like unclear objectives, disorganization, inability to say no, interruptions, periods of inactivity, taking on too much at once, and stress can get in the way. The document recommends setting specific, measurable, achievable and time-bound goals, prioritizing tasks, organizing one's schedule, focusing on the task at hand, identifying one's prime time for work, and celebrating successes.
Time management is the process of consciously controlling how much time is spent on specific activities, in order to increase productivity, effectiveness, and efficiency. It involves skills like effective planning, setting goals and deadlines, prioritizing tasks, and scheduling. The time management process includes costing your time, making activity logs, setting goals, planning, prioritizing, and scheduling. This allows you to save time, reduce stress, increase work output, and take more control over responsibilities.
The document discusses time management. It begins by listing the objectives of a time management course, which include explaining various time management concepts, principles, styles, tools and best practices. It then introduces a scenario of Dave, a project manager, struggling with poor time management as he is constantly late, disorganized and unable to complete tasks on time. The root cause of all of Dave's issues is determined to be a lack of proper time management. Effective time management is important for anyone, whether a student, professional or homemaker, to stay organized and productive while managing their various responsibilities.
The document discusses time management (TM) and how to manage time effectively. It defines TM as allocating the right time to the right activities. TM is needed to save time, reduce stress, function effectively, increase work output, and have more control over responsibilities. Effective TM involves planning, setting goals and deadlines, prioritizing activities, delegating work, and spending the right amount of time on tasks. The process of TM starts with costing your time, making activity logs, setting goals, planning, prioritizing, and scheduling.
Time Management PowerPoint Slides include topics such as: time wasting culprits and eliminating them, strategizing for time management, techniques of organization, prioritizing, to-do lists, scheduling tips and guidelines, 9 ways to handle drop-in visitors, how to say no responsibly, 5 tips to stop procrastination, managing crisis, 10 ways to clear your desk, controlling paper, 9 techniques to control telephone interruptions, how to's and much more.
24 Time Management Hacks to Develop for Increased ProductivityIulian Olariu
These are some ideas I talk about in my Time Management training sessions. Try to approach each of them and develop in a new habit, in order to increase your productivity and manage your time better. Don't forget to share if you find them useful!
3 Things Every Sales Team Needs to Be Thinking About in 2017Drift
Thinking about your sales team's goals for 2017? Drift's VP of Sales shares 3 things you can do to improve conversion rates and drive more revenue.
Read the full story on the Drift blog here: http://blog.drift.com/sales-team-tips
How to Become a Thought Leader in Your NicheLeslie Samuel
Are bloggers thought leaders? Here are some tips on how you can become one. Provide great value, put awesome content out there on a regular basis, and help others.
Leadership institute lean kaizen briefing 8 16 13 handoutmdwallace
The document outlines an agenda for a Lean leadership and performance excellence workshop that introduces Lean concepts and tools. It includes sessions on Lean history and principles, value stream mapping, kaizen events, problem solving tools, and simulations to apply Lean techniques to healthcare processes. The overall goal is to help participants understand and apply Lean methods to improve efficiency and reduce waste in their organizations.
Dr Ian Sturgess: Optimising patient journeysNuffield Trust
This document discusses optimizing patient flow through emergency care by segmenting patients into categories based on length of stay and clinical needs. It advocates using expected date of discharge and clinical criteria for discharge as goals to coordinate care and discharge planning. Key steps include allocating patients early to specialty teams, standardizing care pathways, minimizing handovers, and conducting daily board rounds to focus on constraints and moving patients smoothly through their care. The overall aim is to get patients home safely and faster while improving outcomes.
Parallel Session 3.7 Applying Best Practice to Develop Innovative and Effecti...NHSScotlandEvent
This document summarizes presentations on improving communication practices in NHS Scotland. It discusses a new morning huddle format implemented in Edinburgh that improved information sharing, priority setting, and outcomes. It also describes tests of changing handover practices in Ayrshire to reliably identify deteriorating patients, including establishing multidisciplinary handovers and an escalation process. Measures like attendance, standardized tools, and staff education were used to monitor the changes. Next steps involved expanding participation and ensuring sustainability of the improved practices.
Check out this introduction to Lean processes in a health care setting—touching on 5 keys to Lean success. This presentation is from a recent AORN webinar, which is available for replay at http://bit.ly/188O2uQ. Get complete Lean instruction and tools for implementation during a workshop in Denver, CO; more information on these August and September events available at http://bit.ly/14B9gLu.
This document outlines a presentation on sustainable planning for healthcare. It discusses defining sustainability and the environmental context facing the healthcare system. It then covers the key components of successful planning, including time, people, money, energy, and physical assets. Finally, it provides three case studies as examples: 1) market reform initiatives at a community hospital, 2) physician integration strategies, and 3) energy innovation projects including a wind turbine and fan-wall technology.
A presentation given by Sue Peter at the 2012 CHA Conference, The Journey, in the 'Delivering Safety & Quality: Innovations in Clinical Governance' stream
The document discusses various time management techniques. It begins by explaining how to evaluate current time usage through activity logs and identifying productive vs unproductive periods. Important tips include planning and prioritizing tasks, creating to-do lists, delegating work, avoiding distractions, and learning to say no. The document also stresses starting the day early, bundling meetings, and being prepared and concise. With effective time management, one can complete tasks more efficiently and productively, face less stress, and achieve a better work-life balance.
The document discusses various techniques for effective time management, including prioritizing tasks, avoiding time wasters, managing tasks in a quadrant system of urgent vs important, and managing one's schedule effectively through planning, pacing oneself, and setting realistic expectations. Key aspects of time management discussed include identifying time wasters, managing tasks by importance and urgency, and utilizing techniques like to-do lists, breaks, and delegation.
Assessment Chart for Wound Management Patient ID LabelTracy Culkin
This document contains forms for assessing wounds and developing treatment plans. It includes sections to document factors that could delay healing, mark the location and type of wounds on diagrams of the front and back of the body as well as the feet, note who the patient was referred to for additional treatment, and the assessor's signature and date. Subsequent pages include areas to document details of wound assessments over time such as dimensions, tissue types, exudate levels, peri-wound skin condition, signs of infection, treatment objectives, and wound treatment plans and evaluations. The final page is for evaluating pressure care with sections for the Braden score, pressure relief methods, dressing/cushions used, positioning frequency, and rationale for changes
Time management is the process of planning and exercising control over how time is spent to increase effectiveness, productivity, and efficiency. It involves arranging and scheduling one's time as well as identifying time wasters both internal and external. Some techniques to improve time management include prioritizing tasks, setting goals and deadlines, scheduling time, saying no, exercising, and eating healthy. Effective time management allows one to complete more tasks, be more flexible, and avoid missing events while preserving one's most valuable asset which is time.
This document provides information about time management for nurses. It begins with definitions of time management and lists basic time management principles such as being organized, prioritizing tasks, and managing interruptions. It then discusses the importance of time management for nurses, noting that it allows for prioritizing patient care, reducing stress, and improving quality of care. Common time wasters for nurses like socializing and procrastination are outlined along with solutions. Overall time management techniques emphasized include setting goals, reviewing time usage, matching activities to goals, planning and prioritizing tasks, and monitoring progress.
This portfolio showcases Jane Caliboso's work and abilities as a teacher. It includes her educational philosophy, resume, evidence of content knowledge and pedagogical skills from lessons taught, and documentation of a field trip taken with her students. Her educational philosophy focuses on making learning relevant to students' lives, understanding individual learners, and accommodating diverse needs. Artifacts provided demonstrate her ability to focus on learners, design meaningful lessons, foster communication and assess student understanding. A field trip coordinated by Jane helped students learn about different jobs in the community while fostering relationships with parents.
Nursing encompasses caring for individuals, families and communities across all settings. Key nursing roles include promoting health, preventing illness, caring for those who are ill, conducting research, and advocating for patients. Nurses take on many roles such as caregiver, educator, communicator and collaborator. The scope of nursing practice is expanding with roles such as advanced practice nurses, nurse educators, administrators, and researchers. Nurses work in various settings including hospitals, long-term care facilities, schools, and communities.
This document discusses time management and provides tips for effective time management. It notes that time management allows one to clarify goals and achieve them more efficiently while overcoming stress and procrastination. Effective time management leads to being efficient, successful, and healthy. However, obstacles like unclear objectives, disorganization, inability to say no, interruptions, periods of inactivity, taking on too much at once, and stress can get in the way. The document recommends setting specific, measurable, achievable and time-bound goals, prioritizing tasks, organizing one's schedule, focusing on the task at hand, identifying one's prime time for work, and celebrating successes.
Time management is the process of consciously controlling how much time is spent on specific activities, in order to increase productivity, effectiveness, and efficiency. It involves skills like effective planning, setting goals and deadlines, prioritizing tasks, and scheduling. The time management process includes costing your time, making activity logs, setting goals, planning, prioritizing, and scheduling. This allows you to save time, reduce stress, increase work output, and take more control over responsibilities.
The document discusses time management. It begins by listing the objectives of a time management course, which include explaining various time management concepts, principles, styles, tools and best practices. It then introduces a scenario of Dave, a project manager, struggling with poor time management as he is constantly late, disorganized and unable to complete tasks on time. The root cause of all of Dave's issues is determined to be a lack of proper time management. Effective time management is important for anyone, whether a student, professional or homemaker, to stay organized and productive while managing their various responsibilities.
The document discusses time management (TM) and how to manage time effectively. It defines TM as allocating the right time to the right activities. TM is needed to save time, reduce stress, function effectively, increase work output, and have more control over responsibilities. Effective TM involves planning, setting goals and deadlines, prioritizing activities, delegating work, and spending the right amount of time on tasks. The process of TM starts with costing your time, making activity logs, setting goals, planning, prioritizing, and scheduling.
Time Management PowerPoint Slides include topics such as: time wasting culprits and eliminating them, strategizing for time management, techniques of organization, prioritizing, to-do lists, scheduling tips and guidelines, 9 ways to handle drop-in visitors, how to say no responsibly, 5 tips to stop procrastination, managing crisis, 10 ways to clear your desk, controlling paper, 9 techniques to control telephone interruptions, how to's and much more.
24 Time Management Hacks to Develop for Increased ProductivityIulian Olariu
These are some ideas I talk about in my Time Management training sessions. Try to approach each of them and develop in a new habit, in order to increase your productivity and manage your time better. Don't forget to share if you find them useful!
3 Things Every Sales Team Needs to Be Thinking About in 2017Drift
Thinking about your sales team's goals for 2017? Drift's VP of Sales shares 3 things you can do to improve conversion rates and drive more revenue.
Read the full story on the Drift blog here: http://blog.drift.com/sales-team-tips
How to Become a Thought Leader in Your NicheLeslie Samuel
Are bloggers thought leaders? Here are some tips on how you can become one. Provide great value, put awesome content out there on a regular basis, and help others.
Leadership institute lean kaizen briefing 8 16 13 handoutmdwallace
The document outlines an agenda for a Lean leadership and performance excellence workshop that introduces Lean concepts and tools. It includes sessions on Lean history and principles, value stream mapping, kaizen events, problem solving tools, and simulations to apply Lean techniques to healthcare processes. The overall goal is to help participants understand and apply Lean methods to improve efficiency and reduce waste in their organizations.
Dr Ian Sturgess: Optimising patient journeysNuffield Trust
This document discusses optimizing patient flow through emergency care by segmenting patients into categories based on length of stay and clinical needs. It advocates using expected date of discharge and clinical criteria for discharge as goals to coordinate care and discharge planning. Key steps include allocating patients early to specialty teams, standardizing care pathways, minimizing handovers, and conducting daily board rounds to focus on constraints and moving patients smoothly through their care. The overall aim is to get patients home safely and faster while improving outcomes.
Parallel Session 3.7 Applying Best Practice to Develop Innovative and Effecti...NHSScotlandEvent
This document summarizes presentations on improving communication practices in NHS Scotland. It discusses a new morning huddle format implemented in Edinburgh that improved information sharing, priority setting, and outcomes. It also describes tests of changing handover practices in Ayrshire to reliably identify deteriorating patients, including establishing multidisciplinary handovers and an escalation process. Measures like attendance, standardized tools, and staff education were used to monitor the changes. Next steps involved expanding participation and ensuring sustainability of the improved practices.
Check out this introduction to Lean processes in a health care setting—touching on 5 keys to Lean success. This presentation is from a recent AORN webinar, which is available for replay at http://bit.ly/188O2uQ. Get complete Lean instruction and tools for implementation during a workshop in Denver, CO; more information on these August and September events available at http://bit.ly/14B9gLu.
This document outlines a presentation on sustainable planning for healthcare. It discusses defining sustainability and the environmental context facing the healthcare system. It then covers the key components of successful planning, including time, people, money, energy, and physical assets. Finally, it provides three case studies as examples: 1) market reform initiatives at a community hospital, 2) physician integration strategies, and 3) energy innovation projects including a wind turbine and fan-wall technology.
A presentation given by Sue Peter at the 2012 CHA Conference, The Journey, in the 'Delivering Safety & Quality: Innovations in Clinical Governance' stream
Assessing Child/Household Needs and Well Being_Dalebout_5.2.12CORE Group
The document describes The Parenting Map, a low-literacy tool developed by Project HOPE to assess and track the well-being of orphaned and vulnerable children (OVC) across six domains of care. The Map is used by OVC caregivers, volunteers, and staff in several countries. It provides a snapshot of each child's status, informs action plans, and measures program impact through baseline and follow-up data collection. Analysis of data from Namibia shows improvements across domains over time, with the greatest changes in health and nutrition indicators. Challenges in data analysis include seasonal factors and response bias, but the tool is widely accepted and helps focus support for OVC.
Evaluating Change and Tracking ImprovementJane Chiang
This document summarizes the evaluation of innovation units at a hospital. It describes the evaluation process, data collected, and key findings. An evaluation steering committee oversees the evaluation in 90-day cycles. Data is collected through surveys, interviews, and observations. Findings show positive feedback from patients and staff regarding relationship-based care practices. Opportunities are identified in areas like documenting discharge dates and care team members. Next steps include continuing the evaluation, expanding to more units, and deepening analysis of specific measures to further optimize the innovation units.
Parallel Session 3.2 Innovations in Acute Flow and Capacity ManagementNHSScotlandEvent
Patient flow refers to the movement of patients through the healthcare system. Slow patient flow can negatively impact quality of care and increase costs. When patient flow slows down, more patients are at risk of dying from delays in treatment or medical errors. It also increases costs due to longer lengths of stay, increased use of expensive hospital resources, and less efficient use of staff time. Improving patient flow requires considering the entire patient journey, separating elective and emergency care streams, eliminating unnecessary variability, and ensuring capacity matches demand.
Kate Hobson introduces how implementing some Lean principles in a small radiology department led to significant improvements. By process mapping and using the Glenday sieve to identify high-volume ("green") procedures, the department was able to streamline workflows to reduce wait times. Simple changes like standardizing dating scans to 5-minute slots and having sonographers see clinic appointments freed up capacity. Clearings the backlog and actively managing schedules further reduced waits. While change management was difficult, Lean principles can cure inefficiencies in radiology and beyond.
Poudre Valley Hospital’s Best Practices for Emergency NotificationEverbridge, Inc.
Poudre Valley Hospital uses the Everbridge emergency notification system to communicate important information to staff quickly and efficiently. They load all employee contact data nightly using an API that interfaces with their HR systems. This allows them to send notifications to large groups segmented by department or specialty. They use the system for emergencies, drills, testing, regulatory surveys, and daily staffing needs. The API and ability to segment groups has improved their notification process and allowed them to contact hundreds of staff in a fraction of the previous time.
Daniel Jones outlines how lean thinking can help healthcare based on his experience helping other industries. He conducted experiments in healthcare to develop lean methods, focusing on eliminating waste and delays for patients. Key aspects include mapping patient flows, synchronizing activities between departments, and establishing stability through visual management boards. This requires an "end-to-end perspective" and appointing a value stream manager to resolve conflicts and ensure continuous process improvement. With the right lean management system in place, healthcare can realize significant benefits like reduced lengths of stay and costs.
Emergency Department Throughput: Using DES as an effective tool for decision ...SIMUL8 Corporation
This document discusses using discrete event simulation (DES) to support decision making in emergency departments. DES allows modeling of dynamic patient flow and testing of "what if" scenarios. The document outlines best practices for setting up successful DES projects including defining objectives, gathering quality data, validating models, and including frontline staff. Case studies demonstrate how DES has been used at hospitals to evaluate options for capacity changes, process improvements, and reducing wait times.
Peri-op 32-bed nursing unit uses LEAN to control costs of dressing supplies given at time of patient discharge. We increased RN satisfaction AND saved our unit money!
Process Mapping Revised.pptxgejhshxbsjdijdbenny Jackson
This document discusses process mapping. It defines a process as a series of interrelated activities that transforms inputs into outputs. Process mapping creates a visual representation of the steps in a process. Process mapping is important for understanding a process, identifying problems and opportunities for improvement, and gaining support for changes. Common symbols used in process mapping are also described, such as boxes for activities and diamonds for decisions. The document discusses identifying value-adding versus non-value adding activities and different types of waste, called MUDAs, that can occur in hospital processes. An exercise is provided to have participants map an example process.
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.
The document discusses how lessons from Lean Thinking and Toyota's production system can be applied in healthcare to improve quality, efficiency and productivity. It outlines three levels of Lean transformation: improving individual processes (Point Kaizen), redesigning patient pathways (Value Stream Kaizen), and aligning support processes across organizations (System Kaizen). Early results in Bolton Hospitals NHS Trust show improvements like reduced mortality and length of stay through Rapid Improvement Events. The document advocates adopting a Lean approach to operations and strategy to manage processes and redesign services using Lean principles. Some challenges to Lean adoption in healthcare are also acknowledged.
This document summarizes a webinar on applying lean principles to improve hospital operations and patient care. It discusses key lean concepts like identifying value streams, removing waste and unnecessary waiting, and establishing a single pacemaker process to synchronize workflow. The webinar advocates using value stream mapping to analyze current processes, identify problems like misaligned departmental schedules, and design a future state with standardized workflows, buffers to absorb variability, and a pacemaker department to set the schedule that all other areas follow. Implementing this future state requires creating an action plan and appointing a value stream manager to ensure needs are met on time for all medical patients.
Excel/VBA model for nurse scheduling in outpatient wardsParijat Sinha
A model is proposed and evaluated using an Excel/VBA simulation to schedule full time and part time nurses in outpatient wards in face of probabilistic patient arrivals.
Similar to Time to Care: Common Ways Nurse Time Is Wasted (20)
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
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5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
2. Time to Care: Common Ways Nurse Time Is Wasted
Introduction
Brad White
– Title: Operations Improvement Engineer
– Description: Implements Lean Six Sigma at Baptist
Health System
3. Time to Care: Common Ways Nurse Time Is Wasted
Project Definition
Defect
– High nurse turnover & low employee morale
Background
– The tele units at BMC were experiencing high
turnover
– Nurses said the floor was stressful
– Nursing grid was changing from 1-5 to 1-6
Goal
– Retain tele nurses
4. Time to Care: Common Ways Nurse Time Is Wasted
Observation
• First step in observation is learning what to
observe
• Be prepared for the first round of observations
to yield little data
• Find a structured yet flexible way to capture
data
5. Time to Care: Common Ways Nurse Time Is Wasted
Observation Form
6. Time to Care: Common Ways Nurse Time Is Wasted
Convert to Data
• Two basic forms of observation data:
– Process
– Work-Time Study
• Convert observation notes into applicable
data
• Categories the times into various bins
• Ask, is this of value?
7. Time to Care: Common Ways Nurse Time Is Wasted
Categorization
8. Time to Care: Common Ways Nurse Time Is Wasted
Analysis
Time Analysis
Shift Day Night Day Night Average
VA 13.5% 52.8% 7.9% 61.9% 34.0%
Flex 14.0% 7.1% 31.4% 5.4% 14.5%
NVA 72.5% 40.1% 60.7% 32.7% 51.5%
Cost of the Waste $1,530,395/yr
9. Time to Care: Common Ways Nurse Time Is Wasted
Spaghetti Diagram
• Nurses were walking
750 mi. a year
• That’s like walking
from here to
Memphis, TN!
• Represents over
$10,000 per nurse
each year
10. Time to Care: Common Ways Nurse Time Is Wasted
Other Data
• What else can be collected?
– Staff opinion
– Photos
– Video
– Audio
– Anything that can put the environment into
context for your audience
11. Time to Care: Common Ways Nurse Time Is Wasted
Waste Pareto
• Detailed analysis will generate a “Waste
Pareto”
• This becomes the action items for
improvement
12. Time to Care: Common Ways Nurse Time Is Wasted
Data Analysis
Wasted Time Analysis
(In Hours, per nurse each year)
200
180
160
140
120
100
80
60
40
20
0
13. Time to Care: Common Ways Nurse Time Is Wasted
Data Analysis
Wasted Time Analysis
(In Dollars, per nurse each year)
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
$-
14. Time to Care: Common Ways Nurse Time Is Wasted
Med Draw Analysis
• Pulling medication was the #1 time waster
(tied with discharging)
• The observed reason for delays:
– Multiple machines required multiple logins
– Centralized location required travel and resulted in
batching
– Medication in bins required the nurse to fill the
prescription
15. Time to Care: Common Ways Nurse Time Is Wasted
Med Draw Solutions
• Re-balance machines to be patient-centric not
drug-centric
• Disperse machines throughout the floor
instead of a central location
• Have pharmacy fill each med pass by patient
• Install med boxes outside each room
16. Time to Care: Common Ways Nurse Time Is Wasted
Discharge Analysis
30%
25% Admit Done
2
20%
1 Discharge Start
15%
Expected Admission
10% 3 Done
5% Expected Discharge
Start
0%
Orders Start to End to
Admit Time to Start End Leave Total
Mean 77 Mean 125 59 36 220
Std. Dev 59 Std. Dev 146 42 63 251
Min 13 Min -155 -55 -10
Max 250 Max 665 205 250
N 22 N 58 80 24
17. Time to Care: Common Ways Nurse Time Is Wasted
Discharge Solutions
• Collect proper information early in the process
• Prepare for discharge by completing patient
education prior to discharge orders
• Eliminate unnecessary paperwork in the
discharge process
18. Time to Care: Common Ways Nurse Time Is Wasted
Key Lessons
• Nurse time not spent at the bed time is waste
– Nurses aren’t happy
– Patients aren’t happy
– Management isn’t happy
• Poor staffing is concealed with busy work so cost
are hidden and a paper profit is shown
• High turnover is expensive, drains morale, and
decreases patient satisfaction and safety
• The answer is rarely more staff or more
equipment, but rather better layout and
processes
19. Time to Care: Common Ways Nurse Time Is Wasted
Is This of Value?