Aaron JonesWhole of Hospital Program Lead

Royal Prince Alfred HospitalDecember 2013

Picking the priorities

NEAT performance

RPA NEAT Clinical Redesign Project

Undertaken in 2012

Massive diagnostic phase:– Patient stories– Staff interviews– Focus groups– Process mapping exercises– Data analysis

RPA NEAT Clinical Redesign Project 13 solutions working parties convened in 2012

7 priorities identified for 2013 based on the further diagnostic work and a re-focus:– Patient Journey Boards– Ward Pull trial– ED Team Based Care– Fast Track reconfiguration– Expand and review EMU – increase utilisation– NEAT Navigators in the ED– ED Admission Policy

RPA ED Timeline from Diagnostics

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Admit Discharge EMU

2013

2014

2 Hours

2 Hours

Setting our 2014 Priorities Consolidate on successes/priorities from 2013.

Remainder of priorities are all “back of house” solutions

Report developed with 5 key recommendations

Executive support gained

January 2014 – commence key stakeholder engagement and implementation

Breakdown 5 solutions into staged, workable projects

Lessons Learnt Set clear milestones and aim to meet them

Undertake a thorough diagnostic

Do not rush implementation

Meet with key stakeholders regularly (at least weekly)

Concentrate on the long term – don’t be distracted by current performance

External support and designated project leader essential

Acknowledgements RPA Emergency Dept Staff

RPA Executive Team

RPA WoHP Strategic Committee

RPA Patient Flow Unit

RPA Discharge Liaison Service

RPA Clinicians

Ministry of Health WoHP team