Darren Clark
Nursing Director Logan Hospital
Developing a 7 Day Service
Change
Case studies
Allocating Funding
Literature - weekends are
a bad time to be a patient
Change management
Considerations
• Our Staff - that includes you
• Our Patients
• Our health care systems
• Our health care environment
Please cross your arms
Now cross them the
opposite way
• Was this easy ?
• Does a change feel natural
?
• How do you feel when
asked to change ?
- Andrew O'Keeffe Hardwired Human
"Don't blame change resistance
on staff, blame the careless
management of the change"
– Atul Gawande
“In the 1970's it took approximately 2 FTE to
care for the typical patient. In the 21st century it
is14 FTE.”
Case Studies
• Robina Development
• Princess Alexandra Redevelopment
• Logan Redevelopment
Allocating Funding
• $81m - my division Logan
• $56m increase in services - expanded ED,
Rehabilitation Ward, 23 hour Surgery and MAPU
• $4.2m increase ward cost to run a MAPU
Activity Based Funding?
Population Based Funding?
Questions