Northeast HealthWangaratta
Is it possible to improve the elective surgery waitlist framework
in a sub regional health service?
Presenter: Peter Simpson-White Elective Surgery Coordinator
Innovation Poster SessionHRT1215 – Innovation AwardsSydney 11th and 12th Oct 2012
3-3b_HRT1215-Session_MILLNER_CARRUCAN_WOOD_ADHB_NZ
Northeast HealthWangaratta
DEMOGRAPHICS
•3 Operating theatres
•220+ beds
•5480 theatre attendances 2011-12
X 3
•No staff specialists
•No outpatient referral clinics on-site
•VMO allocates patient surgery date
Northeast Health Wangaratta
Northeast HealthWangaratta KEY PROBLEM
Low % of elective surgery patients treated within clinically
recommended time
Northeast HealthWangaratta AIM OF THIS
INNOVATION
Primary Objective:
Increase % of elective patients treated within
clinically recommended time to - 95%
Secondary Objective:
Increase compliance of Elective Surgery Access Policy to - 100%
Northeast HealthWangaratta BASELINE DATA
89% of all elective surgery patients treated within clinically recommended time in September 2010
38% Elective Surgery Access Policy compliance measures could be assured
Northeast HealthWangaratta
KEY CHANGES IMPLEMENTED
Governance procedures• Reference documents• Peri-operative Services Committee
Regular auditing regimes • Validate the status of waiting
patients• Review compliance measures
Real time front end database• overall waitlist statistics• display by VMO or specialty• individual patient narrative
Northeast HealthWangaratta
OUTCOMES SO FAR
97% of all elective surgery patients treated within clinically recommended time in July 2012
100% of Elective Surgery Access Policy compliance measures could be assured
Northeast HealthWangaratta LESSONS LEARNT
Achievements The establishment and hardwiring of:
• Regular auditing regimes• Real time data availability • Collaborative governance
Remaining challenges• Aligning theatre utilisation with the
waitlist