how to modernise a teaching hospital in an uncertain world phil jones 9th november 2006 wakefield
TRANSCRIPT
How to modernise a teaching hospital in an uncertain world
Phil Jones9th November 2006
Wakefield
in several not so easy lessons…….
Key Drivers for Change
• Payment by Results • Patient Choice• Our Health, Our Care, Our Say White Paper• European Working Time Directive• 18 week waiting time target
Connecting for Health in LondonLed by BT and partnersCRS was IDX Carecast now Cerner No Cerner product yet deployedPACS = PhilipsMany tactical solutionsLondon has +++ £££ problems
Maternity
PASOrder
CommsPathology Proton
Pharmacy
Theatres
RIS
A&E Others
PACSPACS
CRS (Carecast)
Master Patient IndexInpatientsOutpatientsWaiting ListsA&EOrder CommsResultsMaternity(?)Clinical DocumentationNote tracking
Theatres PACS
InterfaceEngine
RIS
Pharmacy
Pathology
Others
InstrumentTracking
Choose & Book
Key issues are
•The end of the paper record?
•Single electronic patient record?
•Accessible through a single integrated system
•“Martini” access
•Will the supplier deliver the functionality required
•Clinical buy-in
• To challenge current assumptions regarding the way we work
• To identify how technology & new ways of working can be implemented to improve patient care
• Promote Team working• To develop a vision of how St Mary’s should operate in 3-5
years time, including the benefits and how we will know we have achieved the vision.
Key Objectives
• Provide coherent, strategic overview to improvement projects
• Ensure improvement projects are necessary &
appropriate
• Target limited resources most effectively
• Use new technology & new ways of working to
deliver valued, tangible benefits to patients
• Embed culture of continuous improvement at St
Mary’s NHS Trust
Trust Board
Executive Board
Transforming St Mary’s Board
Project Boards
Project Teams
TSM Reporting Structure
Leading Transforming St Mary’s
• Cohort of 12 – aim for c.50
• Empowering Leaders to deliver the changes and
improvements that SMH has signed up to
• Multi-professional/Multi-disciplinary
• Coaching others to coach – embedding principles
into the organisation
Projects I•Improving Patients Journey
•18 Week Waits
•PACS
•St Mary’s 24/7
•Redesigning the Med/Sec role
•CRS
•Transformational leadership
•Order Comms & Electronic Discharge
•Real-time data recording
Projects II
•Theatres and instrument tracking
•Switchboard automation
•Intensive Care rebuild (including systems and processes)
•Information Governance
Carry on regardless!
Thank You
Any Questions?