The Importance of Clinician Led

spectacularscarecrowAI and Robotics

Nov 17, 2013 (3 years and 8 months ago)

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The Importance of Clinician Led
Workflow Analysis

Date 1/5/12


Simon Thorogood,


Chair of the Health Informatics Programme Board


Royal Cornwall hospitals Trust,


Truro,


Cornwall


Background


NHS Transformation


More work less money


Ageing population


Budget Deficit


Maintain Targets

Efficiency is Key

Implementation of Electronic Working
-

An Opportunity


Workflow is key to Efficiency


Clinical Practise based on History


New Systems
-

the chance to change


Empower Workforce


Reduce ‘bee watching’


Improve business intelligence

Principles


Empower staff to make change


Encourage don’t impose


Focus on simplicity

Inspiration


Brussels Radiology
Dept


Led by Professor


Fully Digital


PACS/Order Comms/VR/Results


Voice recognition reporting


No waiting list


No Delays


Walk in Imaging

The Result


Huge efficiency


No phone calls


Few admin staff


Happy motivated staff

CfH PACS Implementation


Cluster System


Not Configurable


Big Bang CR/RIS/PACS


Expensive


Business Case


Savings

Approach


Implement CR early and delay RIS


Pursue Voice recognition


Active workflow management


The Process


Decide Scenarios


Gather the stakeholders


Agree the rules


Walk through the scenario


Agree the Steps


When


Who


How


Outcome

The Process


Document the Process on the fly


Leave it if too hard


Document issues


Keep Moving!

Who


Facilitator


senior clinician


Scribe


workflow


Scribe


Issues


Technical Author


Representatives

The Rules


Facilitator decides when to move on


You must finish!


Decide on the red lines


Patient Safety


Small groups sort out issues


Produce a document

Our Result


Manual for staff on first day


Worked from day one


Huge reduction in admin staff


30% gain efficiency reporting


VR produced 2 week gain in report turnaround.

Other Projects


Pathology order
comms


Pilot roll out


Less intensive preparation


Allows testing


Elephants identified and
seperated


Results acknowledgement


E
-
Prescribing


Theatres



Summary


Workflow is key


Redesign needs clinical leadership


Use your workforce