Wednesday 7 November 2012
Patient and Person-centred
Care
Insert name of
presentation on Master
Every Day Counts
For Megan
Giving back 100,000 days to our Citizens
Presented By:
Terry Watkins
Karen Newman
Date: 07th November 2012
Venue: Llandudno
Every Day Counts
For Megan
Who is Megan?
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A fictitious patient who uses our services
The person who challenges what we do
Our integrity, honesty, trust & expectation
Megan represents us, we are the patients
The measure of success for our citizens
Driver for change & collaboration
The link between service provider & user
Every Day Counts
For Megan
Why the campaign is a priority for us.
• Patient centred care, “get in and get out safely”
• People who don‟t need to be admitted to hospital
receive their care in community settings
• People who need to go into hospital receive safe,
effective care as quickly as possible
• People who are ready to leave hospital are
supported to return home safely, and without delay
• Whole systems approach to patient care
• Efficient and effective (Adding Value) getting it right!
Every Day Counts
For Megan
Programme Overview
QI programme contributing bed days
100KD
initial
scope
1000 Lives
+
Clinical Lead
Safe Timely Return Home (STRH)
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Nimal Balaratnam
Fractured Neck of Femur (NOF)
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Gordon Gillespie
Hospital Acquired Infection (HAI)
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Liz Waters
Enhanced Recovery After Surgery (ERAS)
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Peter Lewis
Chronic Conditions – Cardiac Failure
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Jackie Austin
Chronic Conditions – Diabetes
Dave Minton/Leo Pinto
Chronic Conditions – Chronic Airways Disease
Jackie Abbey/Patrick Flood-Page
Frequent Service Users
Rowland Hughes
Gwent Frailty Programme
Pradeep Khanna
Possible inclusion of “Cellulites” in the New Year.
Every Day Counts
For Megan
Governance & Risk
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Monthly Challenge & Support review CEO, Excecutive Lead,
Programme Mgr, Corporate.
Oversight Board - 6 week review with Chief Exec, Divisional Mgrs,
General Mgt, Clinical leads, Senior nurse‟s.
Measurement review currently being planned for a monthly review with
key stakeholders.
Ward level operational meetings every 2 weeks.
Ward corporate support & PDSA reviews weekly/fortnightly
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Three main risks:-
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– The length of stay remains the same / some patients in the wrong place.
– The overall bed configuration will continue to be inflexible (High Occupancy)
– Opening SCCC in Llanfrechfa in 2018 with 444 new beds will result in an
unbalance of resources and will be un-affordable
Every Day Counts
Safe Timely Return Home (STRH)
For Megan
Passing the Baton
Safe Timely Return Home (STRH)
Every Day Counts
For Megan
Scope of (STRH)
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Started the (STRH) programme in September 2012
6 Pilot wards on three hospital sites in ABHB
2 Year roll-out of designed learning sets (4 x 30)
272,000 days to go at on 30 wards
15 Community & 15 Acute wards to be targeted
300+ staff will be involved with this programme
Supported from ABCi (New Department 2013)
Every Day Counts
For Megan
STRH Pilot Wards
- Development of driver diagrams
- Supported by PDSA cycles
- Process Mapping
Methodology
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IHI & 1000 Lives + Improvement methodology
Development of driver diagram at ward level (½ day)
Supported by PDSA cycles developed by the teams
Using collaborative reviews “whole systems approach”,
Mapping the patient journey end to end
• Corporate resource on the ward every week x 2
• Patient surveys and shadowing key to success
• “KO AWATEA Good practice” learn from New Zealand
Every Day Counts
For Megan
Measurement
Community Bed Days = 127,000
Acute Bed Days
= 145,000
Every Day Counts
For Megan
Communication
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Internet page
Nye's News
Medical Directors Blog
Chief Executive Blog
Video Clips
Local notice boards
Staff Briefings
Executive Team Visits
Every Day Counts
For Megan
Safe Timely Return Home (STRH)
Thank you for your time
QUESTIONS
Wednesday, 7th November
Wales’ person-centred care
journey
Insert name of
presentation on Master
Presenter: Janet Davies
“We all have two jobs: to
do our job and to
improve it.”
“The focus revolves
around delivery of a
service that patients want
and need, rather than
what professionals feel
they should have.”
Quality Delivery Plan
“The best judge of the quality of service given is
the recipient.”
ACTION 5: During 2012 Welsh Government will
develop a national approach to measuring health
service user experience.
Patient Experience Framework
• Phase 1 – National Survey for Wales
• Phase 2 – Set of national principles
• Phase 3 – Development of consistent
approach to measure health service user
experience
Principles
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„Real-time‟ feedback
Patients‟ voices heard by Boards
Inclusivity
Learning from national surveys
Drawing on expertise