cardiology services - warwick hospital
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Redesigning Cardiology Services at Redesigning Cardiology Services at Warwick – A Personal JourneyWarwick – A Personal Journey
Claire Davenport Cardiology Unit Manager
16th May 2008
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Background 1998-2006Background 1998-2006
Cardiology inpatient services delivered in two areas, CCU & Malins.
Managed by two separate ward managers, two completely separate entities.
Never the twain shall meet!
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20062006
Decision taken as a result of organisational change that CCU and Malins could be managed by one ward manager and run as one unit.
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And the lucky person?And the lucky person?
ME!
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My BackgroundMy Background
A&E Emergency Assessment Unit Night Co-ordinator General Medicine Rheumatology/Dermatology Cardiology
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RemitRemit
The remit was to take on the management of two clinical areas, which were historically run as two independent wards, and to merge them into one effective and efficient unit with a shared budget, workforce, resources and vision.
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BarriersBarriers
The wall Inequity in care delivery Distribution of staff Consultant perception Reputation of Malins ward Reconfiguration My lack of Cardiology experience
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Key achievementsKey achievements
Successful combining of two budgets and resources resulting in a cost saving of 15K on drugs and stock between the two areas.
Implementation of an effective working pattern between the two areas, which has allowed the development of a cardiac outreach team to improve patient access to cardiology, services and reduce length of stay.
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Key achievementsKey achievements
Rotation of all staff through both areas to ensure appropriate skill mix and knowledge base with a positive impact on patient care
Appointment of Band 6 Clinical Sister onto Malins with extensive cardiology knowledge/experience.
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Key achievementsKey achievements
Engagement of consultants, junior medical staff and nursing team in working together as a more cohesive team with a shared vision of cardiology service delivery.
Empowerment of staff to take ownership of service delivery and cardiology inpatient services
Extensive cardiology education programme
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Key achievementsKey achievements
Transparent pathways for Cardioversion and cardiac rehabilitation resulting in income generation of 100K
Engaging consultants and IT department to ensure all activity is recorded for ad hoc attendances resulting in income generation of 75K
Raised profile of tariffs and importance of activity recording with all members of cardiology team.
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How ?How ?
Lean methodology/ productive ward
Leadership
Support / Teamwork
Passion for patient care
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LeanLean
Efficient service with minimum waste Handovers Transparent pathways Drugs rounds Housekeeper role Fostering Ownership
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LeadershipLeadership
Having a vision and articulating it. Putting patients,relatives & carers at the
centre of the vision Effective dynamic communication Displaying & encouraging innovation Motivating & developing staff Achieving delivery Inspirational Being a facilitator
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LeadershipLeadership
Asserting the importance of audit & bench marking processes
Empowerment Demonstrate motivation to transform &
improve services Clinical credibility
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Support / TeamworkSupport / Teamwork
Internal Team
Other Internal Departments
Cardiac Network
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PassionPassion
Passion for patient care and essential nursing skills is always transferable
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Bed of RosesBed of Roses
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Long Way to goLong Way to go