Productive Endoscopy

Overview- AUGIB workshop

January/February 2014

Fiona Thow

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These modules create the Productive Endoscopy Unit

Changed modules to reflect Endoscopy more appropriately

• 10min précis incl. NHS Change Model, followed by full change management module

Executive leaders guide

• NHS Change model

• A3 thinking/pdsa

• Energy for change

• Benefits realisation

Programme leaders guide- extras added!

• Identify requirement to standardise the process

• Eliminate duplication and delay

• The discharge process

Handover, recovery & discharge (combined

module)

• Safe & efficient transfer between functions Session start-up &

changeover (combined module)

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Totally New Modules! • Understanding referral into & the

process within the unit

• Reducing inappropriate referrals, delays & cancellation

Referral Management

• Putting the patient at the centre of improvement activities

• 6C’s-Compassion in Practice- care, communication, courage, competence, commitment, compassion

Patient Experience

• Correct patient evaluation, advice & support

• Creating efficient, no delay, ‘pull’ into rooms

Pre-assessment (& patient

preparation)

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Writing new modules & re-writing

modules to ensure

endoscopy focus

NIL’s working on site

•test improvements

•develop appropriate case studies/examples for inclusion

Partnership with JAG & alignment to GRS (endorsement)

•Joint Advisory Group on Gastrointestinal Endoscopy-accreditation of endoscopy units & colonoscopists working in the BCSP

Learning workshop (October 2013)

• Showcase of achievements to date (see posters displayed)

• Training for sites

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Approaches used

Two differing strategies

All modules divided up & module leads

selected

Selected modules only attempted

Very tight timeframe of only

6 months to develop, test and

write up!

Amazing results from teams so

far

Case studies/examples of improvements

made

Posters showcasing

progress

Quotes from staff & patients involved

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Robust Measures

Across the 4 domains to improve the

patient experience &

outcomes

quality/ safety

cost/ value for money

timeliness /delivery

staff morale

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Robust Measures

Measures representing Trust

Values & NHS Outcomes Framework

mapped to 6C’s individual module

measures

module lead measures for use

in PDR process

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Measures

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Measures

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“ I now couldn’t work in

a unit that didn’t display

metrics to show how it

was performing ”

Clinical Lead, Barts

Health

“Our team now

understands the

importance of

communication & are

utilising the brief and

debrief to good effect, as

well as time-out sessions to

plan changes” Lead Nurse,

Liverpool

“All you need are a few flip

charts and some creative

minds.”

Ed Seward – Consultant

gastroenterologist, Whipps

Cross Hospital, Barts Health

"This was a very different

approach to what we'd had

before. Previous

experiences of Lean left us

feeling very 'done to' but

this was very inclusive"

Nicky Taggart, Endoscopy

Manager, RLBH NHS Trust

"We're trying to create

the Bible for the

Endoscopy Unit" Jim

Buenaventura,

Endoscopy Unit

Manager, Whipps Cross

University Hospital

"It's important that the

team make the

connection that each

piece of paper in this unit

is a patient!" Koralie Bird,

Sister, Portsmouth

Endoscopy Unit

"Always end the huddle on a

high!" Jim Buenaventura,

Endoscopy Unit Manager,

Whipps Cross University

Hospital

PE Learning Event

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PE Mock up