tom downes
TRANSCRIPT
Discovering great care
Tom Downes13th May 2015 @sheffielddoc
@sheffielddoc@sheffielddoc
Mrs R
• 92 years of age• Widowed 7 years ago• Mild dementia• Lives in a flat• Daughter lives locally• Unwell with pneumonia
@sheffielddoc@sheffielddoc
@sheffielddoc@sheffielddoc
@sheffielddoc@sheffielddoc
GREAT CARE IS DISCOVERED, NOT DECIDED
Key Point 1:
Great
Okay
ΔAltitude
ΔClimb rate
Know a lot
Know something
Don’t know
ΔDiscovery rate
Easier, safer work
Harder work,Poor conditions
Key Point 2:
Problem solvingis key to
Discovering Greatness
@sheffielddoc
Great
Okay
ΔAltitude
ΔClimb rate
Know a lot
Know something
Don’t know
ΔDiscovery rate
See ✗
Solve ✓Spread ✓ ✓✓
See ✗
Solve ✓Spread ✓ ✓✓
See ✗
Solve ✓Spread ✓ ✓✓
Learnerleader
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@sheffielddoc@sheffielddoc
@sheffielddoc
@sheffielddoc
The Big Room (Oobeya)
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Big Room
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We have all designed our own complex system
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Frailty Unit
Outcome measure: 34% increase in discharge within 1 day
Frailty Unit
opens
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Length of stay for frailty unit patients reduced by more than 4
days
Frailty Unit
opens
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In-hospital mortality dropped by over 13%
Frailty Unit
opens
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Discharge to Assess (D2A)
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Time waiting per patient
D2A starts
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D2A starts
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D2A starts
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@sheffielddoc
What is your capability and capacity to discover?
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• Modern healthcare is complex• Design by front line staff running iterative tests• Measure• Involve patients• Timely specialist care is cheaper and safer• Not a project• Mrs R is in her own home
CONCLUSION
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@sheffielddoc
www.sheffieldmca.org.uk
