How to modernise a teaching hospital in an uncertain world

Phil Jones9th November 2006

Wakefield

in several not so easy lessons…….

Key Drivers for Change

• Payment by Results • Patient Choice• Our Health, Our Care, Our Say White Paper• European Working Time Directive• 18 week waiting time target

Connecting for Health in LondonLed by BT and partnersCRS was IDX Carecast now Cerner No Cerner product yet deployedPACS = PhilipsMany tactical solutionsLondon has +++ £££ problems

Maternity

PAS OrderComms Pathology Proton

Pharmacy

Theatres

RIS

A&E Others

PACSPACS

CRS (Carecast)Master Patient IndexInpatientsOutpatientsWaiting ListsA&EOrder CommsResultsMaternity(?)Clinical DocumentationNote tracking

Theatres PACS

InterfaceEngine

RIS

Pharmacy

Pathology

Others

InstrumentTracking

Choose & Book

Key issues are

•The end of the paper record?

•Single electronic patient record?

•Accessible through a single integrated system

•“Martini” access

•Will the supplier deliver the functionality required

•Clinical buy-in

• To challenge current assumptions regarding the way we work

• To identify how technology & new ways of working can be implemented to improve patient care

• Promote Team working• To develop a vision of how St Mary’s should operate in 3-5

years time, including the benefits and how we will know we have achieved the vision.

Key Objectives

• Provide coherent, strategic overview to improvement projects

• Ensure improvement projects are necessary &

appropriate

• Target limited resources most effectively

• Use new technology & new ways of working to

deliver valued, tangible benefits to patients

• Embed culture of continuous improvement at St

Mary’s NHS Trust

Trust Board

Executive Board

Transforming St Mary’s Board

Project Boards

Project Teams

TSM Reporting Structure

Leading Transforming St Mary’s

• Cohort of 12 – aim for c.50

• Empowering Leaders to deliver the changes and

improvements that SMH has signed up to

• Multi-professional/Multi-disciplinary

• Coaching others to coach – embedding principles

into the organisation

Projects I•Improving Patients Journey

•18 Week Waits

•PACS

•St Mary’s 24/7

•Redesigning the Med/Sec role

•CRS

•Transformational leadership

•Order Comms & Electronic Discharge

•Real-time data recording

Projects II

•Theatres and instrument tracking

•Switchboard automation

•Intensive Care rebuild (including systems and processes)

•Information Governance

Carry on regardless!

Thank You

Any Questions?