Nice efficiency shame about effectiveness

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patient details accurate minimal waiting time seen at short notice Results measures Accurate diagnosis Effective medication Good advice Information Process measures Customer Process owner Supplier Process measures Customer Process owner Supplier patient details accurate effective data gathering effective examination accurate diagnosis accurate prescription effective data gathering accurate review accurate drug selection good drug availability patient symptoms feelings condition measures Process Customer Process owner Supplier Visit to Doctors INPUT OUTPUT

Transcript of Nice efficiency shame about effectiveness

Page 1: Nice efficiency shame about effectiveness

•patient details accurate

•minimal waiting time

•seen at short notice

Results

measures

•Accurate diagnosis

•Effective medication

•Good advice

•InformationProcess

measures

CustomerProcess owner

Supplier

Process

measures

CustomerProcess owner

Supplier

•patient details accurate

•effective data gathering

•effective examination

•accurate diagnosis

•accurate prescription

•effective data gathering

•accurate review

•accurate drug selection

•good drug availability

•patient

•symptoms

•feelings

•condition measures

Process

CustomerProcess owner

Supplier

Visit to Doctors

INPUT OUTPUT

Page 2: Nice efficiency shame about effectiveness

Process

measures

CustomerProcess owner

Supplier

•patient

•symptoms

•feelings

•condition

Improvement initiative undertaken by Receptionist

Objective: Increase speed of processing

Success: Processing time cut by half-well

done---or is it?????

Visit to Doctors

INPUT OUTPUT

Page 3: Nice efficiency shame about effectiveness

Cause and effect & sub-optimisation

On target but missing the point

•inaccurate diagnosis

•incorrect medication

•wrong advice

Visit to Doctors

INPUT OUTPUT

Results

measures

Process

measures

CustomerProcess owner

Supplier

Process

measures

CustomerProcess owner

Supplier

•patient

•symptoms

•feelings

•condition measures

Process

CustomerProcess owner

Supplier

•Process in halftime •incorrect patient notes

•improper diagnosis

•improper prescription•incorrect medication

•wrong advice