Update from the Medical Director W - BreastScreen WA/media/BSWA/Fact... · 2016. 2. 29. · rec,...
Transcript of Update from the Medical Director W - BreastScreen WA/media/BSWA/Fact... · 2016. 2. 29. · rec,...
Issue 30Keeping abreast of BSWA News
September 2015
BreastScreen WA Welcomes back Sarah Bright, Health Promotion Officer
BreastScreen WA | Eastpoint Plaza | t: 08 9323 6700 | e: [email protected] | w: www.breastscreen.health.wa.gov.au
Update from the Medical Director
Sarah Bright, Health Promotion Officer at BreastScreen WA, has recently returned after living and working in Mongolia for a year. Applying for a position with the Mongolian National Centre for Public Health through the Australian Government International Volunteers Program, Sarah was happy when she found out she was successful as positions are very competitive.
Whilst in Mongolia, Sarah helped her counterpart write a successful funding application for an oral health project. Partnering with the Mongolian Rotary Club and the University of Dentistry, the ‘Healthy Smiles’ project was piloted in five kindergartens in a very poor area of the capital city, Ulaanbaatar.
The project was successful and it will continue into its second year, even after Sarah has left. “My role was to build capacity and guide my counterparts, so I’m happy the project is continuing,” she said.
Sarah had the opportunity to travel within Mongolia and went horse riding, dog sledding, hiking and tried much of the local food and drinks. One particular delicacy is ‘airag’ or fermented mares’ milk. Sarah said, “It’s an acquired taste, but I was offered it so much, and it’s rude not to accept offers of food and drink, so I ended up liking the taste by the end!”Sarah misses the friends she made and the excitement of life in Mongolia, but feels lucky to be back in Perth where the air is clean, the ocean is near and the temperature stays above zero!
We are in a particularly hectic period of BreastScreen WA development over the next couple of weeks. I must compliment the staff for their robust ability to maintain business as usual as building works proceed busily around them. Nicole Walker and Cynthia Leal have done a remarkable job in developing the refurbishment plans and co-ordinating the building works.
- Dr Liz Wylie
BreastScreen WA | Eastpoint Plaza | t: 08 9323 6700 | e: [email protected] | w: www.breastscreen.health.wa.gov.au
100 Day Lean Action ChallengeOne Direction
To reduce client communication confusion by March 2015
KEY WASTE identified
Value Stream Map Staff stories ‘I now realize that the journey
from start to finish for one client can take up to 6 weeks.’
‘The process is changing and we need to adapt with this change.’‘Feedback from our clients must
be key to any change in our communication.’
Changes tested• SMS Text reminder to clients has been changed resulting in a reduction
in calls to call centre about the text.• Reference to online Booking has been removed from Country Clients’
letters as this service was not available reducing confusion.
5SHole Punches – they had been breeding in our area andsome were still in uteroAnd there is one on each desk as well!! ☺
Next steps• Commence gathering client feedback about letters (content, format etc)• Review and make changes as necessary to all our current communications• Amend MSR to accept Interstate Address details.• Investigate Dense Breast attachments for clients and Doctors with a view
to include this information within their letters rather than attaching formsmanually.
• As the new standards for Accreditation have now been ratified we willensure we comply to these standards.
Key Issues discovered throughout our lean action challenge
Angela Hellewell, Faith Lawton, Gaye Moffitt , Katy Grace, Jan Pickering, Margaret Abbott
VALUE STREAM MAPPING - COMMUNICATION(Support Services)
OR
OR
1-Oct 21-Oct 22-Oct 23-Oct 14-Nov
GREEN Different location client moves thru journeyYELLOW Document each task in each stepRED Time delays / inconsistenciesBLUE Identify patient flow
16-Nov
SupportServices
CentralBooking3 weeks
Clinic
25 mins
EPP
1 day
Radiolo-gists2 weeks
SupportServices2 days
Nurses
ABNresult
Invitationletter
Appoint-mentmade
Remind SMStext
Phone reminderno mob
DatacapturedBrocures
Filmsmatchedto paper
NormalResult
Resultletter
Can we reword /simplify reminder letters
Can we rewordSMS remove"reschedule"
Can we reduce time re Old Filmsmainly NZ 3 wks
change order of print for mail out ltrs (Bar code/NB
When rslts not rec, can CB print copy -bypass nurse
Can we print DB & Implant attach-ments with ltrs
Can we change order of rslt ltrs (printing)
Can we add inter-state GP to data base
How can we rreduce cancellation(9Oct 7hrs 3 people) -over 70 appts cancelled
How can we bring alert notes to our attentionPhones
forapp
Re-screenletter
Screenat clinic
Waitsfor readresults
Receiveresultletter
Tech FV
Radiog-raphers
Follow upletter
Country 1 yearlyletter
OnlineBooking
Receivesinvite ltron 50th
Can we insert screendate on ladies ltr
SMS orphone reminder
Screenat clinic
Waits for admin
Could we have 1 consent form for all visits
GP details - is there a register for PR nos.Need fulldetail of GP
Can we clarify when a call is put thru to Rads / nurses(lumps,carers etc)
Sorting through Result letters is time consuming – takes 1 FTE away from other key duties, as such is not cost effective in its current state.
Recommendations to BSWA
5Sing to be a regular process
Engage with women in regular feedback methods
Make changes based on feedback to communication methods
Continue with LEAN processes
Outcomes and lessons learned• Unnecessary information has been removed from Country letters.• SMS messages are now simple to understand.• Staff now question WHY? More often and are coming up with possible solutions rather than just
performing each process just because it has always been done that way.• More exposure for staff who until these session had not felt able to comment or suggest ideas. • Motivation to think outside the box and know that someone will listen.• Streamlining can make the work process much easier and organised.