1 / 24

Meeting the Targets! The Crosshouse Journey

A detailed outline of the journey at Crosshouse, covering history, changes, progress, challenges, and sustainable solutions to meet targets. Learn about improvements in work practices and future strategies.

caroline-lukas
Télécharger la présentation

Meeting the Targets! The Crosshouse Journey

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Meeting the Targets! The Crosshouse Journey

  2. Outline • Who are we? • Brief History • Interim Measures • Changes in work practice! • How are we doing? • The Future – is it bright?

  3. Who are we? • Larger of 2 DGHs • 527 beds (570) • Area Beds: • Paeds • Gyn • Nephrology • Dermatology • ENT • Maxfac • 1 MRI scanner – age 7 • 1 CT scanner – age 3 • MRI GA service

  4. Introducing the Targets: • August 2007 ‘Diagnostic 4 week target will take effect from December 2010 – there should be additional resources’ (GR) • In preparation AAHB Radiology - 6 weeks from now!

  5. Brief History • August 2007: • CT: 5wks; MRI: 9wks • ~7,000CT; 3,700MRI • 9am – 5pm, Monday – Friday, 9am – 12pm Saturday (Stroke Service) • (39 hour CT week; 36 hour MRI week) • 4.75 WTE radiographers(6 staff); 2 WTE helpers • 5 departmental porters

  6. Interim Measures • Capacity and Demand Audit • 111% MRI; 110% CT • Process Mapping • Forget lunch! • Canvas staff • Voluntary overtime – loyal! • Clear the backload! • Outsource reporting for MRI • Extra session reporting • (2 qualified Cranial CT Reporting Radiographers still not supported to practice) • Patients scanned and reported at GJH and CG

  7. The More You do………………. • January 2009 (16 months down the line) • CT: 8wks; MRI: 9wks • ~9,600CT (37% ); 4,600MRI (24% ); • 9am – 5pm, Monday – Friday, 9am – 12pm Saturday (Stroke Service) • Minimum of 5 OT sessions per week • (47 - 51 hour CT week; 42 - 48 hour MRI week)

  8. It’s not ALL about targets! • After a year of OT • De-motivated – lack of solutions • Tired • Crabbit • Stress • Clinical risk • Recalls THEN - “4 weeks by March” NO APPARENT END

  9. SO……. • Overtime ended till there was a ‘PLAN’ • Waiting lists not maintained

  10. Sustainable solutions - • Ideal Service? • Formalise the 12 hour days • Rota(s) proposed • Staff involved • Requirements: • 4 additional WTE staff • 1 additional WTE assistant • Funding was put in place for the Radiographer posts!

  11. Balance restored! • 4 posts to advert closing date May • OT supported again • 12 hour days commenced October 2009

  12. 12 hour shifts!

  13. 12 hour shifts!

  14. One year down the line: • 8.8 WTE Radiographers (11 staff) • 3 WTE Assistants (1 still not fully funded) • 4 Departmental Porters • CT: • 8am - 8pm Monday – Thursday • 9am – 5pm Friday and Saturday • MRI: • 8am – 8pm Monday – Friday (64 hour CT week; 60 hour MRI week)

  15. Benefits of 12 hour days:

  16. Benefits of 12 hour days:

  17. Patient Benefits of 12 hour days: • Reduced waiting times - • Reduced anxiety • Increased flexibility • Increased access • Faster turnaround in Department with still more time to talk! • Increased in-patient capacity – no more ‘bed-blocking’! • Happy patients – even on a Saturday!!

  18. Staff Benefits of 12 hour days • Improved Radiographer involvement • Improved morale/job satisfaction • Decreased external pressure • Improved development/training opportunities • Great flexibility • Less pressure on the sessions • Decreased recall rate – no more ! • Happy Radiologists? • No need to be on site!

  19. Service Benefits • Better utilisation of the equipment • Reliable Service • Improved quality of Service • Improved relations with referrers “Great service” Itamar Felsenstein

  20. Where we stand now - 6months later (Figures as of 5th March) • CT: • 10,500 CT (9%); • 9 day wait to appointment • 99.2% completed in target • MRI: • 5,100 MRI (11%); • 22 day wait to appointment (patient type) • 93% completed in target 5 Departmental Porters • Jan 2008 42% CT exams IP, 13% MRI exams • Jan 2010 47% CT exams IP, 15% MRI exams

  21. However: • Frustrated Service Development • CT Colonography • GI MRI • Stroke MRI • Cardiac CT/MRI “CT Coronary Angiography should be developed as a decentralised service” WoS RPG • Shortage of Permanent Radiologists • 5 WTE Consultants • Total annual throughput 105,500 exams per annum • 2 ‘permanent’ Locum Consultants (2 qualified Cranial CT Reporting Radiographers still not supported to practice)

  22. Are we there yet? • NO! • MRI • Limited reporting time • Still ‘breachers’ • Protocol • Inject/Vet

  23. Acknowledgements: • Clinicians • Radiologists • Theresa Holliman WLC But most of all: • My Team Fiona, Jacqui, Penny, Sandra, Leigh, Mhari-Clare, Angela, Marion, John, Kim and Jillian, Joan, Linda and Anna Craig and Eleanor

  24. Any: Comments? Questions? Concerns? Solutions??

More Related