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Clinical Leadership Development Programme Change Management Project Prosthesis Procurement

Clinical Leadership Development Programme Change Management Project Prosthesis Procurement Rowena Dean Chris Tulloch Stuart Burney. Change Initiative. The price of implants have been the subject of a number of cost improvements over the years.

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Clinical Leadership Development Programme Change Management Project Prosthesis Procurement

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  1. Clinical Leadership Development Programme Change Management Project Prosthesis Procurement Rowena Dean Chris Tulloch Stuart Burney

  2. Change Initiative • The price of implants have been the subject of a number of cost improvements over the years. • A number of initiatives have been tried over the years with only short term improvement. • Following a Foundation Trust Network benchmarking exercise it was highlighted that the Trust was an outlier in terms of its implant costs. (Knee Replacements) • Target pricing was thought to be a possible way forward to reduce costs.

  3. Leadership framework for improvement • Set direction, mission, vision and strategy -QIPP agenda - C.I.P - Patient safety - Clinician preference • Establish the foundations • Reframe operating values • Build improvement capabilities • Prepare Personally • Choose & align the senior team • Build relationships Making the status quo uncomfortable Make the future attractive Individual conversations with colleagues

  4. Leadership framework for improvement • Build Will -Plan for improvement - Set aims - provide encouragement - Learn subject matter • Generate Ideas • Understand the organisation as a system • Benchmark • Manage Knowledge • Saving’s of £120K • Understand the component • Parts of a TKR • NHS supply chain – role • Use expertise as a lever • Price ranges

  5. Leadership framework for improvement Now working with the DOH to use the target pricing concept • Execute the change - Review and guide key initiatives - Spread ideas - Communicate ideas - sustain improved levels of performance Monitor compliance with target pricing and the potential for product creep.

  6. Key Achievements • clinical leadership and the conviction of clinical colleagues to switch suppliers if they cannot work within the ceiling price identified. • The concept of target pricing allows the clinician the choice of implants as long as the company provides them within that target price.

  7. Lessons Learnt • When working with “suppliers” ensure the “finer” details are scrutinised and monitored. • Understand the drivers for the key stakeholders (NHS supply chain) • Monitor and manage product creep. • The ability to make sustainable change when working as an effective team of clinicians, the support of the management team is essential clinical and management working as one .

  8. Conclusion • Change is possible, just because it ‘has always been done that way’ does not mean that is the only or best way.

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