management operating system - auckland city hospital oper… · slide 3. what a management...
TRANSCRIPT
slide 1
Management Operating System
Louise Carrucan‐Wood
[email protected] to Tim Winstone & Abbi Harwood‐Tobin
slide 2
A way of bringing together information, forums (meetings/conversations) and work practices to support
effective decision making & improvement activities
Aligned Visible
Responsive
What is Management Operating System
The Key Outcome is: CONFIDENCE
that we have work systems and structure to
support our teams to deliver results
slide 3
What a Management Operating System IS
A way of bringing together information, forums (meetings/conversations) and work practices to support effective decision making• Aligned• Visible• Responsive
The key outcome is:CONFIDENCE that we have work systems and structure to support our teams to deliver results
slide 4
What a Management Operating System IS NOT
Leadership Development
Organisational Development (Culture / Behaviours)
Development of Information Systems
Patient Operational Planning Systems
Performance Improvement Programme
However: It makes visible whether we are achieving what we set out to (or not) in each of these
slide 5
Focus of a Management Operating System
Run theorganisation (BaU)
Change (Improve)the organisation
ShortTerm
LongTerm
Deploy Strategy
Improve Process
Redesign
Manage Performance
Manage Process
What HowWhen
slide 6
An effective Management Operating System depends on
Management Operating System
Aligned Goals and Objectives
LeadershipBehaviours &
ValuesDiscipline &
Accountability
People & CultureVision & Strategy
slide 7
Key Elements of a Management Operating System
Underpinned by:Standard WorkDisciplineDaily accountabilityVisual Management
slide 8
Overarching Principles
“Status at a Glance” - increased visibility and transparency of performance
“Action” - a drive towards ‘Concern, Cause, Countermeasure’ thinking
“Discipline” - clearly defined roles and accountabilities
“Alignment” - improved alignment across HSGs and the wider organisation
“Purpose” - focusing on leading and managing the organisation
“PDCA” – ongoing review and improvement
slide 9
ADHB Management Operating System
slide 11
Deployment Approach
1. Develop Management Operating System for Executive Level
2. Rollout Strategy Deployment, Scorecard Development and improved Decision Making Forums within Adult Healthcare Service Group
3. Develop a showcase that includes all the elements of the Management Operating System within one service - Respiratory
AD
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EN’S
OPER
ATIO
NS A
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CLIN
CA
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CA
RD
IOVA
SCU
LAR
CA
NC
ER A
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BLO
OD
WO
MEN
’S
MEN
TAL H
EALTH
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D A
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ICTIO
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EXECUTIVE
RESPIRATORY
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2
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“The Management Operating System gives us a clear view of how individual services are going, and how the HSG is going overall. It stops us forgetting about issues that in the past would sometimes disappear off the radar.”
Barry Snow – Medical Director Adults Health Service Group
slide 12
Escalation and Cascade Pathways Organisational / HSG / Service / Department / Individual
slide 13
ADHB Level 1 - Management Operating System
slide 14
Respiratory Example
slide 15
Respiratory Example
slide 16
Respiratory Example
“It has worked well to give me a clear understanding of what our priorities are and make that clear to all within the department.”
Mark O’Carroll – Clinical Director, Respiratory
slide 17
Respiratory Example
“It has simplified our ability to communicate at the Health Service Group level our business as usual activities”
Andrew Davies –Adults HSG Performance Improvement Director
slide 18
Respiratory Example
slide 19
Respiratory Example
During the
Week
MON TUES WED THURS FRI MON TUES WED THURS MON TUES WED FRI MON TUES THURS FRI
8:00
8:30 General Surgery
9:00
9:30 Respiratory
10:00
10:30Catch up ‐ Olivia M
NoRTH/
Respir
Gen Surg Psychology/
Nurse Gastroentorology
11:00Gen Surg POP
11:30 Trauma
12:00Catch Up Sarah F
12:30 Portfolio
1:00
1:30
2:00Catch up Mariano M
Gastro CD & Service Mgr
Gastro CD & Service Mgr
2:30Other
3:00Gen Surg Charge
Nurse Catch Unplanned
3:30
4:00Unscheduled Standard Work
4:30
5:00
5:30
WEEK 4Sign off ‐ papers (Tracie) Sign off ‐ papers (Tracie)
WEEK 1 WEEK 3Sign off ‐ papers (Tracie)
WEEK 2
General Surgery Service
Excellence
Quality Meeting ‐ Gen Surg, Trauma, Gastro, Resp
Region
al Skin Lesion
Ref Group
mee
ting
Gen Surg CD & Service
Mgr Meeting
Gen Surg CD & Service
Mgr Meeting
Respiratory Senior Nurse
Meeting
Finance Meeting
Level 8 OR Mgmt
Meeting
Respiratory SMO
Meeting
Respiratory SM
O
Mee
ting
Respiratory CD & Service Mgr Meeting
Respiratory CD & Service Mgr Meeting Re
sp CD &
Service Mgr
Mee
ting
Gen
Surg Service
Excell
General Surgery Service
Excellence
Gastro Mgmt Meeting
Respiratory Service Meeting
General Surgery Rounds
TPOR Service
Excellence Catch up
NA and Service Manager, Gen Surg
and Gastro Catch Up
Sign off ‐ papers (Tracie)
Respiratory SMO
Meeting
Respiratory SMO
Meeting
General Surgical Audit
Conference
Adult Health Service
Manager/ Nurse Advisor Meeting
Catch Up Mariano M
NoRTH & ADHB Service Manager
Mtg
FRI
Service Excellence Project Update
POP Review and
feedback
Respiratory CD & Service Mgr Meeting
Respiratory Service Meeting
Gen Surg CD & Service
Mgr Meeting
Trauma Forum
General Surgery Service
Excellence
THURS
Gen Surg CD & Service Mgr Meeting
Adult HSG Surgical Voloumes Review
Catch Up Rachel B
General Surgery Business Meeting
TPOR Service
Excellence Catch up
WED
Catch Up Sarah F
Northern Cancer Network
slide 20
Respiratory Example