prepared by christine lassen · ‘95% first case on time theatre starts’ ... moh project plan....
TRANSCRIPT
Prepared by Christine LassenMay 2012
First Case on Time
Australian Government 2011 Airline On Time Performance
http://www.bitre.gov.au/statistics/aviation/otp_annual.aspx
Ladies and gentlemen we regret to inform you .....
One in five flights in Australia is delayed by more than fifteen minutes
The number of cancellations in 2011 reaching 1.8 per cent, double the figure of the year before
Simply put, every third return trip you make by plane will be delayed in some way.
http://www.dailytelegraph.com.au/travel/travel-advice/handy-tips-on-how-to-survive-flight-delays/story-e6frezor-1226285112522
Being late
“I have noticed that the people who are late are often so much jollier than the people who have to wait for them.”
E.V Lucas (1868-1938)
Learning Outcomes
KPIs for OT efficiency should not be used as outcome measures in isolation
Understand how KPIs can be used as leverage tools to increase efficiency
Achieving compliance with ‘95% first case on time theatre starts’ is not just about the day of operation but also includes planning from the patient’s initial booking for surgery
FCoT Definitions
Anaesthetic start time
Wheel into theatre time
Knife to skin
When the scout nurse hits the right SurgiNet button
When we all do ‘time-out’
When the patient is prepped
When the patient is draped
?????
Surgery Dashboard Indicators 2011/12
http://www.archi.net.au/documents/resources/hsd/surgery/predictable_surgery/surgery-dashboard.pdf
The Dashboard
Reporting FCoT KPI
Monthly KPI
Reported on Surgical Dashboard for last 2 years
Reported by LHD
Reported and discussed at SST
Currently NSW average = 40 – 50%
Target = 95%
Assess
• Develop & distribute survey• Survey analysis
Design & Construct
Operate & Review
MoH Project Plan
68 responses - both metropolitan and non-metropolitan
Opened 07/02/12; closed 13/03/12
Anaesthetic Bays Y 80%
Same time starts surgeons & anaesthetists Y 85%
Staggered start times for elective lists N 75%
% First Case on Time Theatre Starts KPISurvey Results
% First Case on Time Theatre Starts KPISurvey Results
OT Management Committee Y 83%
Who belongs?
Nurses, Surgeons, Anaesthetists, Business Managers, DCS/DMS, CSSD Managers, Exec/GM, DON/ADON, Bookings Managers, Data Managers
OT Management Committee drives the KPI?
% First Case on Time Theatre Starts KPISurvey Results - Comments
“We always have our patients here ready to go for the start of a list. The Anaesthetist and Surgeons are continually late. I have been reporting this on a monthly basis for 8 years. I hope the problem can be fixed.”
“This is a multifaceted problem that will require a concentrated project and additional costs if the expectation is that the start time is surgical access only………..This is now on our agenda to review and discuss with hospital executive.”
“Medical staff generally do not want to know, as they feel their excuses are justified. Nursing staff are forced to try and police this.”
SurgiNet Reporting
SurgiNet Reporting
Assess
• Develop & distribute survey • Survey analysis• Develop & distribute checklist• Site visits (6 metro) – process & patient flow
Design & Construct
Operate & Review
MoH Project Plan
The Whole Efficiency Process
The Checklist
The Dashboard
Assess
• Develop & distribute survey • Survey analysis• Develop checklist• Site visits (6 metro)• Data presentation SST
Design & Construct
Operate & Review
MoH Project Plan
“...rounding up cats...”
http://www.youtube.com/watch?v=Pk7yqlTMvp8
References
http://www.archi.net.au/documents/resources/hsd/surgery/predictable_surgery/surgery-dashboard.pdf