Meet the team
Healthcare Systems Engineer - Radiology Specialist Advisor
Kent & Medway ICS
- England - Yorkshire and Humber
Healthcare design and improvement scientist
Kate Silvester Ltd
- England - West Midlands
Consultant Surgeon, Health Care Systems Engineer
Heart of England NHS Foundation Trust; SAASoft Ltd
- England - national
- England - West Midlands
- Northern Ireland
Listening into Action Lead
Northern Devon Healthcare Trust
- England - South West
- Linda Caine
- Oliver Mckinley
- Junior Graham
- Susie White
- Mahya Kayeh
What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?
The attached Vitals Charts demonstrate the weekly Demand, Activity, Backlog and individual patient’s Lead times, across the whole Radiology Network. These clearly show the impact of the COVID shutdown on both Demand and Activity. The backlog (the cumulative difference between Demand and Activity) allows the teams to predict and plan the required activity to meet the required RTT Lead times. The Vitals Charts have provided data the DMO1 is currently unable to do. In addition, information on Lead times for both Request to Scan and Scan to Report has demonstrated significant variation in Lead times across Kent & Medway sites, demonstrating an inequitable service. Having demonstrated what is possible, this project will train the Radiology and Data Manger from each of the four sites in the K&M ICS to learn this skill for themselves, thus improving their capability to meet the clinically required lead times.
What does your project aim to achieve?
- Build in house capability across four acute sites and within the Kent & Medway Imaging Network
- Provide a standard format for data to demonstrate the relationship between Demand, Activity and Backlog, currently not available via DMO1.
- Produce Lead times data to demonstrate variation in Lead times from Request – Scan and Scan to Report.
- Use data to understand root cause analysis of variation and plan improvement to provide patient equity.
- Develop real-time clinical dashboards across the ICS and Imaging network
- Once skills have been developed this team of 10 will be able to train other Managers and Data Analysist to produce Vitals Charts for other areas of the Emergency and Elective pathways.
How will the project be delivered?
The project will use the established Healthcare Systems Engineering approach www.improvementscience.co.uk. This is an online training programme, designed for those training to work at a rate they are capable of managing within their working schedule. The format of Demand and Capacity training is not available elsewhere.
To demonstrate their competency each trainee is required to undertake a series of Case Studies (Brain Teasers) containing real, anonymised data in all aspects of healthcare including A&E, Pathology, 5 day v 7 day working etc.
Training would be provided to 4 Radiology Managers and 4 Data Leads in each acute provider and one manager and one data lead in the K&M ICS. Each of these 10 individuals will work with a clinical team in one chosen Radiology modality to build and demonstrate their learning, which will include statistically significant improvements to the backlog and lead times within one year.
How is your project going to share learning?
To pass the competency each trainee is required to produce a written case study which includes methodology and data to demonstrate application of methodology and outcomes which will be measured in term of Safety, Flow, Quality and Productivity. The case studies will be shared within each acute Trust, across the network and ICS, shared with Q participants and published on Imaging Network Website (underdevelopment) and on Healthcare Systems website Journal of Improvement Science www.improvementscience.co.uk/ JOIS.
We propose a series of Zoom Casts through the Royal College of Radiologist and Society and College of Radiographers. In addition a website for the newly formed Kent and Medway Imaging Network will carry information on the outcomes.
Recent discussions have taken place with Professor Sir Mike Richards who is very keen to see this embedded with the Kent & Medway network to support his recent review Diagnostics: Recovery and Renew.
How you can contribute
- Each team will be provided with a HCSE Level 2 mentor and coach
- All Level 2 HCSE are Q members
- The will act act as mentors and coaches and have demonstrated their competence by working with a clinical team and published a real Case Study on the Journal Of Improvement Science website. www.improvmentscience.co.uk/JOIS.
- Each Level 2 HCSE continues to build their skills and have formed a learning network; Community of Healthcare Practitioners who meet regularly to share ideas develop learning in other aspects of healthcare
|21 Sep 2020||Identify trainees in each acute site and ICS|