Picking the priorities
Aaron Jones
Whole of Hospital Program Lead
Royal Prince Alfred Hospital
December 2013
NEAT performance
RPA NEAT Clinical Redesign Project
 Undertaken in 2012
 Massive diagnostic phase:
– Patient stories
– Staff interviews
– Focus groups
– Process mapping exercises
– Data analysis
RPA NEAT Clinical Redesign Project
 13 solutions working parties convened in 2012
 7 priorities identified for 2013 based on the further diagnostic
work and a re-focus:
– Patient Journey Boards
– Ward Pull trial
– ED Team Based Care
– Fast Track reconfiguration
– Expand and review EMU – increase utilisation
– NEAT Navigators in the ED
– ED Admission Policy
RPA ED Timeline from Diagnostics
9:30
2014
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8:38
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5:58
5:14
5:00
4:30
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2013
4:00
3:40
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2 Hours
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Setting our 2014 Priorities
 Consolidate on successes/priorities from 2013.
 Remainder of priorities are all “back of house” solutions
 Report developed with 5 key recommendations
 Executive support gained
 January 2014 – commence key stakeholder engagement
and implementation
 Breakdown 5 solutions into staged, workable projects
Lessons Learnt
 Set clear milestones and aim to meet them
 Undertake a thorough diagnostic
 Do not rush implementation
 Meet with key stakeholders regularly (at least weekly)
 Concentrate on the long term – don’t be distracted by
current performance
 External support and designated project leader essential
Acknowledgements
 RPA Emergency Dept Staff
 RPA Executive Team
 RPA WoHP Strategic Committee
 RPA Patient Flow Unit
 RPA Discharge Liaison Service
 RPA Clinicians
 Ministry of Health WoHP team