Clinical Neurophysiology - Quality Improvement Hub

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Clinical Neurophysiology
Glasgow
Wednesday 31st March 2010
By
Gina Clark
Service Improvement Manager
Clinical Neurophysiology
Carried out “clean up” of routine NCS/EMG waiting list with
19% removed.
• Pathway mapped Neurophysiology Department
October/November
• Held one day event December with highlighted issues and
agreed Action Plan.
• Regular meetings now held to ensure actions carried out.
Clinical Neurophysiology
• Highlighted areas from Event
•
•
•
•
•
NCS/EMG Vetting processes
Standardisation of Reporting Processes(EMG/EEG)
Admin Processes
Clinic profiles/capacity (EMG/EEG)
IT
Clinical Neurophysiology
NCS/EMG Vetting
• 3 consultants , 1 Locum Consultant
• All 4 consultants managed their own waiting list
• 14 Classifications - T1, TT1, T2, T3, T4,, ASAP, soon
varied from 6/52 – 18/12), routine, appt by diary,
combined GP, combined other, OP non urgent
What have we achieved ?
Clinical Neurophysiology
Achieved
so far
• Common vetting – urgent, routine, tech
• Pooled waiting list for routine referrals
• Pooled waiting list tech clinics
• Additional clinic activity
Clinical Neurophysiology
350
End Feb 2010
300
Number of referrals
250
200
150
100
50
0
0-4 5-8
9- 13- 17- 21- 25- 29- 33- 37- 41- 45- 49- 53- 57- 61- 65- 69- 73- 77- 81- 85- 89- 93- 97- 101- 105- 10912 16 20 24 28 32 36 40 44 48 52 56 60 64 68 72 76 80 84 88 92 96 100 104 108 112
End Feb 2010 156 286 183 328 249 220 200 169 161 148 102 88 105 67 60 63
51 43 25 28
Number of weeks waiting
37 40 26
30 27 10
7
9
Clinical Neurophysiology
Admin Processes
• Duplication of work on databases
• Manual appointment system
• Ideal process?
• What have we achieved
Clinical Neurophysiology
Achieved so far
• Introduced HIS into department.
– All referrals logged onto system
– All NCS/EMG clinic profiles set up
– Introduced partial booking using HIS system – no
longer typing appt letters
Clinical Neurophysiology
• What is our goal
• 4 week maximum wait
• How will we achieve this?
Clinical Neurophysiology
Circle for
Success
Clinical Neurophysiology
Team Effort
Giving a helping hand
Clinical Neurophysiology
March 2011
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