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Surgery Stream Strategic Initiatives

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by

Ila Stuer

on 21 August 2016

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Transcript of Surgery Stream Strategic Initiatives


Issues Impacting Surgical Specialties
Access
Resources
Governance
Access
Specialist Outpatient Services
Elective Surgery
the Emergency factor
Resources
Funding
Changing model
OSR
Billing &
Clinical Coding
Physical resources
outpatient space, theatre lists, beds, technology
Productivity

Initiatives
In Progress
ENT, GE, Ortho, Gen Surg, Urol, Vasc, NROS

Ongoing
Elective surgery maintenance
Stream & network development
Theatre performance guideline

Another
Waitlist
Cat 4 5 6, MN 3448 patients, 10% LW


More Initiatives, Identify Opportunity
Prevention
Patient Presentation
Access to services, location, which clinician
Length of Stay
pre operative bed days
loss leaders
Discharge/ discharge planning



Surgery Stream Strategic Initiatives
Overview
Governance Arrangements
Facility, Metro North, DoH
Decisions, Accountability, Budget
Governance
Access to Specialist Outpatient Services
Waiting lists
Clinically recommended time frames
Referral Quality
Improving Outpatient Access Strategy
Reporting
Access to Elective Surgery
Maintenance, 0.9%/Treat in Time
National Categorisation
Theatre Utilisation, QAO
Challenges
Clinician Engagement
Lack of clarity around decisions & Governance
Identity within streams
Focus on targets
Communication
Reactive service planning
Single Site Services
Statewide/ Pseudo Statewide services


Issues Impacting Surgical Specialties
Surgical Stream Initiatives
Challenges to Implementation
Strategies to Implement
Access to Elective Surgery
Impact of IOA
Conversions to Surgery, ave 18%
Waitlist growth, approx 1500 patients Apr 15-16
The Emergency "Factor"
Framework to Implement Strategies
Facilitate collaboration
Involve key stakeholders in decision making
Open communication
Establish & develop networks/ partnerships
Create a shared vision

Engaging the right stakeholders
Strategies to Implement
Full transcript