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Scottish Health Service Trains with Good News…
The DVD ‘Good News…How Hospitals Heal Themselves’ along with the accompanying book ‘The Nun and the Bureaucrat’ was requested by ourselves to be used as a tool in conjunction with our overarching programme of development and improvement training for our local programme managers. Specifically we have used an approach of Clinical Systems Improvement (CSI) designed by Warwick University. This course is aimed to increase knowledge and understanding of clinical systems improvement and management within the health sector. It is particularly aimed at those who have responsibility for elements of service improvement and to be given the capacity to be able to apply these principles to make sustainable improvements in patient flow and meet the 4-hour emergency access target. It encompasses quality improvement tools and methods adapted to healthcare from disciplines such as Theory of Constraints, Lean Thinking and Six Sigma.
The book and DVD have been helpful in achieving these aspects and highlighting common themes and issues across different systems and methods. Highlighting the benefits to both patients and healthcare workers including improving patient services and clinical outcomes by supporting improvements in patient flow across organisational boundaries, particularly at the arrival, admission and discharge interfaces. In particular its user-friendly, accessible style and common-sensical approach was of great help in putting across ideas and strategic approaches to healthcare re-design.
An Example
The Unscheduled Care Collaborative Programme, a major change management programme within NHSScotland, has been developed to reach the target of 4-hour emergency access by December 2007. It aims at increasing the understanding of the key importance of A&E as the pulse of the emergency care system. This is an example of taking a whole system approach to any issue. Optimisation of the flow, rather than the performance of any one department, is the basis of the process redesign.