coach: george farrelly date march 2016 microsystem ... · microsystem: limehouse practice new...
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Microsystem: Limehouse Practice New Patient Registration Process
Improvement Science My Journey Limehouse Medical Practice
Date March 2016 Coach: George Farrelly
At a UCLP meeting I was kidnapped by
Aliens
Shock, horror: I started as a medical student at a ‘premiere’ medical school in 1978; I am a member of the RCGP; we teach medical students; before Nov 2014 I had not heard of ‘the science of improvement’ or ‘continuous improvement’ in healthcare. My local hospital, a teaching hospital and ‘centre of excellence’, makes the same mistakes over and over. Why?
Required: a totally different Mindset
“I see. You’re saying I have 2 jobs: doing my job, and making my job better.” Nurse
to Paul Batalden
“I have been working on the same corridor for the last 37 years and this is the first times I have been given ownership of improving the place where I work.” Staff nurse, Breast
Services 2014
July 2015
Cohort 6
Value stream mapping Assess current state
Person-centred!!!
Map the process
Identify & eliminate muda
Redesign the process
Brainstorming: learning by doing 5P’s: early version
Coming soon…
Can the aliens please kidnap the politicians, NHS England, The Department of Health, Monitor, CQC, etc.?
My best course, ever!
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