national ahp msk programme building blocks creating capacity nhs24 msk hubs data for improvement/4...
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National AHP MSK Programme Building Blocks
• Creating capacity• NHS24• MSK Hubs• Data for improvement/4 week wait• Electronic diaries• Sustainable Pathways • MSK Solutions Tool
Technology Enabled Care
Process Infrastructure
Using data/improvement methodology
to drive change
AIM
To get patients with an MSK problem to the right advice and/or right healthcare professional first time.
If they require assessment or intervention they are seen within 4 weeks (March 2016 target)
Whole System Sustainable
Clinical Pathways/Flow
Musculoskeletal Driver Diagram-Getting patients onto the right pathway, first time. DRAFT
Primary Drivers Secondary Drivers
Specific ideas to test or change concepts
Consistent high standard self- management advice
AHP MSK Standards
MMI
Using data to inform care delivery improvements
Shift flow to appropriate professions/part of pathway
MSK Administration Hubs
Optimal booking and capacity utilisation
NHS24 MATS and Clinical Telephone Consultation
Embed evidenced based person centred pathways
Electronic tracking and data systems
Development self-management video’s/advice
MSK Health Improvement Strategy Public Marketing Communication Web Orthotic Review
Whole System Workflow Clinical protocols Clinical pathways Imaging protocols Exit routes –specialist services ,
third sector MSK Orthopaedic Rehab
Integrated hubs Electronic outcome measures Opt in as standard Reminder systems
• Monitoring and evaluating flow-duplication → test of change
• Monitoring and evaluating re-referrals
• Outcome measures• Adapting systems• Evolving MSK Leads Group
Senga Cree – April 2015
Developing Improvement and Analytics Capacity
Web based algorithms
MSK Solutions Tool
Exit/Parallel routes
Meet ISD 4 week data requirements
Improvement focus
• Pathway flow optimisation (access, decision support, clinical intervention, assessment and treatment in primary care, surgery and secondary care)
• Workforce optimisation (right professional at right time)
• Using available data to inform and shape future care delivery (current data and development of a MSK Dashboard)
AHP MSK Standards
• Reporting &Publication AHP MSK waiting times data• MSK workforce profiling and benchmarking• Web based work- Enhancing MSK zone self
management –digital postcards, MSK Solutions, web based access/algorithm models
• National foot and ankle pathway and supporting audit • Imaging Change package-AHP lead role• Tests of change -rehab models• 4 week target
2015