Stirring up an Ants Nest Challenging current

process Disrupting normality

Presented by Suellen Gaynor, Surgical Patient Flow Manager,

Wagga Wagga Base Hospital (WWBH), Murrumbidgee Local Health District (MLHD),

NSW Health.

NEST

NATIONAL ELECTIVE SURGICAL TARGETS 100% YTD by December 2015

ANT’S NEST ….

Wagga Wagga within MLHD

Wagga Wagga Base Hospital from the air

Background to Achieving NEST

Category 1 - Overdues

Category 2 - Overdues

Category 3 - Overdues

Managing Wait List

Wait list management challenges.

• Aging population

• Community Expectations

• Staffing

• New VMO’s

• Targets & Activity Base Funding

Surgical Patient Flow Manager

Issue to be resolved

Director of Medical Services

NEST Strategies

Predictive Report

Theatre Booking Office Practices

Correspondence review

• All letters from Theatre Booking Office

• Additional Correspondence

• Ongoing review

MEETINGS

• Surgical Waitlist Management Group

• Patient Flow Manager

• Booking Office

• Theatre Management

CANCELLATIONS MANAGEMENT

Introduction of the Emergency Surgery Guidelines (2009)

• Dedicated Emergency session

• Acute Surgical Unit (virtual model)

Capital Works

Utilization of outlying Health facilities

The NEST Challenge 100% for all categories by 2015

National Emergency Access Targets (NEAT)

The Continuing Journey

References Surgery News can be found on Predictable Surgery Program

Newsletters page in ARCHI.

Retrieved 22nd October 2012 from http://www.archi.net.au/resources/delivery/surgery/predictable-surgery/12

Rough Road Ahead, The continuing Journey http://thestarbook.wordpress.com/category/musings

Ants background image by Joe Lencioni at shiftingpixel.com

Maps

http://www0.health.nsw.gov.au/services/lhd/rural.asp

Thanks to… My mentors, Megan King, Michelle Sleep, Jill Ludford and Bruce Budd,

Managers within MLHD

Theatre Booking Staff for teaching me everything that I now know about Waiting List Management

Bruce Budd Access Surgical Performance Manager, for the Category Overdue graphs

Irene Hing, DON&M, WWBH, MLHD for the title for this presentation.

WWBH Librarian, Jenny Price

IIR Healthcare Conference Providers

And my audience today.