Improving the System - Meeting the Challenge
A Seminar to launch
The Improving Patient Flow Toolkit
AGENDA
Auckland 2 May 2012
Ko AwateaCounties Manukau District Health Board
AGENDA
8.00am – 9.00am / Registration Desk Open9.00am - 9.05am / Welcome
Seminar Facilitator
Sue Morgan, Senior Advisor, Electives
9.05am - 9.15am / Opening Address
Improving the System: Meeting the Challenge
The Improving Patient Flow Toolkit
Don Mackie, Chief Medical Officer, Ministry of Health
Presentation1
Improving Electives care through clinicians and managers working together
9.15am- 9.45am / Dr Karyn Johnson,General Practitioner Liaison, Women’s Health, and
Jane Waite, Service Manager, Women’s Health, Christchurch Women’s Hospital
Canterbury DHB
Presentation 2
Improving access to specialist advice using alternative models of care
9.45am-10.15am / Dr Anna RantaConsultant Neurologist and Clinical Head of Neurology,
Lead Stroke Physician,
MidCentral DHB
Morning Tea 10.15am 10.40am
Presentation 3
Improving quality and productivity using effective pre-admission processes
10.40am - 11.10am / Dr Helen FrithClinical Head, Department of Anaesthesia, and
Dr Michael Lorimer
Consultant Anaesthetist,
Counties Manukau DHB
Interactive Workshops 11.15am -12.15pm
Workshop 1 / Workshop 2 / Workshop 3Clinicians and managers working together to improve Electives care / Improving access to specialist advice using alternative models of care / Improving quality and productivity using effective pre-admission processes
Workshop Presenters
Dr Karyn Johnson and
Jane Waite, / Workshop Presenter
Dr Anna Ranta / Workshop Presenters
Dr Helen Frith and
Dr Michael Lorimer
Lunch 12.15pm -1.00pm
Presentation 4
What is Enhanced Recovery after Surgery (ERAS) and why should I bother?
1.00pm - 1.30pm / Andrew HillProfessor of Colorectal Surgery, Ko Awatea
Counties Manukau DHB
Presentation 5
Implementing a process redesign to improve access to specialist advice:
The introduction of Patient Focussed Booking at Hutt Valley DHB
1.30pm 2.00pm / Sarah Boyes
Manager,Women and Children's Health Service and
Dawn Livesey
Business Manager,
Hutt Valley DHB
Presentation 6
Improving Electives productivity and quality through improved theatre scheduling and management
2.00pm -2.30pm / Greg Vandergoot
Surgery & Elective Services Manager and
Dr Martin Thomas
Clinical Director Surgical Services,
Lakes DHB
Afternoon Tea 2.30pm - 2.50pm
Interactive Workshops 2.55pm - 3.55pm
Workshop 4 / Workshop 5 / Workshop 6What is Enhanced Recovery after Surgery (ERAS) and why should I bother? / Improving access to specialist advice with the implementation of Patient Focussed Booking / Improving Electives productivity and quality through improved theatre scheduling and management
Workshop Presenter
Professor Andrew Hill / Workshop Presenters
Sarah Boyes and
Dawn Livesey / Workshop Presenters
Greg Vandergoot and
Dr Martin Thomas
4.00pm - 4.20pm / DHB debriefing session:
Taking back the learning, where to from here.
4.20pm – 4.30pm / Close and comments
Presenter Biographies
Dr Karyn Johnson
Karyn Johnson’s background is as a General Practitioner (GP); she has been working as a GP Liaison (GPL) for Women’s Health at Canterbury DHB for the past three years. During this time she has been involved with the implementation of internet based pathways, a single gateway for triage of referrals to the gynaecology department and an electronic referral system. These and other initiatives have transformed the way Canterbury patients receive care in both the primary and secondary care systems.
Jane Waite
Jane has a Nursing and Midwifery background and has worked in the Women’s health arena since 1990. She has completed a Post Graduate Diploma in Public Health (Otago School of Medicine). She currently works for the Canterbury DHB as the Women’s Health Service Manager and her previous clinical experience includes working as a Registered Nurse in the Neonatal Unit followed by six years practicing Midwifery as an employed case loading Midwife, Independent Midwife and core Midwife on the Birthing suite.
In February 2000 Jane became Charge Nurse / Midwife Manager running a primary Maternity and convalescent hospital at Rangiora. Two years later she became the Maternity Manager for CDHB and in 2008 took on the larger role of Service Manager Women’s Health, which encompasses Obstetrics, Gynaecology and the cervical screening program. Her portfolio includes the oversight and management of Christchurch Women’s Hospital, Rangiora Hospital, Burwood Birthing Unit, Lincoln Hospital, Lyndhurst Hospital, and cervical screening services.
Jane is an active Board Member of the Women’s Hospitals Australasia Organization, and has been the past Chair of the New Zealand Women’s Health Managers Group. In her capacity as an experienced Women’s Health Service Manager she was recently seconded to work with other health professionals to set the national standards for termination services in New Zealand. She has also been actively involved in the working group updating the Ministry of Health service specifications for Maternity care and the Maternity Quality Frame work.
Dr Anna Ranta
Dr Ranta completed her medical training at New York University followed by Neurology training and fellowship in epilepsy and neurophysiology at the University of Virginia. For the past five years she has been employed as Consultant Neurologist, Head of Department, and lead stroke physician at MidCentral DHB.
During her time at MidCentral she has overseen significant service changes including a drastic reduction in wait times, improved access to neuro-diagnostics, establishment of several inter-disciplinary teams, and an overall expansion of the department to better serve the region for neurological and stroke care.
In addition, Dr Ranta holds the position of Associate Dean of Undergraduate Medical Education, University of Otago, Wellington, at Palmerston North. Anna has contributed significantly to the establishment of this provincial teaching site over the past four years. As part of her academic role she is currently running a Health Research Council funded multi-centre randomised controlled trial assessing a TIA/Stroke electronic decision support tool for GPs; one of her various innovations to improve access to elective services in neurology and stroke at MidCentral DHB. Anna is a member of the American Board of Psychiatry and Neurology as well as a fellow of the Royal Australasian College of Physicians.
Dr Helen Frith
After anaesthetic training in Auckland and a fellowship at the Mayo Clinic in the USA, Helen has been a Consultant Anaesthetist at Middlemore Hospital for the past 25 years and Clinical Head of Anaesthesia for the last four years.
Helen has seen the hospital and the anaesthesia service grow from being part of the Auckland Area Health Board through its emergence as a separate Crown Health Enterprise to become the productive and innovative DHB it is today. As HOD, she has had the rewarding opportunity to work with managers, nurses and allied staff to develop systems to treat both patients and those who care for them well.
Dr Michael Lorimer
Michael has been a Consultant Anaesthetist at Counties Manukau DHB (CMDHB) since 1999 with an interest in medical optimisation of surgical patients. Michael has coordinated the outpatient anaesthetic assessment of elective surgical patients at CMDHB since 2000. He has overseen the transition of an ad hoc sporadic referral based system with low turnover, to a high volume screening service with a gatekeeper function that triages and optimises as necessary, all elective cases in the DHB.
Michael is involved in liaison with surgical services on a regular basis to continually improve the service and is currently lead clinician in the ‘Enhanced Pre admission Steering Group’ at CMDHB.
Professor Andrew Hill
Professor Andrew Hill completed a Doctorate in Surgery from the University of Auckland in 1996 and a Doctorate in Education in 2011. Following a research fellowship at Harvard University in 1993 and 1994, Andrew completed surgical training in 1997 and worked in Kenya as a medical missionary. Andrew returned to the South Auckland Clinical School at Middlemore Hospital in 2002 where he now practices as a Colorectal Surgeon and is the Head of the South Auckland Clinical School.
Andrew is also the Clinical Director of Research at Ko Awatea. His research interests are in improving outcomes from major abdominal surgery and medical education. He has published over 100 peer reviewed papers in these areas. Andrew leads the Auckland Enhanced Recovery after Surgery (ERAS) group that is an interdisciplinary research group aiming to improve patient outcomes after major surgery. This group runs a once yearly international symposium on enhancing recovery.
Sarah Boyes
Sarah has worked for 20 years in health in New Zealand in both the hospital and community setting as nurse and nurse manager. For the last six years Sarah has worked in operational management within the hospital setting. Her predominant focus has been women’s and children’s and general outpatient services. Last year Sarah added surgical services to her portfolio of management responsibilities. Currently she is the Service Manager for the Women and Children's Health Service at Hutt Valley DHB.
Dawn Livesey
Dawn has worked for 10 years in administration roles within the United Kingdom National Health Service (NHS). Her work has focussed on data quality and implementing administration change processes. Over the last five years Dawn has worked at Capital and Coast and Hutt Valley DHBs. Currently Dawn is employed as Data Quality Manager / U Book Project Coordinator at Hutt Valley DHB.
Greg Vandergoot
Greg Vandergoot trainedas a nurse at the Rotorua Hospital graduating in 1984.He has a PGDIP in Management Studies from Waikato University. He has held a number of management positions at Lakes District Health Board and was appointed to the position of Service Manager approximately five years ago.
Greg has been instrumental in supporting the establishment of the quality and clinical governance model within surgical services and strongly believes that the partnership between clinical and management is key to progressing developments in health.
Greg currently holds the position of Surgery & Elective Services Managerat Lakes DHB.
Dr Martin Thomas
Anaesthetist Dr Martin Thomas trained in the UK and has worked as a Specialist at Rotorua for almost 10 years. After a period of time as Director of Anaesthesia, Martin was appointed Clinical Director of Surgical Services three years ago.
With an interest in management, quality and clinical governance, he has been involved in developing a model for the surgical service and organisation. Martin is the chair of the Theatre Management Group and involved in a number of initiatives to improve theatre efficiency, the peri-operative process and quality of care. Having recently completed an MBA, he is currently on the accelerated pathway towards Fellowship of the Royal College of Medical Administrators.
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