Dr Paul Bailey - St John of God Hospital Murdoch - The View from the Other Side - Clinically...

56
1994

Transcript of Dr Paul Bailey - St John of God Hospital Murdoch - The View from the Other Side - Clinically...

1994

2005 - $2.6M

REDEVELOPMENT

An unloved ED:

Poor relationship with executive

Falling patient volumes

Long waiting times

Expensive

Mismatch in the “value proposition”

ATS based out of pocket fees

Poor patient satisfaction

Variable inpatient specialty cover

No group acknowledgment of performance compared to public system

Previous change management practice unsuccessful

Upside

PATIENT SATISFACTION

STAFF SATISFACTION

0

10

20

30

40

50

60

70

80

144

87

13

017

321

625

930

234

538

843

147

451

756

060

364

668

973

277

581

886

190

494

799

010

33

10

76

11

19

11

62

12

05

12

48

12

91

13

34

13

77

14

20

14

63

15

06

15

49

15

92

16

35

16

78

17

21

17

64

18

07

18

50

18

93

19

36

19

79

20

22

20

65

Patient presentations and waiting times - 2009 to July 2010

Average Presentations

Average Waiting Time

Murdoch ED – 3 simple goals

Practice great medicine

Short waiting times

Good environment

Keep the waiting room empty

…… and the Obs ward full

0

10

20

30

40

50

60

70

80

144

87

13

017

321

625

930

234

538

843

147

451

756

060

364

668

973

277

581

886

190

494

799

010

33

10

76

11

19

11

62

12

05

12

48

12

91

13

34

13

77

14

20

14

63

15

06

15

49

15

92

16

35

16

78

17

21

17

64

18

07

18

50

18

93

19

36

19

79

20

22

20

65

Patient presentations and waiting times - 2009 to Feb 2015

Average Presentations

Average Waiting Time

PATIENT SATISFACTION

STAFF SATISFACTION

0.0

1000.0

2000.0

3000.0

4000.0

5000.0

6000.0

7000.01 8

15

22

29

36

43

50

57

64

71

78

85

92

99

10

611

312

012

713

414

114

815

516

216

917

618

319

019

720

421

121

822

523

223

924

625

326

026

727

428

128

829

530

230

931

632

333

033

734

435

135

836

5

ED Generated Admissions

200910

201011

201112

201213

201314

201415

0

10

20

30

40

50

60

70

80

144

87

13

017

321

625

930

234

538

843

147

451

756

060

364

668

973

277

581

886

190

494

799

010

33

10

76

11

19

11

62

12

05

12

48

12

91

13

34

13

77

14

20

14

63

15

06

15

49

15

92

16

35

16

78

17

21

17

64

18

07

18

50

18

93

19

36

19

79

20

22

20

65

Patient presentations and waiting times - 2009 to Feb 2015

Average Presentations

Average Waiting Time

Let’s bring it home

Simple aims – 2 or 3

Group buy in

Stick at it

Dr Paul M Bailey FACEM PhD

[email protected]