14 Deming You can’t manage on visible figures alone Figures on the most important areas of management may be unknown or unknowable, and successful managers must nevertheless manage those areas.
15 Vital Signs - measurement EDTTFADNW’SUnplanned returnsPlanned returnsDelays to care
16 Vital Signs - measurement Admission/discharge balanceDischarges before noonDiversions8 and 12 hour delays to careBoardersAdditional bedsDelayed dischargesLength of stay on Medical Receiving UnitTotal hospital length of stayDiversionsCancelled electives due to lack of capacitySurge capacityUse of off site beds
17 MonklandsMinors flowMajors pitstopACEGP assessment bay
28 Medical Assessment Bay (MAB) SustainabilityChange DetailConsistent staffing, bed availability Ambulance Service/ERC Criteria for access.4 Trolley bay in AMRU for the review of GP referred medical patients between 9am and 7pm weekdays)Key Performance Indicators25% of patientsDischarged from MAB
29 Medical Assessment Bay (MAB) Change DetailSustainabilityConsistent staffing, bed availability ? Senior Decision Maker availability in MAB4 Trolley bay in AMRU for the review of GP referred medical patients between 9am and 7pm (weekdays)Was 9%Now 18% admittedin <2hrsKey Performance IndicatorsMAB journey time37 minsless than A&EMAB TTFA30 minsless than A&EFrom 48% to 33%Admitted between210 & 240 mins
30 Daily Dashboard Change Detail Sustainability Visual management Target drivenUpdated and reviewed dailyAlso for surgical and medical flowMonitors individual ward performanceDaily Dashboard
31 Positives Excellent clinical engagement Data driven Perceive the service from customer viewpointBut….