1. Rapid Improvement Events (RIEs) – an overview

2. What are RIEs? Common Lean tool to introduce Lean principles and thinking in organisations RIEs select critical business areas and make real improvements for patients and staff Process-focussed and brings together the team in a highly structured way Results-focussed – establishing the root cause of problems, and achieving measurable improvements Process which is action-orientated and data driven

3. IST Objectives  To deliver real improvements for patients and staff in Scotland  To provide “proof of concept” for RIEs within clinical settings in the NHS in Scotland  To build capacity and capability within IST  To encourage Health Boards to build their own capacity and capability to undertake RIE events

4. IST RIE Activity One-stop haematuria service MRI access Endoscopy/Colonoscopy pathway Dermatology/Plastics pathway Ultrasound access CT access Laboratories

5. RIE Programme Timetable RIE - 6wksRIE - 4wksRIE – 2wksRIE WeekRIE + 2wksRIE + 4wks Review Progress RIE + 6wks RIE + 12wks or by agreement Remove Blockages Measure Improvements Final Presentation (Project Closure) Share Success Local Ownership & Sustainability Team Leader to Produce: Report Action Plan Support Run RIE Pre- Meeting Run RIE Awareness visits Management Commitment Meeting Critical success factors Set Scope & Goals Pick Team Leader Pick RIE Team Book Venue Advise Managers about their attendance Gather data on current performance RIE Area Identified Rapid Improvement Event - Ross International

6. The RIE Week Monday Scene setting –Lean principle training –Sharing/completion of pre-work Tuesday What’s the current process? –Process mapping to identify waste & blockages to flow –Pinpointing root cause problems Wednesday Designing and implementing the new process Thursday Rolling out the new process Friday Reporting the implemented changes and future plans

7. It’s All About People “It’s going to mean a shorter trip, less trips and a quicker arrival at an end point for a significant proportion of our patients who have worrying symptoms.” Consultant Urologist “I had a eureka moment when I realised that all patients will go through medical screening with no more direct referral to surgery.” Colorectal surgeon

8. It’s All About People It’s been an intense week. We were able to change things quickly that might have taken months, years if we hadn’t taken the time out. Consultant Urologist “I had my eyes opened on Tuesday morning.” GI Consultant It’s going to be far better for staff. I think they feel they’ve been listened to this week. Urology Clinical Team Manager

9. Training Please note – RIEs are presented in this Toolkit to raise awareness of these techniques, but they require expert facilitation from someone who has been specifically trained in their use.