What comes after Rapid Improvement Events in lean healthcare? How can we create real end-to-end flows of patients through hospitals and beyond? Over the last year we have been leading two projects to redesign the flow of patients from Accident and Emergency through to discharge in Gwent and Portsmouth NHS Trusts.
Getting this seemingly chaotic flow of patients under control is the key to establishing stability and a common rhythm across the rest of the hospital. As the projects progressed and we learnt what worked and what did not we also began writing down our methods so others can follow these examples.
Although there is still a long way to go we would like to begin to share these findings with other senior managers and clinicians. To do this we are organising a one day workshop to describe the work and to actually see the progress at two hospitals in Gwent NHS Trust on 15 October 2008.
Introduction - Thinking end-to-end in healthcare
Daniel Jones - Chairman, LEA
Redesigning the A&E value stream - explaining our method
Marc Baker - Research fellow, LEA
Ian Taylor - Research fellow, LEA
A - The Gwent Lean journey - progress and lessons
Ken Robertson - Acute Service Manager Unscheduled Care, Gwent NHS Trust
B - The Gwent Lean journey - overcoming the obstacles
Dave Hopkins - Process Excellence Facilitator, Gwent NHS Trust
The Portsmouth Lean journey - progress and lessons
David Birnie - Consultant Orthodontist Associate Medical Director, Portsmouth NHS Trust
The Portsmouth Lean journey - Medical Emergency Value Stream
Maria Purse - Value Stream Manager for the Emergency Pathway, Portsmouth NHS Trust
Lean Organisation of Health Services
Maria Teresa Mechi - Florence Health Trust
Fabrizio Gemmi - Florence Health Trust