Presentations: Elective Surgery Redesign

Streamlining surgical pathways, improving access and patient experience, reducing waiting times and incorporating latest technological innovations are central topics addressed at the Elective Surgery Redesign conference. We have made some of the presentations given at the 2012 event available for viewing and download.

International CASE STUDY: Elective Surgery in New Zealand

• The introduction of Elective Surgery Targets in one of New Zealand’s busiest hospitals
• Counties Manukau District Health Board as a model of care
• Our journey to successfully meeting the targets
• What’s working? And what are our future challenges?

Audrey Hauraki, Theatre Manager, Manukau Surgery Centre

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Redesign to Achieve NEST in NSW

This presentation will cover the recent state-wide projects and programs implemented by the New South Wales Ministry of Health in hospitals to achieve the National Elective Surgery Targets

Judy Willis, Principal Policy Advisor – Surgery, NSW Ministry of Health

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Stirring Up an Ant’s NEST

• Overview of LHD/Hospital
• Wait list background
• Introduction of NEST
• Strategies implemented to achieve NEST
• Managing emergency surgery – ASU
• Ongoing challenges
• The future

Suellen Gaynor, Surgical Patient Flow Manager, Wagga Wagga Base Hospital

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Implementation of Paediatric Emergency Theatre Session at Sydney Children’s Hospital Randwick

• Where we were – the challenges
• Where we are – the successes
• How we got there – the processes

Fionnuala Torrisi, Nurse Manager Wait List, Sydney Children’s Hospital

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Medicine Management in Patients Awaiting Elective Surgery

• The principles of medicine management pre and post elective surgery
• The whole person approach in medicine management
• Accidental addicts

Joyce McSwan, Managing Director, MedRN & Mackay Representative, Australian Pain Management Association

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Elective Surgery Redesign at Concord Hospital – Challenges and Successes

• Management of elective surgery wait lists
• Getting off to a good start
• Balancing elective and emergency surgery demands

Fergus Davidson, Chair of Perioperative Governance, Concord Hospital

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eRFA – Electronic Referral for Admission

• The implementation of electronic admission perioperative management
• Overview of practical difficulties and solutions, including; errors, transfer of activity between sites, lost RFAs, lost documentation and working in “silos”

Danette Holding, Project Manager eRFA & Karen Berry, Access Coordinator, Hunter New England Health

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Patient Experience in Elective Surgery

• Rating the hospital episode from admission to discharge
• Participating in decision making about care and treatment
• Communication, health literacy and information

Catherine Harmer, Manager – Policy & Strategy, Victorian Department of Health

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Specialist CASE STUDY: Improvements at the Royal Victorian Eye & Ear Hospital

• A patient centred approach to waiting for surgery
• Redesigning the Surgical Assessment Centre model
• Introduction of Point of Care Admission

Mitchell Wilson, Nurse Unit Manager Short Stay care Centre and Jane Habgood Nurse Unit Manager Preadmission Royal Victorian Eye & Ear Hospital

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CASE STUDY: Improvements in the Obstetrics & Gynaecology Department at Hunter New England Health

• Increasing collegiality within a specialty group to better manage wait list demand
• Balancing staffing to suit demand and budgetary constraints
• The relationship between the facility and AMO’s
• The practicalities of managing demand and transfer of surgical services between sites – hub and satellite sites

Todd McEwan, Director of Acute Networks & Brett Locker, Director Obstetrics & Gynaecology, Hunter New England Health

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REDDSoC Project – Reducing Day of Surgery Cancellations

• Identifying both small scale and large scale process improvements that were required to better manage resources and improve capacity
• Identifying unproductive activity within OT processes – to improve capacity within existing resources
• Reducing ED LOS for patients awaiting emergency surgical procedures

Annie Williams, Manager Innovation & Improvement, Goulburn Valley Health

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Measuring the Patient Experience

• The 9 dynamic flows and their impact on global health delivery trends
• Emerging needs for better patient health outcomes
• Moving from patient-centred care to relationship-centred health management
• The patient journey to elective surgery
• Priorities from patient feedback research into elective surgery

Tom Holman, Managing Director, UltraFeedback

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Specialty Centres – CASE STUDY: Orthopaedics at Sutherland Hospital

• Pre admission
• Clinical pathways
• Osteoarthritis Chronic Care Program
• Expanding capacity

Fiona Lendon, Nurse Manager Theatres, Sutherland Hospital

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Rural Surgery Futures Project

• Developing the framework for public sector surgery in rural areas for the next 5-10 years
• Managing demand for elective surgery in rural settings
• Models of care for rural surgery
• Managing the geographical and logistical difficulties of a rural hospital network

Christine Lassen, Nurse Manager – Staff Management, Tweed Byron Health Service

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