Perioperative Healthcare Consulting
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The Perioperative Method for Healthcare - Profit through Reputation - Integrate clinical and commercial factors - Reduce risk, reduce cost and improve the patient and clinician experience
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Perioperative Healthcare Consulting
- 1. Dr Douglas Fahlbusch MBBS, FANZCA, GAICD, GDM Perioperative Healthcare Consulting - Profit through Reputation
- 2. Perioperative Consulting Perioperative Established 2012 Investigate & Commercialise Perioperative workflow improvements Unique: Clinical insights with Business process experts Perioperative Consulting Est 2015 Connect and Support Healthcare People Profit through Reputation
- 3. Dr Douglas Fahlbusch Founder Specialist (Anaesthesia) 15yrs/ 15,000 cases Business/ Director training and experience (MB,BS, FANZCA, GDM, MAICD) Profit through Reputation
- 4. Why? Healthcare accessibility Improve outcomes Improve experience Reduce cost Requires Commercial and Clinical capability Profit through Reputation
- 5. Common Problems Ageing population, Medical complexity Funding pressures ‘Presentee’-ism - worse than absentee-ism Difficulty finding quality middle management Unrealistic expectations from visiting doctors Profit through Reputation
- 6. Common Mistakes Isolated clinical improvement -> can be ineffective Isolated budgetary improvement -> can generate cost elsewhere Compliance as a burden -> missed opportunity for innovation Pooled costs -> unable to diagnose and treat Insufficient community building -> reduced referrals -> non- contributory visiting personnel Profit through Reputation
- 7. Healthcare Organisations Complex, adaptive systems Evolve over time Unique culture, history, processes Best practice may not ‘transfer’ Profit through Reputation
- 8. How? Perioperative Method Week: 1: Onsite needs assessment 2: Prioritised Supplier Recommendations 3-4: Mutually agreed implementation plan 6-50: Project Management 52: Impact Analysis Profit through Reputation
- 9. Trusted Partners Costing Software Workflow Software Software Integration Procurement Clinical Risk Staff Risk Management Training Design Profit through Reputation
- 10. Perioperative’s Outcomes Reduce Cost: time and materials per patient readmissions adverse events Improved outcomes: Improve Compliance Increase Reputation: Doctors, nurses, patients, staff Engagement, Referrals Profit through Reputation
- 11. Example Hospital X Profit through Reputation
- 12. Text Hospital Flow Incomplete - ignores external providers. Time and Place not differentiated Source: Fowler — Craig — Fredendall — Damali. AORN JANUARY 2008, VOL 87, NO 1, p 195 Profit through Reputation
- 13. Problems Incomplete access to patient information increases risk of errors Existing systems complicate data access and disrupt workflows = frustration, risk Mobility, configurability new expectations Profit through Reputation
- 14. Text Perioperative’s process Detailed insight Profit through Reputation
- 15. Process improvements Must focus on: 1. Flow of information: avoid delays 2. Team-members: cross-check vs duplication 3. Processes: include variations, feedback Must be credible Profit through Reputation
- 16. Text 1. Information Flow Interaction between clinician and hospital Profit through Reputation
- 17. 2. Team Members Functions/ roles well-defined. Processes ill-defined overlap, duplication, little cross-checking Identify Key Players. Reduce duplication, delay Increase cross-checking, efficiency Profit through Reputation
- 18. 3. Processes Variations, failures, work-arounds Interdependencies: Time, Data Internal and external functions Routine feedback, reporting ‘Failures’ flagged for immediate intervention Profit through Reputation
- 19. How? Perioperative Method Week: 1: Onsite needs assessment 2: Prioritised Supplier Recommendations 3-4: Mutually agreed implementation plan 6-50: Project Management 52: Impact Analysis Profit through Reputation
- 20. Ways to Work with Us Appraisal: Complimentary, in person Project: as agreed Consultancy: you do Retainer: we do Profit through Reputation
- 21. Profit Through Reputation www.perioperative.com.au drfahlbusch@perioperative.com.au T: 08 7129 8212 M: 0427 719 046 ABN 43 583 291 322. Level 30 Westpac House, 91 King William Street, ADELAIDE