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Common Practices Workshop

Common Practices Workshop

Yorkshire Imaging Collaborative Transformation Planning Workshop held on 21st March 2018 at AGFA, Leeds

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Dr Daniel Fascia

March 21, 2018
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  1. Common Practices Transformation Workshop Dr Daniel Fascia Clinical Lead of

    The Yorkshire Imaging Collaborative @yorks_imaging yorkshireimaging.org
  2. Get more involved @yorks_imaging yorkshireimaging.org forum.yorkshireimaging.org

  3. 24 HOSPITALS 8 NHS TRUSTS 2.3 MILLION PEOPLE

  4. None
  5. 24 HOSPITALS 8 NHS TRUSTS 2.3 MILLION PEOPLE GEOGRAPHY DEMOGRAPHIC

    CHARACTERISTICS
  6. 24 HOSPITALS 8 NHS TRUSTS 2.3 MILLION PEOPLE GEOGRAPHY DEMOGRAPHIC

    CHARACTERISTICS
  7. 24 HOSPITALS 8 NHS TRUSTS 2.3 MILLION PEOPLE GEOGRAPHY DEMOGRAPHIC

    CHARACTERISTICS
  8. 24 HOSPITALS 8 NHS TRUSTS 2.3 MILLION PEOPLE DEPARTMENTS EXECUTIVES

    INDIVIDUALS
  9. EMBRACE DIVERSITY ETHNIC DIVERSITY 33% more profitable GENDER DIVERSITY 21%

    more profitable Source: McKinsey 2018
  10. Every patient in Yorkshire should be able to attend an

    appointment and have full availability of their medical images and associated reports at the point of care delivery WE HAVE A COMMON GOAL
  11. The Bigger Picture • Ultimate goal is a UK wide

    radiology network • Regional collaborative networks are recommended and endorsed by the Royal College of Radiologists • Also supported by NHS Improvement ◦ EMRAD Vanguard ◦ Other examplar networks ◦ STP vision • Radiology workforce must redesign itself for success
  12. The Bigger Picture • Ultimate goal is a UK wide

    radiology network • Regional collaborative networks are recommended and endorsed by the Royal College of Radiologists • Also supported by NHS Improvement ◦ EMRAD Vanguard ◦ Other examplar networks ◦ STP vision • Radiology workforce must redesign itself for success ◦ A workforce in crisis ◦ 29% retirement in next 5-years ◦ Insufficient trainees ◦ 9 - 25% vacant consultant posts
  13. Unique opportunity to shape your radiology environment

  14. 21 MARCH WORKSHOP #1 COMMON PRACTICES

  15. Common practices Common Scanning Protocols Services already networked (cancer, trauma)

    Minimum data set (not megalomania) Share online for easy access (value for more) Patient Documents Achieve better quality (legal, readable, universal) Deburden service managers Reduce medicolegal costs Safety Practices Contrast & reaction protocols Regionalised priority coding (urgent, routine etc) Regionalised dose management standards Staff training - short & long term PACS training for mass scale (online / in person) Point of reference training material (online)
  16. • Light touch approach • Form panels of experts with

    open invitation ( physical meeting at least once > webinars ) • Helpful approach rather than authoritarian ◦ New scanner, no idea how to use it… ◦ Has anybody got a protocol for? • Which areas are suited? ◦ Cancer MDTM ◦ Trauma Network ◦ Transplantation Common practices Common Scanning Protocols Services already networked (cancer, trauma) Minimum data set (not megalomania) Share online for easy access (value for more)
  17. • Things we don’t find thrilling but must legally have

    • Things that allow us to work at scale ◦ Urgency agreement ▪ Immediate (within 1-hr) ▪ Urgent (within 4-hrs) ▪ Today ▪ 2-weeks ▪ Routine ▪ 18-weeks • Dose Management ◦ Regional DRLs published on Collab website ◦ “That scanner looks good and has low doses” ◦ “We seem to need a visit from physics” Common practices Safety Practices Contrast & reaction protocols Regionalised priority coding (urgent, routine etc) Regionalised dose management standards eSignatures (radiologist, radiographer)
  18. • Consistency in an environment where patient choice between hospital

    is present • Consistency at scale = legally more robust • White labelled documents ◦ Reviewed by appointed lawyers ◦ Read by document / usability panel ◦ Translated centrally ◦ Minimum mandatory data set + local adaptation • Should help administrative processes ◦ Deburden service managers ◦ Easier CQC inspection preparation ◦ ISAS et al accreditations Common practices Patient Documents Achieve better quality (legal, readable, universal) Deburden service managers Reduce medicolegal costs
  19. • Training needs to be less time precious ◦ “It

    happened when I was on holiday / off sick” ◦ “It was rushed and then they never came back” ◦ “The local superusers don’t know anything” • Accept just-in-time mentality of today ◦ Online, on-demand material ◦ Help forum / chatbot approach • A coordinated script for consistent training across all sites ◦ AGFA + collab designed Common practices Staff training - short & long term PACS training for mass scale Point of reference training material (online) Help material (online) Consistent site based training (in person) Additional drop in training (in person)
  20. PICK YOUR TEAM

  21. Get more involved @yorks_imaging yorkshireimaging.org forum.yorkshireimaging.org

  22. Technical Programme Harrogate Leeds Calderdale & Huddersfield Bradford North Lincs

    & Goole Hull & East Yorks Airedale Mid Yorkshire Transformation Programme Common Practises Process & Workforce Provider model Shared Core Services Communication & Engagement Project Dashboard MARCH 2018 POSITION MIGRATING
  23. yorkshireimaging.org Project landing page If in doubt, start here!

  24. YIC Forum Members Discussion Forum Ask it here https://forum.yorkshireimaging.org

  25. @yorks_imaging Show us some love on Twitter! @yorks_imaging

  26. Get more involved @yorks_imaging yorkshireimaging.org forum.yorkshireimaging.org