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The Improvement Programme:
Making Change Better
Michael Adjei-Tabirade
A bit about me…
• Studied Medical Biochemistry
• Graduated 2012
• Pre-medical Applicant
• Property Investor
How did you get the job?
• Working in admin (CBS)
• Tired and frustrated
• Saw the opportunity
• Took action
• Result! Project Change Manager
Job summary
These posts have been established to facilitate change
and work with clinicians, managers and staff to leverage
significant improvements for the Trust. The themes and
work plan are being developed, but will concentrate on
patient experience, productivity, efficiency and
organisational development within the Division.
Each Divisional Project Manager at St George’s will have
leadership and performance responsibility for one or
more projects and will also draw on expertise and
contributions from specialist areas across the Trust.
What is Service
Improvement?
The improvement programme aims to enhance and
guide services towards achieving and sustaining
excellence
What skills do I need?
• Facilitation and Leadership
• Organization and Administration
• Microsoft Office (especially Excel)
• Communication and Interpersonal
• Problem solving
• Initiative
Qualifications
• GE Healthcare ✔
• Prince2
• Lean 6 Sigma
• McKinsey
• Experience in Project Management
VCM
 Tasked to investigate how to become more effective and value for
money
 The approach was developed from the Virginia Mason Medical Centre
• Vision to chart the purpose and direction of Service Improvement
• Compact to align professional and organisational culture with
behaviour
• A consistent Method to ensure all improvement projects use the
recognised Trust lean toolkit
“Embedding continuous
improvement to deliver outstanding
patient care”
Identify
Maximum 1% of
total project
time (Typically
1hr to 2 days)
Dependencies
Clinician /manager
availability
Scope
Maximum 12%
of total project
time (Typically 1
day to 30 days)
Dependencies
Availability of data,
manual data collection
and validation
Propose
Maximum 1% of
total project
time (Typically
1 hr to 2 days)
Dependencies
Clinician/manager
availability
Deliver
Minimum 85% of
total project
time (Typically 1
week to 3
months)
Dependencies
Type of project
approach
Review
Maximum 1% of
total project
time (Typically
0.5 days per
month) for 12 months
Dependencies
Length of
sustainability period
11
Proposed Service Improvement Approach Timeline
Service Improvement Project Approach -
Present and Proposed
Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
WTE 1
Identify
Scope 1
Propose Review
WTE 0.5
WTE 0.5
Scope2 Deliver
Enhanced Recovery
• Phase 1 specialties
– General Surgery
– Gynaecology
– Urology
• Breast pathway
• TURP and TWOC clinic
*Transurethral resection of the prostate
*Trial without catheter
Theatres Program
• Surgical Admissions Lounge (SAL) to Theatres
• Enhanced List Planning
• Theatre Optimization
Next steps…
• Service Manager
• Assistant General Manager
• Project Manager  Program Manager
Contact: michael.tabirade@stgeorges.nhs.uk
The Improvement Programme: Making change for the better

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The Improvement Programme: Making change for the better

  • 1. The Improvement Programme: Making Change Better Michael Adjei-Tabirade
  • 2. A bit about me… • Studied Medical Biochemistry • Graduated 2012 • Pre-medical Applicant • Property Investor
  • 3. How did you get the job? • Working in admin (CBS) • Tired and frustrated • Saw the opportunity • Took action • Result! Project Change Manager
  • 4. Job summary These posts have been established to facilitate change and work with clinicians, managers and staff to leverage significant improvements for the Trust. The themes and work plan are being developed, but will concentrate on patient experience, productivity, efficiency and organisational development within the Division. Each Divisional Project Manager at St George’s will have leadership and performance responsibility for one or more projects and will also draw on expertise and contributions from specialist areas across the Trust.
  • 5. What is Service Improvement? The improvement programme aims to enhance and guide services towards achieving and sustaining excellence
  • 6. What skills do I need? • Facilitation and Leadership • Organization and Administration • Microsoft Office (especially Excel) • Communication and Interpersonal • Problem solving • Initiative
  • 7. Qualifications • GE Healthcare ✔ • Prince2 • Lean 6 Sigma • McKinsey • Experience in Project Management
  • 8. VCM  Tasked to investigate how to become more effective and value for money  The approach was developed from the Virginia Mason Medical Centre • Vision to chart the purpose and direction of Service Improvement • Compact to align professional and organisational culture with behaviour • A consistent Method to ensure all improvement projects use the recognised Trust lean toolkit
  • 9. “Embedding continuous improvement to deliver outstanding patient care”
  • 10.
  • 11. Identify Maximum 1% of total project time (Typically 1hr to 2 days) Dependencies Clinician /manager availability Scope Maximum 12% of total project time (Typically 1 day to 30 days) Dependencies Availability of data, manual data collection and validation Propose Maximum 1% of total project time (Typically 1 hr to 2 days) Dependencies Clinician/manager availability Deliver Minimum 85% of total project time (Typically 1 week to 3 months) Dependencies Type of project approach Review Maximum 1% of total project time (Typically 0.5 days per month) for 12 months Dependencies Length of sustainability period 11 Proposed Service Improvement Approach Timeline Service Improvement Project Approach - Present and Proposed Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 WTE 1 Identify Scope 1 Propose Review WTE 0.5 WTE 0.5 Scope2 Deliver
  • 12. Enhanced Recovery • Phase 1 specialties – General Surgery – Gynaecology – Urology • Breast pathway • TURP and TWOC clinic *Transurethral resection of the prostate *Trial without catheter
  • 13. Theatres Program • Surgical Admissions Lounge (SAL) to Theatres • Enhanced List Planning • Theatre Optimization
  • 14. Next steps… • Service Manager • Assistant General Manager • Project Manager  Program Manager Contact: michael.tabirade@stgeorges.nhs.uk