Respiratory MCN Learning Forum 2010 Ms Maureen Carroll The ‘M’ in MCN Respiratory MCN Learning Forum 2010
Workshop Perspective: Respiratory MCN’s Practical approach Logical approach Adaptable Non-academic Facilitation of mutual learning Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010 CHANGE!!! RESISTANCE IS FUTILE INEVITABLE Respiratory MCN Learning Forum 2010
Why Do People Resist Change?: When they don’t understand The reason Its nature The possible consequences If change means loss of Power Status Prestige Respect Security Approval If it is personally inconvenient Disturbs relationships Move in location Alters social opportunity Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010
Spectrum of Participants: Champions Change Agent Participant Observer Not Involved Silent Doubter Sceptic Cynic Saboteur Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010 Push & Pull Factors Drivers for Change (Push) 18 Weeks Demand HEAT Targets Quality Restraints against Change (Pull) Current Practice Capacity Skills Time Respiratory MCN Learning Forum 2010
Dissatisfaction with Status Quo Mapping Current Patient Pathways Patient / User Interviews & Satisfaction Questionnaires Patient Stories / Narratives Data / Data / Data Literature / Service Review Site Visits Respiratory MCN Learning Forum 2010
Co-operation & Collaboration Understand the Need for Change Encourage a Desire to Change Create the Vision Identify the Champions & Change Agents Reduce Resistance / Don’t Force Drivers Involvement in Design & Implementation of Change Active Delegation Create Ownership Phased Approach / Quick Wins Develop Pride / Sense of Achievement Celebrate!!!!! Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010 Creating the Vision!!! Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010 Setting The Workplan: Local Respiratory Stakeholder Objectives Identification Prioritisation National Respiratory Objectives & Directives Respiratory MCN Learning Forum 2010
2010/2011 Workplan: COPD Whole System Service: Implement COPD WSS 2010 Business Case Self-management & Pulmonary Rehabilitation Locality Classes Leisure Services Pulmonary Rehabilitation Classes Spirometry Quality Assurance & Training Programme Respiratory Palliative Care RHSS & Community Services Links
2010/2011 Workplan: Respiratory MCN Asthma Transitions COPD Guidelines for Primary Care Oxygen Guidelines Complex Asthma Patient Pathway Asthma Adult Action Plan Patient Self-management Programme Education & Training Strategy Redesign Patient & Carer Involvement Strategy Sleep Services COPD Standards QAP
Corporate Objectives: HEAT Targets H6 Links to Stop Smoking Service E4 Outpatients / Inpatients E5 Revenue Resource Limit E6 Cash Efficiency Target E7 Electronic Referrals A10 Referral to Treatment Targets T6 Hospital Admission & Bed Days T8 Older People with Complex Needs Receiving Care at Home T10 Supporting Shifting the Balance of Care T12 Emergency Inpatient Days Respiratory MCN Learning Forum 2010
Corporate Objectives: Long Term Conditions Quality Strategy Patient Safety Programme PFPI Patient Experience Equity & Diversity Spirituality Respiratory MCN Learning Forum 2010
Two Sides of the Same Coin: Stakeholder Objectives Corporate Objectives Outreach Spirometry HEAT: H6, E4, E5, E6, E7, A10, T10 LTC: Anticipatory Care Patient Experience Self-management & Pulmonary Rehabilitation HEAT: H6, E5, E6, E7, A10, T6, T8, T10 LTC: Self-management Respiratory Home Support Service HEAT: H6, E4, E5, E6, T6, T8, T10, T12 LTC: Self-management, Anticipatory Care, Care Management COPD Telehealthcare HEAT: H6, E5, E6, T6, T8, T10, T12
Respiratory MCN Learning Forum 2010 Regular Feedback: Share & Celebrate Status Reports / Newsletters Activity Data Reports Clinical Outcome Data Performance Outcome Data Patient & User Satisfaction Feedback Trend Analysis Lessons Learned Log Respiratory MCN Learning Forum 2010
One Size (can) Fits All: Workplan Status Report Extended QAP Report Core Principles Clinical Effectiveness Patient Engagement Financial Report Position Standards Performance Assessment & Monitoring of the MCN Service Development & Redesign Corporate Objectives Annual Report Respiratory MCN Learning Forum 2010
Extended Quality Assurance Programme Report
Respiratory MCN Learning Forum 2010 Annual Report: Core Principles MCN Workplan: Outcomes of the COPD Whole System Service Financial position Work Plan 2010/2012 New teams at each site Paediatric Services Transitions Patient Engagement / Experience: Patient Open Day Respiratory Fun Day Patient/Carer/Public Involvement Strategy Patient Feedback Summary on COPD WSS Education & Training: The Chest Club Leisure Services Staff and Community Nursing Teams Staff Training Programme Conferences at which MCN members presented Respiratory MCN Learning Forum 2010
Accountability & Reporting Structures: Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010 The Quantum Leap: Achieving More with Less Project Management Programme Management Utilising the Network Becoming a Strategic Entity Advisory Capacity Corporate Agenda Respiratory MCN Learning Forum 2010
Respiratory MCN Learning Forum 2010 Discussion Respiratory MCN Learning Forum 2010