1. Aaron Jones Whole of Hospital Program Lead Royal Prince Alfred Hospital December 2013 Picking the priorities

2. NEAT performance

3. RPA NEAT Clinical Redesign Project Undertaken in 2012 Massive diagnostic phase: –Patient stories –Staff interviews –Focus groups –Process mapping exercises –Data analysis

4. RPA NEAT Clinical Redesign Project 13 solutions working parties convened in 2012 7 priorities identified for 2013 based on the further diagnostic work and a re-focus: –Patient Journey Boards –Ward Pull trial –ED Team Based Care –Fast Track reconfiguration –Expand and review EMU – increase utilisation –NEAT Navigators in the ED –ED Admission Policy

5. RPA ED Timeline from Diagnostics 2013 2014 2 Hours

6. Setting our 2014 Priorities Consolidate on successes/priorities from 2013. Remainder of priorities are all “back of house” solutions Report developed with 5 key recommendations Executive support gained January 2014 – commence key stakeholder engagement and implementation Breakdown 5 solutions into staged, workable projects

7. Lessons Learnt Set clear milestones and aim to meet them Undertake a thorough diagnostic Do not rush implementation Meet with key stakeholders regularly (at least weekly) Concentrate on the long term – don’t be distracted by current performance External support and designated project leader essential

8. Acknowledgements RPA Emergency Dept Staff RPA Executive Team RPA WoHP Strategic Committee RPA Patient Flow Unit RPA Discharge Liaison Service RPA Clinicians Ministry of Health WoHP team