2. Cardiac Monitoring Unit (CMU) Hull Royal Infirmary Cardiac Monitoring Unit (CMU) Hull Royal Infirmary Diane Rothwell, Project Manager North & East Yorkshire & Northern Lincolnshire CHD Collaborative diane.rothwell@herhis.nhs.uk THE JOURNEY SO FAR.. THE JOURNEY SO FAR..

3. REGION & BASE

4. CMU MICROSYSTEM Nurses Doctors Domestics and caterers Diabetic nurse Pharmacist Dietician Smoking cessation officer Cardiac Rehab. Nurse Social Worker Physio and Physio Assistants Ward Clerk PATIENTS

5. CMU MICROSYSTEM Grimsby AAU Ward 8 Ward 80 Combined pr Chest P Clinic ECG Dept (o/p Scunthorpe Louth York Private Sector ICU HDU Scarborough Aca. Cardiology Bridlington GP/Home Paramedics Ward 80 Ward 8 Ward 6 (CHH) Ward 7 (CHH) ICU (CHH) Combined Pr Home Par/Ambulance ICU (HRI) HDU Other Hospital HDUICU Combined Procedures Information Flow Patient Flow

6. 2 WAY COMMUNICATION BOARD ENGAGAING PERSONNEL WITHIN THE MICROSYSTEM

7. CHALLENGE OF THE MONTH The CMU Team work together to Provide Quality Care That Reaches the Heart of the Problem Your Heart in Our Hands

8. P ATIENTS To carry out Discovery Interviews with Patients and their carers. Interviews being scheduled PDSA in Progress Aim: To find out what our patients think about the care and services we provide. OTHER PDSAS PLANNED Patient Information Suggestion Box Patient Questionnaire DISCOVERY INTERVIEW PDSA

9. P ERSONNEL Staff Survey Staff Survey Assessment Tool Assessment Tool Online Workforce Survey Online Workforce Survey

10. P ERSONNEL

11. P ROCESSES CMU Microsystem process for AMI

12. P ROCESSES Smoking cessation officer

13. P ATTERNS

14. INCREASE – WHY?33% AMI Statistical Process Control

15. The 5 Ps! Patterns Personnel Processes Patients

16. Purpose ASPIRATIONS Patient Experience Patient Experience Improve the interface with other Microsystems Improve the interface with other Microsystems Integration service improvement is not a separate activity Integration service improvement is not a separate activity Ensure that CMU is a place that people feel happy about coming to work. Ensure that CMU is a place that people feel happy about coming to work.

17. Reflections of Reflections of Clinical Microsystems Clinical Microsystems I must admit my initial thoughts were somewhat sceptical I contracted microsytemiti s Microsystems has given me a much needed boost of enthusiasm I feel privileged to have had the experiences Ive had I was full of ideas of how we could use the concept in CMU I feel better equipped to suggest ways in which we could change Being involved with Microsystems has made a difference to staff morale We are creating a culture that supports service improvement Staff feel empowered to make small changes from within our microsystem Microsystems has helped us explore ways of improving communication