Endoscopy - building an electronic booking system
-
Upload
nhs-improvement -
Category
Documents
-
view
547 -
download
4
description
Transcript of Endoscopy - building an electronic booking system
![Page 1: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/1.jpg)
Endoscopy Scheduling system
WSHT
![Page 2: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/2.jpg)
Introduction
• Background
• Current working practice
• Moving Forward
• Utilising new procedures
• Ups and downs
• Limitations / problems
• IT requirements
![Page 3: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/3.jpg)
Background WSHT Endoscopy
• Endoscopy carried out on two sites
• 11-12 activity was around 18,000 procedures
completed across sites
• Service operates within normal working week
• Demand expected to increase up to 75% in the coming
5 years
![Page 4: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/4.jpg)
Current working practices
• Each site has its own dedicated admin/scheduling team
• Each site use Paper diary's for scheduling
• Limited transparency on available capacity
• Very labour intensive to manage
• Open to not using all capacity
![Page 5: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/5.jpg)
Reasons behind change
• JAG Visit indicated to adopt better scheduling
• Improvements had to happen
• Needed to be within the trust IT framework
• Recognised that the system had to be an across site
system
![Page 6: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/6.jpg)
Moving Forward
• Basis for system was Hospital SEMA system and theatre
scheduler
• Proved to be more cost effective due to already being
in situ
• Works along side pre-assessment clinics
• Proved to eliminate inappropriate booking
• Simple and easy to use
• Eliminated the need for paper diary system
![Page 7: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/7.jpg)
Negatives & Positives
Negatives• Introduction to team
• Adverse to adopt new system
• Reverting back to paper diary system
• JD/roles will change
• Team adverse to change
Positives• Cross site booking system
• No additional cost
• Will aim to eliminate inappropriate booking
• Will work along side pre-assessment clinics
• Clear understanding of capacity
• All capacity catered for
• Reduce mistakes
![Page 8: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/8.jpg)
Potential constraints
• Referrals need to be completed clearly and correct for the
procedure ( Time and Points )
• System will need to be monitored ( Office Supervisor )
• Will need to be embraced by both clinical and clerical teams
• Adverse to change
• The need for particular consultants to do procedures will need
reducing
![Page 9: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/9.jpg)
Current IT Requirements
Current System
• Use Hospital Sema system to complete bookings
• Good system to start project as compatible with all current
hospital systems
• Adapt Theatre scheduler to accommodate endoscopy
• No real scope for Improvement
![Page 10: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/10.jpg)
TCI Planning
TCI Planning screen – where the Theatre booking and TCI is arranged
![Page 11: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/11.jpg)
Theatre planner
Theatre Planner showing utilisation
![Page 12: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/12.jpg)
Theatre Planner
Planner – you can see who is booked to an individual list and what they are
having done.
![Page 13: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/13.jpg)
Theatre Data Sheet
Theatre Datasheet which can be used to record timings through theatre
![Page 14: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/14.jpg)
Theatre data Sheet
Patients show on the list but are unable to be selected until they are admitted on to the
system
.
![Page 15: Endoscopy - building an electronic booking system](https://reader034.fdocuments.in/reader034/viewer/2022051016/55840391d8b42a126e8b45f1/html5/thumbnails/15.jpg)
The future for now !!!!
• Intergrated system to accommodate all endoscopy requirements for all activity.
• Comply reports to monitor service performance.
• Reports daily on weekly available capacity.
• Amends capacity when Scopist is on leave.
• Records all start and stop times at what ever selected process stages.
• Works along side Service line reporting for enhanced budget management.
• Streamlines clinical coding.
• Electronic referral
• System will allow better auditing of appropriateness