1 / 24

Welcome and Background to today’s Workshop

Welcome and Background to today’s Workshop. Laurence Dubourg 8 October 2004. DOSA Benchmarking group. Created in June 2001 Benchmark performance at state level Enhance DOSA rate ~ from 2001 Enhance SDS rate ~ from 2002. Underlying Principles.

Thomas
Download Presentation

Welcome and Background to today’s Workshop

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Welcome and Background to today’s Workshop Laurence Dubourg 8 October 2004

  2. DOSA Benchmarking group • Created in June 2001 • Benchmark performance at state level • Enhance DOSA rate ~ from 2001 • Enhance SDS rate ~ from 2002

  3. Underlying Principles • Learning from the bests – support when the worst • Data is required to produce change (Deming) • Education required to change culture • Organisational specific data required to profile own practice to that of their peers • References: • Wilson et al, Aus; 1995. • Johnson et al; USA; Mar 1996

  4. How did it start • Austin CEO wrote to all CEO’s asking for representation @ benchmark DOSA working party • Representation volunteered from country and metro • DHS invited • DHS supportive

  5. Key achievements • Developed definitions to accurately benchmark DOSA and SDS • Developed processes to collect data • Developed rules to distribute comparative data • Developed confidentiality agreement to enhance trust • Improve rates in a a co-operative and non-competitive manner • DHS Learnt from users: • Barriers • Successes • what works • what does not work • why…

  6. Calculation of DOSA • NOMINATOR • DENOMINATOR Number of patients whose admission date = surgery day & non same day Total number of elective surgical separations - Non same day - included in ESIS abstract

  7. Culture snap shot back then March 2002 When DOSA rate was at 65% A survey of clinicians was performed • To ascertained their views • On should patients be DOSA or not DOSA • Are there opportunities for improvements

  8. ASA1 (healthy patients)

  9. ASA2(patients with mild systemic disease)

  10. ASA3 (significant / not incapacitating disease)

  11. ASA4 (with incapacitating disease)

  12. From what age is DOSA a ‘no’

  13. HITH for pre-operative period

  14. From 2001 to 2004 • From 2001, the DOSA rate moved from 65% • to more than 90% by 2002 and continued to grow since • In May 2002, the group moved to benchmarking SDS • The group identified key DRG’s • Then defined data calculation and processes

  15. Calculation of SDS • NOMINATOR • DENOMINATOR Number of patients whose discharge date = surgery day Total number of elective surgical separations in these basket - included in VAED data set

  16. Basket of Procedure • Common procedure • Has the potential to be a day case • Performed in a wide range of hospitals • Arthroscopies • Lap Chole • Hernia • Local lesions • Haemorrhoidectomies • Tonsillectomies • Bronchoscopies • Cataracts • Removal metal Simon Jolly – data - DHS

  17. Learnings • PM lists make SDS difficult • Medi-hotels for patients not discharged late at night • Patients expectation to be aligned from before admission • Same day surgery pamphlets do not ‘encourage overnight bag’ in case… • Quote from the minutes: • Arlene Wake discussed ‘the joys of changing the scheduling of OT sessions, at the Alfred, so SDS sessions chiefly commence at 0830’ …

  18. Evaluation of the group’s activities • Evaluated late 2003 • Review explored: • Achievements • Strategic direction • Review through a survey of regular members (11): • Response rate 90% • Rural members 3 • Metro members 7 • Other characteristics of responses • New Members 3 • Department of Human Services 1 • Regular and early attendees 7

  19. Appropriateness of Objectives • Data calculation for DOSA 10/10 • Data calculation for SDS 10/10 • Implementation of benchmarking processes 9/10 • Monitor data collection process 9/10 • Enhancing data integrity 9/10 • Enhancing communication with DHS 9/10 • Enhance partnerships across states 9/10 • Facilitate Networking 9/10 • Support others towards rate increase 9/10

  20. Achievements • DOSA YESNO REPLY NO • Definition/calculations 9 1 0 • Data collection process 6 2 2 • Learning from each other 7 1 2 • Report sharing 9 1 0 • SDS • Definition/calculations 9 1 0 • Data collection process 6 3 1 • Learning from each other 7 2 1 • Report sharing 9 1 0

  21. What would we have done differently • Involve the country more • Run more workshops on topics to formalise exchange of strategies • Targeted definite specific DRG

  22. Strategic development • Rural involvement increased • Positive to be able to raise issues with DHS • Continue to enhance working relationships between hospitals • Explore formal sharing through conference • Increase medical involvement • Be mindful of time other state forums

  23. Outcome for 2004 • Run a workshop relevant to a Same day Surgery selected DRG: • High throughput DRG • High variance DRG • Possible higher rate • MESSIG can fulfil the DOSA SDS improvement objectives and add more • Benchmarking group folding today

  24. From the chairperson • This has been a great group • It has met its objectives • Members have • Formed lasting relationships • Worked wonderfully well together • DHS has provided outstandingly support - all the way • Rewarding chairperson experience • Thank you

More Related