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Explore the significance of data in managing demand and capacity efficiently. Learn ways to improve without data and areas where data can drive enhancements. Start measuring to optimize Demand, Capacity, Activity, and Queue while addressing what you can manage without data.
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Measuring to improve management of demand and capacity – how important is it? Ruth Glassborow Quality and Efficiency Support Team
DCAQ Quick Revision
Demand in Mental Health services • The amount of time needed to respond to those referrals that chose to use your service
There are Different Types of Demand Influence and manage the demand for your service by reducing created and failure demand Actual Demand Created Demand Failure Demand Hidden Demand
Capacity How much work you can do in a given time period Not the same as activity – what you actually do
Queue: people waiting to be seen Server Server Server Server Server Server Server Server Queue type A Queue type B
DCAQ Summary Waiting list, queue = what we should have done Demand = All requests for a service = what we should do Capacity = what we could do Activity = what we did
Ideally you want to effectively understand and manage • Demand • Capacity • Activity • Queue
So how important is data to effectively manage demand and capacity?
Its really important but… there is lots you can do without it
DCAQ Work Examples of things you can do without data
Managing DCAQ without data Set specific treatment goals Implement effective caseload management review systems Map your processes and take out un-necessary steps Make effective use of group work Effectively manage sickness Ensure staff appropriately trained so have skills to do work that presents Manage meetings effectively
Managing DCAQ without data Set clear eligibility criteria Implement choice booking Ensure admin staff have full access and booking permission for clinic diaries System in place for un-used appointment slots to be filled quickly Clear DNA and CNA policies Make effective use of telephone contacts Ensure systems to step-up and step-down
DCAQ Work Areas where data can help you make improvements
At the most basic level Unless you can measure your demand and you capacity you have no way of showing if there is a mismatch
New to follow/up rates – highlighting opportunities for improvement? Average No of Sessions (Okiishi, 2006)
Activity Audit - highlighting opportunities for improvement? Non Clinical
Clinical outcomes data – highlighting opportunities for improvement? Okiishi et al, 2006
Referral analysis - highlighting opportunities for improvement?
We recommend You start working your data so you can effectively measure DCAQ but… parallel to this you make sure that you are addressing all of the things you can do without data.