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MENTAL HEALTH Collaborative Programme. Demand, Capacity, Activity & Queue. Is your service unwell? Do you recognise any of the following symptoms?. Tired clinicians Disgruntled referrers Agitated managers Dissatisfied patients Growing waiting lists. Failed waiting list initiatives
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MENTAL HEALTH Collaborative Programme Demand, Capacity, Activity & Queue
Is your service unwell? Do you recognise any of the following symptoms? Tired clinicians Disgruntled referrers Agitated managers Dissatisfied patients Growing waiting lists Failed waiting list initiatives Increasing workload No time to organise or think ahead Becoming hopeless
Take a moment to imagine a service where… • Your service is without a waiting list • There are no unnecessary delays before service users are seen • Clinicians are able to focus their energy on treating people
Improve the health of your service by using DCAQ • This presentation:- • introduces Systems Improvement thinking; • explores reasons why queues might exist, and; • defines DCAQ in the Mental Health context.
Systems Improvement Understand Design Build Relationships Use Information Implement Evaluate
DCAQ Demand Capacity Activity Queue
Queue Management Systems Perspective Traditional Responses Training Waiting List Resource Initiatives Systems Perspective Process Variation Waste
Queues can exist for variety of reasons Queue Demand Capacity time Target
Demand in Mental Health services Systems Perspective The amount of time needed to manage those referrals that chose to use your service
There are Different Types of Demand Systems Perspective Actual Demand Created Demand Influence and manage the Demand for your service Failure Demand Hidden Demand
What might influence Demand? Referral pathways Opt-in and booking systems Allocation mechanism(s) Streamline the process Reduce waiting lists Do things right first time Prevention and service user education Review and discharge protocols For example
Capacity in Mental Health services How much work you can do in a given time period Can measure it in different ways e.g. How many service users you can see How many hours you have available for face to face work
Ideas to extend Capacity Reduce process steps Optimise how long each step takes Distribute work to appropriate staff Redesign roles Additional investment
So What Now? Time to get started!