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Ms Maureen Carroll

Ms Maureen Carroll. The ‘M’ in MCN. Respiratory MCN Learning Forum 2010 . Respiratory MCN’s Practical approach Logical approach Adaptable Non-academic Facilitation of mutual learning. Workshop Perspective:. Respiratory MCN Learning Forum 2010. CHANGE!!!. RESISTANCE IS FUTILE.

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Ms Maureen Carroll

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  1. Ms Maureen Carroll The ‘M’ in MCN Respiratory MCN Learning Forum 2010

  2. Respiratory MCN’s Practical approach Logical approach Adaptable Non-academic Facilitation of mutual learning Workshop Perspective: Respiratory MCN Learning Forum 2010

  3. CHANGE!!! RESISTANCE IS FUTILE INEVITABLE Respiratory MCN Learning Forum 2010

  4. Why Do People Resist Change?: • When they don’t understand • The reason • Its nature • The possible consequences • If change means loss of • Power • Status • Prestige • Respect • Security • Approval • If it is personally inconvenient • Disturbs relationships • Move in location • Alters social opportunity Respiratory MCN Learning Forum 2010

  5. Respiratory MCN Learning Forum 2010

  6. Spectrum of Participants: • Champions • Change Agent • Participant • Observer • Not Involved • Silent Doubter • Sceptic • Cynic • Saboteur Respiratory MCN Learning Forum 2010

  7. Push & Pull Factors • Drivers for Change (Push) • 18 Weeks • Demand • HEAT Targets • Quality • Restraints against Change (Pull) • Current Practice • Capacity • Skills • Time Respiratory MCN Learning Forum 2010

  8. Dissatisfaction with Status Quo • Mapping Current Patient Pathways • Patient / User Interviews & Satisfaction Questionnaires • Patient Stories / Narratives • Data / Data / Data • Literature / Service Review • Site Visits Respiratory MCN Learning Forum 2010

  9. Co-operation & Collaboration • Understand the Need for Change • Encourage a Desire to Change • Create the Vision • Identify the Champions & Change Agents • Reduce Resistance / Don’t Force Drivers • Involvement in Design & Implementation of Change • Active Delegation • Create Ownership • Phased Approach / Quick Wins • Develop Pride / Sense of Achievement • Celebrate!!!!! Respiratory MCN Learning Forum 2010

  10. Respiratory MCN Learning Forum 2010

  11. Creating theVision!!! Respiratory MCN Learning Forum 2010

  12. Setting The Workplan: • Local Respiratory Stakeholder Objectives • Identification • Prioritisation • National Respiratory Objectives & Directives Respiratory MCN Learning Forum 2010

  13. 2010/2011 Workplan: COPD Whole System Service: • Implement COPD WSS 2010 Business Case • Self-management & Pulmonary Rehabilitation Locality Classes • Leisure Services Pulmonary Rehabilitation Classes • Spirometry Quality Assurance & Training Programme • Respiratory Palliative Care • RHSS & Community Services Links

  14. 2010/2011 Workplan: Respiratory MCN • Asthma Transitions • COPD Guidelines for Primary Care • Oxygen Guidelines • Complex Asthma Patient Pathway • Asthma Adult Action Plan • Patient Self-management Programme • Education & Training Strategy • Redesign Patient & Carer Involvement Strategy • Sleep Services • COPD Standards • QAP

  15. Corporate Objectives: • HEAT Targets • H6 Links to Stop Smoking Service • E4 Outpatients / Inpatients • E5 Revenue Resource Limit • E6 Cash Efficiency Target • E7 Electronic Referrals • A10 Referral to Treatment Targets • T6 Hospital Admission & Bed Days • T8 Older People with Complex Needs Receiving Care at Home • T10 Supporting Shifting the Balance of Care • T12 Emergency Inpatient Days Respiratory MCN Learning Forum 2010

  16. Corporate Objectives: • Long Term Conditions • Quality Strategy • Patient Safety Programme • PFPI • Patient Experience • Equity & Diversity • Spirituality Respiratory MCN Learning Forum 2010

  17. Two Sides of the Same Coin:

  18. Regular Feedback: • Share & Celebrate • Status Reports / Newsletters • Activity Data Reports • Clinical Outcome Data • Performance Outcome Data • Patient & User Satisfaction Feedback • Trend Analysis • Lessons Learned Log Respiratory MCN Learning Forum 2010

  19. One Size (can) Fits All: • Workplan Status Report • Extended QAP Report • Core Principles • Clinical Effectiveness • Patient Engagement • Financial Report Position • Standards • Performance Assessment & Monitoring of the MCN • Service Development & Redesign • Corporate Objectives • Annual Report Respiratory MCN Learning Forum 2010

  20. ExtendedQuality Assurance Programme Report

  21. Annual Report: Core Principles MCN Workplan: • Outcomes of the COPD Whole System Service • Financial position • Work Plan 2010/2012 • New teams at each site • Paediatric Services • Transitions Patient Engagement / Experience: • Patient Open Day • Respiratory Fun Day • Patient/Carer/Public Involvement Strategy • Patient Feedback Summary on COPD WSS Education & Training: • The Chest Club • Leisure Services Staff and Community Nursing Teams • Staff Training Programme • Conferences at which MCN members presented Respiratory MCN Learning Forum 2010

  22. Accountability & Reporting Structures: Respiratory MCN Learning Forum 2010

  23. The Quantum Leap: • Achieving More with Less • Project Management  Programme Management • Utilising the Network • Becoming a Strategic Entity • Advisory Capacity • Corporate Agenda Respiratory MCN Learning Forum 2010

  24. Discussion Respiratory MCN Learning Forum 2010

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