Healthcare Improvement Practitioner - Practical Skills - One Day Workshops
Safety risks, chronic queues, long waits, low quality, and rising costs are widely believed to be an inevitable in modern health care systems.
The reality is that risks, queues, chaos and chronic 'fire-fighting' are the unintended, but predictable, consequences of the current design of the health care system. So understanding how to collaboratively diagnose, design and deliver effective solutions is a valuable asset.
These Practical Skills One Day Workshops are an essential component of the path to developing "diagnose, design and deliver" skills.
After completing a workshop, a delegate can immediately apply their learning and demonstrate significant improvements in their part of the wider health care system.
Here are some examples of improvements reported by the community of healthcare improvement practitioners (CHIPs).
- GP Access - 125% improvement in same-day appointments.
- GP Out Of Hours - 23% reduction in average time patients waited for a call-back.
- Outpatients - 50% reduction in average time patients spent in a one-stop clinic.
- Chemotherapy - 350% improvement in number of patients receiving treatment-on-time.
- Chemotherapy - 20% increase in the number of patients treated using the same resources.
- Elective Surgery - 42% reduction in waiting time for surgery and 30% reduction in referral-to-treatment time.
- Elective Surgery - 95% reduction in surgical site infection (SSI)
- Day Surgery - 26% reduction in average time patients waited on-the-day.
- A&E - 25% reduction in the median time patients spent in A&E.
A Sample of Published Case Studies
© Jones C. Maintaining the Momentum of Medicines. Journal of Improvement Science 2015; 20: 1-40. "The key to the success of any service improvement-by-design challenge is to accurately map and measure the state of the current system. Mapping out each step and collecting robust data against which the performance or health of that system can be tracked accurately and continuously throughout the process of change is vital."
© Pirie E. Personal experience of learning improvement science and application of this to a fracture clinic example. Journal of Improvement Science 2015; 23: 1-14. "...the ISP-1 programme provides an enjoyable method of acquiring valuable skills and that it provides a robust diagnostic approach to understand how flow issues arise in the first place as a precursor before moving on to identify solutions. The over arching learning has been that there is a rational methodology with techniques and tools that can be used to better diagnose and solve flow problems in the NHS and which can be applied to a wide variety of situations."
© Debenham P. Improving Clinical Team Briefing Using 6M Design® Journal of Improvement Science 2015; 25: 1-18. "Despite modelling the anticipated benefits of re-designing the Team Brief Process, I was struck by both a sense of wonder and pride at the scale of impact I experienced on implementation of the re-designed process."
© Bradley D. Investigating Fractured Flow from Orthopaedics to Rehabilitation. Journal of Improvement Science 2016; 28: 1-16. We investigated the flow of patients through a trauma and orthopaedics unit using the 6M Design® framework and Vitals Charts® in order to investigate concerns about delayed repatriation. We found that, because only a small proportion of patients require repatriation, expediting the repatriation process by one day for each patient would only reduce WIP by an average of 1.6 patients."
The Flow Design - Practical Skills - One Day Workshop (Level 1)
This Level-1, practical skills, one day workshop is the recommended starting point for individuals and teams who want to see the diagnose-design-deliver techniques working in practice before progressing to ISP-1 training and real-world improvement projects. We use a realistic, relevant, real-world simulated scenario to develop awareness of the core concepts and principles underpinning queue-free, delay-free, chaos-free, distress-free, efficient, effective and productive planned services.
|09:00||Introductions and Expectations|
|09:15||The St.Elsewhere's® One-Stop Clinic|
|10:00||6M Design® - Map|
|11:00||6M Design® - Measure|
|12:00||6M Design® - Model - Diagnosis|
|13:15||6M Design® - Model - Design and Prognosis|
|14:15||6M Design® - Model - Decide|
|14:30||6M Design® - Modify|
|15:15||6M Design® - Monitor - Review and Reflect|
|16:00||6M Design® - Maintain - Next Steps|
|16:30||Experience and Feedback|
To download the Flow Design Workshop flyer please click HERE.
This workshop can be delivered on-site (30-50% cheaper). Email for details.
The Resilient Design - Practical Skills - One Day Workshop (Level 1)
This Level-1, practical skills, one day workshop is designed to complement the Flow Design workshop and is for anyone working in the unscheduled care system such as GPs, GPOOH, A&E, Acute Care Clinicians, Service Manager and Commissioners who want to improve safety, delivery, quality and affordability of unscheduled care by eliminating queues, chaos and associated stress.
The workshop is a learn-by-doing, seeing-is-believing experience that demonstrates how health care systems engineering (HCSE) theory, techniques and tools are employed to improve unscheduled care pathways.
|09:00||Introductions, Expectations and Context|
|09:30||The Productive Clinic Revisited|
|11:00||Design for Resilience|
|12:15||Storyboard Review and Next Steps|
|13:15||A Common Case of Chronic Chaos|
|14:00||Diagnosis and Design|
|15:15||Restoration of Calm|
|16:30||Summary, Reflections and Feedback|
To download the Resilient Design Workshop flyer please click HERE.
This workshop can be delivered on-site (30-50% cheaper). Email for more details.
The Microsystem Design Team - Practical Skills - One Day Workshop (Level 2)
This Level-2, practical skills, one day workshop is intended for microsystem teams who want to develop and practice their productive design meeting techniques, tools and skills before applying them to real-world, collaborative, improvement-by-design projects. This is achieved using practical exercises that demonstrate a synergistic set of tried-and-tested methods. The outcome, when applied in practice, are more effective, efficient and enjoyable meetings.
|09:15||Introductions and Expectations|
|16:30||Summary and Next Steps|
To download the Design Team Practical Skills Workshop flyer please click HERE.
This workshop is delivered on-site. Please email for more details.
The Vitals Chart® - Practical Skills - One Day Workshop (Level 2)
This Level-2, practical skills, one day workshop is intended for data analysts and service managers whose role it is to support front-line teams engaged in improvement-by-design challenges. A Vitals Chart® is a synergistic set of time-series charts that together create a rich picture of the system behaviour. This visual feedback is used in the diagnosis, design and delivery phases of the 6M Design® cycle. The critical importance of this insight is illustrated through demonstration of "data distortion" traps that need to be understood and avoided.
|09:00||Welcome and Introductions|
|09:15||System Behaviour Charts|
|13:15||Valid Data Extraction|
|14:15||Data Distortion Traps|
|15:15||Measure, Monitor and Maintain|
|16:15||Reflection and Feedback|
To download the Vitals Chart® Practical Skills Workshop flyer please click HERE.
This workshop is delivered on-site. Please email for more details.
The Workshop Designers
|Simon Dodds studied medicine and digital systems engineering before following a career in general and vascular surgery.
During his training he researched the problem of modelling blood flow in networks of diseased arteries and used computer
simulations to develop more accurate non-invasive tests for arterial disease.
After appointment as a consultant surgeon in the West Midlands, he applied his skills as a systems engineer
and as a clinician in the redesign of the vascular surgery clinic and the leg ulcer service.
The project was awarded a national innovation award for service improvement and is documented in the book
called Three Wins: Service Improvement Using Value Stream Design. This experience led to the creation of
improvementscience.net which is a web portal for the development and dissemination of the theory, techniques,
tools and training of Health Care Systems Engineering (HCSE). His current NHS role is a consultant general surgeon (part time).
|Kate Silvester originally trained and practised as an ophthalmologist.
In 1991, she retrained as a manufacturing systems engineer and spent seven years in management
consultancy transferring manufacturing principles to service industries such as banking, airlines and health care.
In 1999, she rejoined the UK National Health Service and worked on many national programmes improving the flow
of patients through the system; addressing timeliness, quality and cost.
Kate's specific area of expertise is in the management of organisational systems to address the variability
in demand and capacity. In Nov 2007, she joined the EU-Japan World Class Manufacturing Programme
to translate the Lean Thinking approach into healthcare.
She was appointed an Honorary Associate Professor, in the Health Sciences Research Institute at
Warwick Medical School in Jan 2009.
Between 2010 and 2012 she was sponsored by The Health Foundation to lead an Inquiry into Flow, Cost and Quality with
South Warwickshire Hospitals NHS Trust and Sheffield Teaching Hospitals NHS Foundation Trust.
Kate is co-founder of the Journal of Improvement Science.
The two dimensions of improvement:
1. Safety and Quality
2. Flow and Productivity
Safety comes first.
A high-quality experience for patients and staff requires a calm environment.
And a productive system is both effective and uses resources efficiently.
We need to learn how to design our health care system to be fit-for-purpose on all dimensions.
If you would like to be notified when places become available: