It’s been another magnificent week at CM Health, as we celebrated the successful completion of Phase One of the 20,000 Days Campaign. This campaign, to reduce demand on our hospital by giving back 20,000 well and healthy days to the community, has gone from strength to strength, and it was great to take the time to celebrate the difference it has made. Today I’m joined by David Grayson (Clinical Lead) and Diana Dowdle (Campaign Manager) to tell you more about the successes, the learnings and where to next for 20,000 Days.
On Tuesday we celebrated the achievement of saving 22,940 days by 9am 1 July 2013 for the people served by CM Health. It was a great occasion, particularly when we heard firsthand accounts from patients and their families about what it meant to them to experience care in the Healthy Hearts and Very High Intensity Users programmes. A newsletter summarising the 20,000 Days Campaign has been compiled and we encourage you to read it to find out more about the collaborative teams’ achievements, highlights and the difference saving a day makes to patients, families and staff.
As the Clinical Lead and Campaign Manager for the campaign, we are very proud of the achievements of all the collaborative teams who are passionate about finding new approaches to keep people healthy and well in the community. We acknowledge the strong leadership of the Clinical Leaders, Managers and Improvement experts who have supported their teams to be innovative, test ideas and commit to improvements for patient care. We have been so impressed by the shift in mindset that has occurred over the last two years. We are seeing a move away from a threatening scepticism or what the Russians call ‘netovshchik’ to an acknowledgement that using improvement science has a role in tackling the complex challenges of healthcare delivery.
The individual collaborative teams’ dashboards and the overall system dashboard have helped us learn to see and understand our system better. The latest dashboard shows ‘special cause’ effects or changes not attributable to chance in four charts: Average length of stay, Emergency Care presentations, Occupancy and Dot Days. Something is happening! We now have the opportunity to look deeper into the data and we would encourage everybody to contribute to help us improve things further.
CM Health is demonstrating leadership for a modern approach to healthcare by seeking excellence through the eyes of our staff and the people we serve in our community. This is what success means to us and it is a privilege to be involved in such a positive atmosphere for change. The enthusiasm and collaboration of the collaborative teams is contagious.
The next phase of work is already underway and we are excited about the potential exponential improvement we will see as we continue ‘Beyond 20,000 Days’. The campaign team will also continue to support seven collaborative teams who are implementing their changes permanently over the next 12 months to ensure the improvements are sustained. Check out our website for more information on where to next.
Diana and David
I would like to add my thanks and congratulations to all collaborative teams involved in Phase One. Your efforts have undoubtedly helped us manage the demand for our services and prevented Middlemore Hospital from seizing up. That’s a huge achievement, and one I am excited about building on as we look ‘Beyond 20,000 Days’ and continue developing a culture of quality improvement.