On March 24, 25, and 26, 2009 over thirty leaders from SIAST, U of S, U of R, First Nations University of Canada, the Canadian Nurses Association, RNs with a focus on "Visioning" participated in a session hosted by the SRNA.
Canadian Futurist Richard Worzel facilitated the event, producing amazing results!
"The best of all is that it is NOT over...great stuff. Everyone left very energized with five to six key projects that align highly with our Ends work." Donna Brunskill commented following the event.
Vote on ‘best’:
Shorten surgical wait list to two weeks or less, based on demand (20 – had the most votes)
HOW did you do it?
• Hired 3 RN coordinators
• Care mapped out client journey & devised diff pathways & went forward with best practice for pain management
• Worked as a team & brainstormed & look at evidence out there & how looked at patient health
• Maximize telehealth & shorted time from GP to specialist to pre & post-op
• Used GPS mapping so see difference in how ppl got thru system
• Data mining – looked for markers
• Gave every GP & patient info about how to be referred correctly
• Used rural hospitals for surgery & recovery
• Stopped doing stuff we didn’t need to do
• Looked at system & questioned decision-making
• Public & patients on committees
• Picked top 3 or 4 emergency situations & dedicated clinics to deal with only those things
• Changed way do business on premise of patient safety & incentives to meet benchmark we set
• Beefed up primary health care & got ppl started early in elementary, high school & university
• Mobile operating rooms & max use of 2009 operating rooms
Backcasting as opposed to forecasting – celebrate fact succeeded in all of these goals – look at these goals you have had for the future & having a celebratory dinner & he asks, ‘this is awesome! How did you do it?!’
March 2016:
Infection rates, approaching zero
Pain-free surgery, as close to how as possible
Surgical wait time 2 weeks
Decrease in demand for surgeries
Marg Farley receives Order of Canada
SK becomes centre for surgical tourism
Nurses & NA involved in surgical consults & community followup
System, patient & providers all have high levels of satisfaction measured by surveys
Savings by surgical depts. Focused on streamlined tech (budgets allocated into enhancing surgical experience
Question: What need to have accomplished by March 2013 that allowed us to achieve these things by March 2016?
• Mobile ORs:
o 10 mobile units in use
o Nursing coordinators done mapping of top issues to ensure enough resources & worked with all other stakeholders to instigate
o Canadian & UK & N. Am best-practise collation for surgical wait-list mgmt (global sharing of best practises)
o Commitment from govt for capital & operating costs
o Electronic comm. for electronic consults, records, info to optimize productivity
o Strong home-care org in place taking into consideration caregiver needs & supports available
o Emergency/ rural care framework in place
o Modernized rural health care
o Identified and agreed upon surgical procedures in mobile units
Question: What did you have to have accomplish by March 2010?
• 10 units in use:
o R & D
o Clinical evidence on effectiveness of mobile surgical units
o Define teams as part of R & D
o Find first (stage one) project of patients & conditions
o Legislation passed
o Professional buy-in achieved
o Evaluation frameworks in place
o ID operting & capital resources
o How to free up surgeons from their current schedules (negotiations & recruitment) minimize impact
o Impact assessment
Question: What have to accomplish by September 2009 enable us to achieve things by March 2010?
• Needs to be environ reports done
• Surgical czar appointed
Appropriate recognition for individuals very important
Invite citizens into public process to enable ppl to be involved & understand diff p.o.v.
Future Search foundation
• Asking citizens/residents of SK what they want – they will go with their own priorities of what they want rather than what need
• Talk to bigger group organizations & listen to their feedback
• Keep ultimate goal in perspective
• Need to clarify different groups
• Problem of ppl not really listening to what public is telling you – ppl want to know ‘how does it affect me?’
• Focus groups are important b/c of above statement
Come up with objective – it would be really great if….by 2016 & create poster & then commit to working on this project after you leave retreat
Are you doing enough of the important things to get to where you want to be by 2016?
6 posters:
1) primary care reform
2) evidence to action
3) advanced nursing practice – recreating nurse image
4) integration of a collaborative nursing practice w/in healthcare of the future
5) 700 new grads & incorp of college & employers to get them
6) preventing adverse care in hospital & home care
SRNA is the membership & the membership’s there for clients of SK
• use of technology
• need to recruit other people
• council goes thru enviro scanning & visualization exercises
• what see on front lines that’s different – anyone have any thoughts? Wiki – topdown & bottom-up
Question – have we done enough to get healthcare where we want it to be by 2016? What need to add?
• Incorporate dementia/elder care
• ID partners w/in province & outside of province
• Mental health issues
Ask the question – is this as important as some of the other things we could be doing? What should be done to get us to where we want to be?
Mega thank you to each and every staff person as each and every one of you have contributed to the successful Visioning event the SRNA just hosted out at the Lumsden Retreat House…
….from Maureen, Kristal, Susan and Cheryl W and team who ensured all the logistics were in place, including all the AV needs of our keynote, and that every detail was taken care of including who would pick up who at the airport
….from Dianna who, with the assistance of the Directors, created and issued invitations, updates, managed the many phonecalls and changes to the invitation list (spent many hours communicating/linking with St Michaels’)
…to the brilliant work of Ms Brazill and Shelley in working with our keynote and guests in forging excellent relationships and showing the way for new ways of linking and being
….to all our Nursing staff who either took up the extra load because your colleagues were engaged in the Visioning Exercise and to Patrick, Greg, Sarah and Shirley….your networking and bridgebuilding, let alone your visioning created significant forward energy for the SRNA in the many coalitions that were built at this retreat workshop…
…and to everyone whom I have forgotten to mention, just know that this was yet again a ‘Whole team effort’ and one that brought synergy for a significant amount of our Ends work…mega, mega, thank you….this was a sentinel event that many will make reference to for years to come.
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