Model of care for elective surgery: including implementation guide

Hdl Handle:
http://hdl.handle.net/10147/325605
Title:
Model of care for elective surgery: including implementation guide
Authors:
Health Service Executive (HSE); Royal College of Surgeons in Ireland (RCSI); College of Anaesthetists of Ireland (CAI); National Clinical Programme in Surgery
Citation:
Health Service Executive (HSE) et al. Model of care for elective surgery: including implementation guide. Dublin: RCSI; 2011.
Publisher:
Royal College of Surgeons in Ireland (RCSI)
Issue Date:
2011
URI:
http://hdl.handle.net/10147/325605
Item Type:
Guideline
Language:
en
Description:
WHAT IS THE ELECTIVE SURGERY PROGRAMME? The Elective Surgery Programme (ESP) sets out to address how elective surgery can best be delivered by surgeons, anaesthetists and other health workers in partnership with their patients so that it is safe, efficient and cost effective . This will be delivered through a set of high quality and reproducible processes. This work is being carried out as one of the joint programmes between the HSE, the College of Surgeons and the College of Anaesthetists and is being led by Prof. Frank Keane and Dr Jeanne Moriarty. The Elective Surgery Programme has four sub-programmes. They are as follows: Average Length-of-Stay or AvLOS sub-programme Targets for elective ‘day’ and ‘stay’ procedures have been agreed with 14 surgical specialties. These targets will save bed days and reduce surgical waiting lists. Based on 2009 activity potential savings are in the order of 41,500 bed days and a reduction in waiting times for patients. The incentive for participation by surgeons, therefore, will be the provision of protected beds. See under “What is AvLOS?” There are a number of ways these targets for length-of-stay can be achieved. The “Elective Surgery Model of Care” outlines an agreed set of guidelines for pre-admission assessment clinics, day surgery, day-of-surgery admissions and discharge planning, each of which has the potential to reduce average length-of-stay. The document is designed to help develop local care pathways and it aims to help all hospital staff including management, doctors, nurses and ancillary staff. (See attached) Audit sub-programme The third element of the Elective Surgery Programme is Audit. Simply shortening hospital stay as a goal on its own is not appropriate without knowing the outcomes of the care provided. RCSI, together with the HSE, is introducing a National Audit of Surgical Mortality which will examine all deaths occurring during surgical care (See under “What is IASM?”) as well as a Joint Register (See under “What is the Joint Register”) Theatre Journey sub-programme The final element of the Elective Surgery Programme plans to introduce and implement the Productive Theatre Programme, also known as ‘TPOT’. The operating theatre is a common pathway for most surgical patients. For reasons of safety, efficiency and cost containment it is important that this resource is used effectively. The TPOT programme is a comprehensive package designed by NHS Innovation. (See under “What is TPOT?”) In summary, the Elective Surgery Programme aims to improve the patient journey along the elective surgical pathway by delivering on access, quality and cost. The planning stage has been completed but implementation, the hard bit, is yet to come. It will require very close co-operation between the Colleges and the HSE, and regional and hospital management, clinical directors and, most importantly, surgeons, anaesthetists, nursing and ancillary staff.
Keywords:
SURGERY; CLINICAL GOVERNANCE

Full metadata record

DC FieldValue Language
dc.contributor.authorHealth Service Executive (HSE)en_GB
dc.contributor.authorRoyal College of Surgeons in Ireland (RCSI)en_GB
dc.contributor.authorCollege of Anaesthetists of Ireland (CAI)en_GB
dc.contributor.authorNational Clinical Programme in Surgeryen_GB
dc.date.accessioned2014-09-01T11:39:29Z-
dc.date.available2014-09-01T11:39:29Z-
dc.date.issued2011-
dc.identifier.citationHealth Service Executive (HSE) et al. Model of care for elective surgery: including implementation guide. Dublin: RCSI; 2011.en_GB
dc.identifier.urihttp://hdl.handle.net/10147/325605-
dc.descriptionWHAT IS THE ELECTIVE SURGERY PROGRAMME? The Elective Surgery Programme (ESP) sets out to address how elective surgery can best be delivered by surgeons, anaesthetists and other health workers in partnership with their patients so that it is safe, efficient and cost effective . This will be delivered through a set of high quality and reproducible processes. This work is being carried out as one of the joint programmes between the HSE, the College of Surgeons and the College of Anaesthetists and is being led by Prof. Frank Keane and Dr Jeanne Moriarty. The Elective Surgery Programme has four sub-programmes. They are as follows: Average Length-of-Stay or AvLOS sub-programme Targets for elective ‘day’ and ‘stay’ procedures have been agreed with 14 surgical specialties. These targets will save bed days and reduce surgical waiting lists. Based on 2009 activity potential savings are in the order of 41,500 bed days and a reduction in waiting times for patients. The incentive for participation by surgeons, therefore, will be the provision of protected beds. See under “What is AvLOS?” There are a number of ways these targets for length-of-stay can be achieved. The “Elective Surgery Model of Care” outlines an agreed set of guidelines for pre-admission assessment clinics, day surgery, day-of-surgery admissions and discharge planning, each of which has the potential to reduce average length-of-stay. The document is designed to help develop local care pathways and it aims to help all hospital staff including management, doctors, nurses and ancillary staff. (See attached) Audit sub-programme The third element of the Elective Surgery Programme is Audit. Simply shortening hospital stay as a goal on its own is not appropriate without knowing the outcomes of the care provided. RCSI, together with the HSE, is introducing a National Audit of Surgical Mortality which will examine all deaths occurring during surgical care (See under “What is IASM?”) as well as a Joint Register (See under “What is the Joint Register”) Theatre Journey sub-programme The final element of the Elective Surgery Programme plans to introduce and implement the Productive Theatre Programme, also known as ‘TPOT’. The operating theatre is a common pathway for most surgical patients. For reasons of safety, efficiency and cost containment it is important that this resource is used effectively. The TPOT programme is a comprehensive package designed by NHS Innovation. (See under “What is TPOT?”) In summary, the Elective Surgery Programme aims to improve the patient journey along the elective surgical pathway by delivering on access, quality and cost. The planning stage has been completed but implementation, the hard bit, is yet to come. It will require very close co-operation between the Colleges and the HSE, and regional and hospital management, clinical directors and, most importantly, surgeons, anaesthetists, nursing and ancillary staff.en_GB
dc.language.isoenen
dc.publisherRoyal College of Surgeons in Ireland (RCSI)en_GB
dc.subjectSURGERYen_GB
dc.subjectCLINICAL GOVERNANCEen_GB
dc.titleModel of care for elective surgery: including implementation guideen_GB
dc.typeGuidelineen
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