What is the Leapfrog programme?
The Leapfrog programme consists of a small number of organisation-wide projects which will each contribute towards achieving significant changes to meet our organisation’s priorities and goals. The aim of the programme is to support a focused, intensive burst to take a large leap in achieving our goals and to help to instill a culture of improvement and innovation.
The Leapfrog programme team has members from within the organisation. Each member brings a different skill set and network to the team to either provide advice across all of the programme’s projects, or to lead one of the projects. As the projects have progressed, the team members have been sharing learnings and leveraging off the other projects in order to fast-track processes where possible.
What are we trying to achieve?
The overall aim of the Leapfrog programme is to improve the health outcomes and the experience of patients and their families / whanau within our healthcare services.
Combining these projects into an overarching programme will provide them with greater visibility, attention and support from senior management and allow the projects to move along at a faster pace. Some of the projects also interlink, so this programme provides an opportunity for networking and sharing of resources.
What have we done?
Leapfrog programme projects
Each project within the programme has a long-term vision and every deliverable is contributing to a step-change in the right direction. Below is an overview of each project:
1. Mobility strategy
One of the first projects in this work stream has been the implementation of fast free Wi-Fi across all facilities for staff and patients to access [view more about our WiFi implementation]. Other projects / tasks within this work stream include:
- a policy covering corporate and personal devices which has been approved locally and regionally
- implementation of Mobile Device Management and Mobile Enterprise Application platforms
- working with Orion Health Ltd as part of our Innovation Partnership to:
- test mobile MedChart
- test mobile access to systems for community Allied Health teams
- develop mobile nursing forms
This work will enable ePrescribing in hospitals from tablets, eVital sign/assessment data entry (see below), clinical photography, dictation on smartphones, task management, asset management, patient experience reporting, and many other planned developments.
2. Enhancing data capture
We are implementing voice-to-text software for the organisation with the aims of:
- improving the timeliness and accuracy of transcription services
- increasing the visibility and availability of health information for clinical decision-making
Work with the vendor is well underway and the first service is scheduled to go live with the system in October 2015.
3. Electronic ordering systems
We are developing electronic ordering systems for laboratory and radiology tests. Electronic and automated systems will help reduce administration time, duplication and unnecessary testing.
The team is currently working with the vendor on developing forms for radiology. This project has highlighted related processes within the organisation that are also being addressed around sign-off protocols and links with the patient management system.
4. Clinical decision support tools
Our long-term vision is to introduce clinical decision support tools into clinical practice for the early identification of deteriorating patients and to provide standardised responses to deterioration, including communication protocols. An analysis of international best practice identified the need to capture vital signs and nursing assessments of patients electronically to support this and implementation of eVital signs/assessment data entry is due to commence in October 2015.
5. Better outpatient follow-up
We are reviewing data on outpatient visits in order to identify issues and improve patient follow-up pathways. We are building on toolkits already developed by Auckland DHB, and are facilitating clinician-to-clinician communication about what worked and did not work.
The Leapfrog Programme is supporting clinical services to better identify specific populations for better management of care going forward.
6. Patient experience reporting
We will be developing a system that will bring together information from multiple patient surveys into one place. Our aim is to display patient experiences and patient reported outcomes as they relate to the organisation’s values in a visually engaging and easy to understand manner that will allow staff to design improvements around this patient feedback. Work has already commenced on linking our patient experience with the organisation’s values, and we were recently awarded an IPANZ award for ‘Excellency in Integrity and Trust’ for this work [view more about Values-based reporting].
7. Best facilities planning
Our aim is to ensure future focused design in the organisation’s facilities. By examining new and potential models of care from best international examples, we have been building a library of innovations documents and reports that are available to all teams considering care redesign and new facilities projects.
A Design Group has been established, including consumer representatives and consultation with external design expertise where appropriate. The Design Group has developed a set of core design principles to apply across our Waitemata 2025 programme that is currently under consultation. The Design Group also undertakes background research to inform clinical teams on specific facilities projects and organisation-wide design issues, and assists in co-design processes with patients, whanau and staff.
8. Improving primary care connections
We have a number of primary care leaders participating in our Enhanced Care Management and Clinical Leadership programme [view more about our Enhanced Care Management and Clinical Leadership programme], and the resulting care redesign projects, as we attempt to build primary care leadership into all service design for the organisation. This project also involves:
- examining communications within the transitions of care as well as the connection points between primary and secondary care
- identifying overlaps, gaps and issues of concern to primary care
Where to from here?
We will continue to progress each project within the different work-streams to completion. Many of the project deliverables are helping to develop a better infrastructure for the organisation to enable us to initiate other projects that have been identified and prioritised for the organisation.