PATA: local solutions for larger problems
There has been significant and well-published reform of emergency and urgent pathways, such as those facing the NHS, but we should not ignore the importance of planned or elective pathways either.
In the NHS case study we looked at in the previous step, we investigated some of the challenges facing hospital systems at a meta level and, through the lens of emergency access and queuing in primary care, considered some local solutions to the issues faced by hospital managers, leaders and administrators.
Let’s now look at some more micro solutions to local hospital challenges.
Micro solutions to hospital challenges
Sometimes the best approach to improving patient experience is to resolve issues at the local, micro-process level.
As patients move between levels and settings of care, from acute to follow-up or elective to rehabilitation phases, the process of service delivery becomes more complex, often with multiple professions providing services across diverse physical environments.
In practice this means our operational focus needs to ensure that these pathways, processes and systems are as efficient and effective as possible.
Case study video
In response to possible solutions that address these issues, the following video describes the development and functioning of the pre-admission testing area (PATA) at the Massachusetts General Hospital (MGH) in the United States.
Watch the video below:
Based on activities that were once conducted via in-patients prior to further medical interventions, evidence shows that these ambulatory units save significant ‘bed days’ and improve the safety of care.
Bed days are key cost drivers in hospital environments and, as such, are often the focus of reform efforts.
These changes do not always meet patient expectations and need to be actively managed and explained to smooth patient transition and provide assurance that this new approach is as safe – if not safer – than established practices.
Watch the video and consider PATA from the perspective of systems thinking and BPR.
What do you think the impact of this and similar units might be in relation to patient experience given your own local, organisational and professional context?
Would this approach work? Why or why not?
Use the comments to share and compare your thoughts with other learners.
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