Modelling pathways that bypass outpatients
What happens when some patients bypass outpatients and are added directly onto the elective waiting list? Conversion rates don't work as straightforwardly as they should. Here's what you can do about it.
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What happens when some patients bypass outpatients and are added directly onto the elective waiting list? Conversion rates don't work as straightforwardly as they should. Here's what you can do about it.
The "exceptions table" sounds innocuous enough. But whoever controls it has the power to transform the management of entire hospitals.
After the initial 'one-day' implementation of Gooroo Planner, one of the first refinements you will want to make is around the diagnostic stage of treatment. Fortunately, it's easier than you might think.
Operational managers often like to see their capacity plans at sub specialty level, especially in general surgery and orthopaedics. This is easily done in Gooroo Planner, but here are some things you may need to watch out for. And it's similar for other levels of detail, such as hospital site, commissioner, and procedure based modelling.
Is the NHS always short of capacity because it's always short of money? Perhaps not. Waiting list initiatives and a reliance on 'extra' suggest that something else is going on.
A practical guide to modelling follow-up outpatients (known as "returns" or "repeats" in Scotland) using Gooroo Planner, including waiting times, capacity, and how to model defined courses of treatment.
A guest post by Jonathon Fagge, who has been through five winter planning seasons as an NHS Commissioner – three as a Director and two as CEO. He asks two big questions: how could it be done better, and why isn't it?
You can already plan next year's capacity in one big lump. And you can break that plan down week by week. Now you can go even further, and model it patient by patient.
"Oh, didn't we tell you we're doing a waiting list initiative?" Clinical support services, such as radiology, can feel a bit miffed when they are suddenly hit with a surge of work that was planned ages ago but nobody told them about. Fortunately it's easy to build them into your plans.
How can we structure this year's planning round, to stop it from going around in circles?