Ms Kristy Perkins1, Mr Callum Trevorrow1, Mr Philip Juffs1
1West Moreton Health, Queensland Health, Ipswich, Australia
Background: The implementation of an ieMR and associated workflow changes coupled with multiple system utilisation highlighted discrepancies in articulating the cost and efficiency of some allied health non-admitted services. Manual recording of allied health non-admitted service events in Performance Indicators V5 (PI5) ceased on 1 January 2020 with Cerner Enterprise Scheduling Management (ESM) utilised for recording, counting, reporting and costing of allied health non-admitted service events for Activity Based Funding (ABF) purposes thereafter.
Methods: Cessation of PI5 highlighted numerous non-admitted service events that were not recorded in any other systems. ‘Make it count’ identified appropriate interactions and accurate capture and recording of non-admitted service events in ESM, emphasising compliance with the ‘Tier 2 Non-Admitted Services Compendium and Definitions Manual 2019-21.’ Change management methodology, leadership, governance and contemporary engagement and communication facilitated successful change and promoted accurate reporting of non-admitted service events.
Results: ‘Make it count’ delivered time savings for clinicians by reducing manual, duplicate data entry whilst increasing recording and reporting of non-admitted service events by up to 50% for some professions over 12-months. This resulted in substantial Weighted Activity Unit growth in a neutral resource environment and availed clinician time to be re-distributed to high-value tasks.
Discussion: The success of this change highlights the importance clinical leaders understanding and being able to connect the business of healthcare with change leadership in digital ecosystems. System level leadership and thorough knowledge of classification, counting and reporting rules are essential in identifying strategies to optimise utilisation of systems and streamline workflow.
Kristy Perkins is a Workforce Development Officer at West Moreton Health with a clinical background in physiotherapy. She has significant experience in workforce re-design and a specific interest in digital optimisation to inform the business of healthcare. Ms Perkins was instrumental in the development of the Allied Health National Best Practice Data Sets and is pursuing data reporting initiatives to analyse allied health contribution to health outcomes.