David Fitzsimons - Estimating Resource Requirements For Cleft Care Using A Computer Programme Based Upon Clinical Care Protocols
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A presentation given by David Fitzsimons in the 'Delivering Safety & Quality: The Health Reform Agenda stream at the CHA Conference 2012, The Journey, in October.
David Fitzsimons - Estimating Resource Requirements For Cleft Care Using A Computer Programme Based Upon Clinical Care Protocols
- 1. Estimating Resource Requirements Based Upon Clinical Protocols SMCP Palatopharyngeus Resource Requirements Estimating For Cleft Care Using A Computer Programme Based Upon Clinical Care Protocols Fitzsimons, D., Filtness, F. Fan, C. & McCullagh, C. The Children's Hospital at Westmead, Sydney, Australia
- 2. Estimating Resource Requirements Based Upon Clinical Protocols Introduction Clinical Specialist Speech Pathologist Worked on Cleft Palate Team for over 17 years Completing PhD - The Faculty of Medicine, The University of Sydney
- 3. Estimating Resource Requirements Based Upon Clinical Protocols Cleft Lip and Palate Team Plastic and Reconstructive Surgeons Oral-Maxillofacial Surgeons Ear, Nose and Throat Surgeons Specialist Orthodontists Speech Pathologists Audiologists Radiologists Sleep Physicians Photographers Clinical Nurse Consultant .
- 4. Estimating Resource Requirements Based Upon Clinical Protocols Cleft Care Chronic Condition Prenatal - End of Growth (~ 18-20 years of age) Stages of Treatment - Prenatal Management - Management of Newborn - Initial Surgery - Plastics & ENT - Speech Intervention - Secondary Surgery (Speech Surgery) - Plastics - Alveolar Bone Graft Surgery - Plastics - Orthodontics - Nose Surgery - Plastics & ENT - Jaw Surgery - Plastics
- 5. Estimating Resource Requirements Based Upon Clinical Protocols Multicentre Outcome Comparison Studies
- 6. Estimating Resource Requirements Based Upon Clinical Protocols Provision of Care Multidisciplinary Team - Protocols of Care - Evidence-Based Practice Resource Allocation and Distribution - Equitable Financial Costs - Accountable Burden of Care for Patients - Efficient Plan
- 7. Estimating Resource Requirements Based Upon Clinical Protocols SMCP Palatopharyngeus Management / Treatment course is quite predictable
- 8. Estimating Resource Requirements Based Upon Clinical Protocols Protocols of Care Structured and Documented - Timing - Professional(s) Involved - Nature of the Intervention - Resources Required - Outcomes - Costs Reviewed and Evaluated Regularly
- 9. Estimating Resource Requirements Based Upon Clinical Protocols Chronic Care Cleft Care is a good example of chronic care Techniques / software can be applied to any chronic care condition
- 10. Estimating Resource Requirements Based Upon Clinical Protocols Review of Protocols of Care It would be great if we could just book all the childrens Not so sure appointments into the about that system as soon as they are born ! Well at least we would know what resources we What a would need FANTASTIC idea !
- 11. Estimating Resource Requirements Based Upon Clinical Protocols Review of Protocols of Care 1. Patients Date of Birth Database 2. Patients Cleft Classification
- 12. Estimating Resource Requirements Based Upon Clinical Protocols Review of Protocols of Care
- 13. Estimating Resource Requirements Based Upon Clinical Protocols Review of Protocols of Care 1. Patients Date of Birth Database 2. Patients Cleft Classification 3. Computerised Protocols of Care
- 14. Estimating Resource Requirements Based Upon Clinical Protocols Protocols Patients
- 15. Estimating Resource Requirements Based Upon Clinical Protocols
- 16. Estimating Resource Requirements Based Upon Clinical Protocols
- 17. Estimating Resource Requirements Based Upon Clinical Protocols
- 18. Estimating Resource Requirements Based Upon Clinical Protocols VBA Code
- 19. Estimating Resource Requirements Based Upon Clinical Protocols Protocols Patients
- 20. Estimating Resource Requirements Based Upon Clinical Protocols Data Computer code generates approx. 10,000 records in 1 minute
- 21. Estimating Resource Requirements Based Upon Clinical Protocols
- 22. Estimating Resource Requirements Based Upon Clinical Protocols
- 23. Estimating Resource Requirements Based Upon Clinical Protocols
- 24. Estimating Resource Requirements Based Upon Clinical Protocols 93
- 25. Estimating Resource Requirements Based Upon Clinical Protocols 44% Interventions Mapped 18% Booked Out for 2024 81% !!! 12 Years Away
- 26. Estimating Resource Requirements Based Upon Clinical Protocols
- 27. Estimating Resource Requirements Based Upon Clinical Protocols What we can do Share our protocols more easily with other cleft units Map the effect of a protocol change on existing patients / workload in terms of resource allocation Estimate the cost/benefit of changing aspects of our protocol Can map these resources 18 years into the future Determine the current load on the cleft system, predict expected future loads as new patients enter the service Better plan for raw data collection as part of research projects Better inform the Executive of the actual utilisation of new equipment Prioritise interventions for patients - Better inform patients and Executive of vulnerable areas of the service, and the effects of changes (for better or worse) in funding
- 28. Estimating Resource Requirements Based Upon Clinical Protocols Limitations / Problems Underestimate cost of care by generating data on cleft diagnosis Bypassing the need for individualised plans for patient care
- 29. Estimating Resource Requirements Based Upon Clinical Protocols Review of Protocols of Care
- 30. Estimating Resource Requirements Based Upon Clinical Protocols L L A A H S
- 31. Estimating Resource Requirements Based Upon Clinical Protocols Treatment Status Code Cleft L A H S H A L Reference Uppercase = Complete Lowercase = Incomplete Treatment R G R R G R R = Repair/Revision G = Graft Uppercase = Definitely needs further surgery Lowercase = Possibly needs further surgery L A h S . * Birth R G R R . R Example 12 months age r G r r . . 7 years age . G . R . . 14 years age . . . . . .
- 32. Estimating Resource Requirements Based Upon Clinical Protocols . . r R G r
- 33. Estimating Resource Requirements Based Upon Clinical Protocols Protocols Patients r G r r . .
- 34. Estimating Resource Requirements Based Upon Clinical Protocols Conclusions Estimating future resource requirements is not difficult Fascinating, novel way of looking at resources Accuracy of projected data will be improved with individualised treatment information This computer programme is primarily for use in resource allocation projects - NOT as the primary source of care plan documentation Hope that this initiative will improve our access to resources and funding enhancements for cleft services. Provide the most effective and efficient cleft palate service to patients entrusted to our care.
- 35. Estimating Resource Requirements Based Upon Clinical Protocols The Future Modifying the software for use by chronic care teams outside the cleft palate field In 2013, we will be adding Craniofacial Clinic protocols to system, and sharing software with other cleft units
- 36. Estimating Resource Requirements Based Upon Clinical Protocols Thank You