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Supplement

Health services under siege: the case for clinical process redesign

MJA 2008; 188 (6 Suppl): S1-S40

The authors would like to acknowledge the New South Wales Government’s funding of the NSW Health Clinical Services Redesign Program and an additional 1800 beds over 3 years.

In addition, the strong support and commitment from the NSW Area Health Services Chief Executives and staff has been vital for the achievements outlined in these articles.

 

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Clinical process redesign — can the leopard change its spots?
Paddy A Phillips and Clifford F Hughes — Med J Aust 2008; 188 (6 Suppl): S7-S8.

 

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Health services under siege: the case for clinical process redesign
Tony J O’Connell, David I Ben-Tovim, Brian C McCaughan, Michael G Szwarcbord and Katherine M McGrath — Med J Aust 2008; 188 (6 Suppl): S9-S13.

 

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Patient journeys: the process of clinical redesign
David I Ben-Tovim, Melissa L Dougherty, Tony J O’Connell and Katherine M McGrath — Med J Aust 2008; 188 (6 Suppl): S14-S17.

 

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Clinical process redesign for unplanned arrivals in hospitals
Tony J O’Connell, Jane E Bassham, Rod O Bishop, Christopher W Clarke, Carolyn J Hullick, Diane L King, Carmel L Peek, Raj Verma, David I Ben-Tovim and Katherine M McGrath — Med J Aust 2008; 188 (6 Suppl): S18-S22.

 

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Applying clinical process redesign methods to planned arrivals in New South Wales hospitals
Donald G MacLellan, Patrick C Cregan, Brian C McCaughan, Tony J O’Connell and Katherine M McGrath — Med J Aust 2008; 188 (6 Suppl): S23-S26.

 

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Redesigning care at the Flinders Medical Centre: clinical process redesign using “lean thinking”
David I Ben-Tovim, Jane E Bassham, Denise M Bennett, Melissa L Dougherty, Margaret A Martin, Susan J O’Neill, Jackie L Sincock and Michael G Szwarcbord — Med J Aust 2008; 188 (6 Suppl): S27-S31.

 

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Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign
Katherine M McGrath, Denise M Bennett, David I Ben-Tovim, Steven C Boyages, Nigel J Lyons and Tony J O’Connell — Med J Aust 2008; 188 (6 Suppl): S32-S35.

 

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Appendix: Impact of redesign on emergency and elective access in 24 New South Wales hospitals from the financial years 2004–05 to 2006–07

 

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Glossary

Acknowledgements

Clinical process redesign relies on a high degree of collaboration between many parties (including frontline staff, clinical leaders, senior management, patients and carers),as well as the contribution of expertise from external partners. Without the dedication and hard work of all these people, clinical process redesign would not be possible. It is their work which is described in the articles in this supplement and we thank them all for their contributions.

NSW Health
Clinical Services Redesign Program
Steering Committee
Flinders Medical Centre
Redesigning Care
Steering Committee

Sponsors and partners

Executive sponsors

Flinders Medical Centre
Associate Professor Susan O’Neill, Executive Director, Nursing, Midwifery and Patient Services
Professor Philip Aylward, Senior Director, Cardiovascular Medicine
The former Board of Flinders Medical Centre

NSW Health
Ms Phillipa Blakey, Director of Clinical Operations, Northern Sydney Central Coast Area Health Service
Ms Lyn Dean, Director of Clinical Operations, The Children’s Hospital at Westmead
Ms Denise Fletcher, Director of Clinical Operations, North Coast Area Health Service
Ms Elizabeth Koff, Director of Population, Planning and Performance, South Eastern Sydney and Illawarra Area Health Service
Dr Nigel Lyons, Chief Executive, Hunter New England Area Health Service
Dr Joe McGirr, Director of Clinical Operations, Greater Southern Area Health Service
Dr Greg Stewart, Director of Population, Planning and Performance, Sydney South West Area Health Service
Ms Trish Strachan, Director of Population, Planning and Performance, Greater Western Area Health Service
Ms Kylie Ward, Area Director of Nursing, Sydney West Area Health Service
Mr Michael Willis, Director of Operations, Ambulance Service of New South Wales

External partners

NSW Health
Accenture
KPMG
PricewaterhouseCoopers
PA Consulting
Flinders Medical Centre
Peter Walsh, Lean Enterprise Australia


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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377