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Introduction
—Clinical process redesign — what’s different?
—Process mapping
—Involving staff
—Involving patients
—Questioning the status quo
—The patient journey perspective
—Applying the clinical process redesign method
—NSW Health — the Clinical Services Redesign Program
—Flinders Medical Centre — the Redesigning Care program
—Implementation
—Conclusion
—Acknowledgements
—Competing interests
—Author details
—References
Clinical process redesign is a successful improvement method that has been used to increase access to health services in 60 public hospitals across New South Wales, and at Flinders Medical Centre (FMC) in South Australia.
The method focuses on the patient journey as the primary improvement locus, and uses process mapping to identify the value-adding steps in that journey; it involves redesign teams identifying and eliminating non-value-adding steps to improve flow and reduce delays in access to emergency and elective care.
The method engages clinicians, managers, patients and carers, and delivers real gains in health care delivery.
This article outlines the clinical process redesign programs being used by NSW Health and at FMC.
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Stephen F Wilson and Nicholas Collins || George Larcos || Caroline A Brand, Peter A Cameron, Peter B Greenberg and Ian A Scott || Tony J O’Connell, David I Ben-Tovim, Brian C McCaughan,
Michael G Szwarcbord and
Katherine M McGrath. Health services under siege: the case for clinical process redesign Med J Aust 2008; 189 (4): 238-240. [Letters] <http://www.mja.com.au/public/issues/189_04_180808/letters_180708_fm-9.html>
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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377