A Slightly Different Perspective

on Clinical Audit Improvement

• Why you might be an intrapreneur

(Yes, I promise to explain what it is too)

• Adapting a Lean Start-up approach

• Accreditation 2015: Surviving & thriving

• Challenges for RPH Clinical Audit in 2016

Delegate Straw Poll

1. Does your organisation operate in an

environment of constraint?

2. Is there risk associated with the

systems, processes & tools you

implement?

3. Does uncertainty exist when you

introduce a new Clinical Audit?

4. Do you look to technology or ‘outside

the box thinking’ for solutions?

What is an Intrapreneur?

Pinchot, Gifford & Pinchot, Elizabeth (Fall 1978) Intra-Corporate Entrepreneurship Tarrytown School for Entrepreneurs

http://www.businessdictionary.com/definition/intrapreneurship.html#ixzz3syBMme5M

“…Dreamers who do…”

“Those who take hands-on responsibility

for creating innovation of any kind within

a business.” Pinochet, 1978

“Intrapreneurship applies the ‘start up’ style of management

(characterised by flexibility, innovation, and risk taking) to a

secure and stable firm. The objective is to fast track product

development (by circumventing the bureaucracy) to take

advantage of a new opportunity or to assess the feasibility of a

new process or design.”

Key Attributes of the Intrapreneur

Solution

focused

thinker

Conversant

with risk

Employed in

large

organisation

Politically

Adept

InnovatorNetworker Manager

Eric Ries (2011) The Lean Startup. How relentless change creates radically successful businesses.

Aligns to

organisational

vision

Lean Startup Methodology

“In a Startup, both the

problem and the

solution are unknown.”

Eric Ries

Case in Point: Aseptic Technique

• Clear vision, but specifics of

problem unclear

• Clinical Audit & Education

worked in tandem

• Rapid data visualisation

• Multiple strategic pivots

required as we built & learned

Complex problem needed a

range of simple solutions to be

applied and audited

Spin-off Solutions & Innovations

Data

VisualisationDashboards

Evidence

LoggerKPI Tracker

The need for an even Leaner Audit Program

• Built-in educative component

• Sustained by frontline staff

• Tied into governance & standards

• Primary patient focus

Accreditation 2015

Is there such a thing as too much information?

• A focus on showcasing

both the breadth &

depth of information

• Tied into Quality

Improvement Plans &

Risk Registers

• Using logged evidence

as a dynamic tool for

working committees

The Challenges & Innovations Ahead

• Fiscal constraints / high activity

• Reduced number of quality roles

• Another health service restructure

• Bringing Business Intelligence to

the frontline for safety & quality

• NSQHS Version 2.0

• Preparing for self-assessment

Thank you

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