Copy
View this email in your browser


In Focus – The Importance of Reviewing Current Practice Before Relocating into a New Facility
Regular contributor Dominic Wilson-Ing provides insight into how essential reviewing current practice, before the relocation to a new facility takes place, really is for businesses.
 
Moving into a new facility can either be a positive and exciting venture or can be perceived as a nightmare fraught with difficulty and angst by stakeholders when after the operational phase commences, the perception doesn’t match the reality. It is unrealistic to expect that large change projects and programs will proceed without some teething issues, which can be caused by small oversights, resistance to change that is manageable, or just related to staff getting used to new ways of working. Such issues can be overcome relatively easily and do not proceed to cause operational impacts, or if they do, then they are minor impacts. Conversely, when trying to use previous ways of working and old service models in a new facility, the resultant issues can be highly impacting and far-reaching. Such issues include:
  • Severe degradation in operational performance because activities take much longer to carry out due to adjacencies of departments and use of single or two bed rooms opposed to four or six bed bays (more new build health services have single or twin rooms(1)), as evidenced by 100% single rooms at the Royal Adelaide Hospital, 79% single rooms in the Peter MacCallum Cancer Centre and 83% at the Fiona Stanley Hospital.
  • Changes needed in the way staff work, especially in single room hospitals.(2)
  • A requirement to increase staffing to meet gaps in operational performance.
  • Increased costs for an extended period due to work-arounds having to be put in place and more staff being needed to ensure service delivery is maintained.(3)
  • Negative publicity about the change, particularly if the project cost was high and it initially had public or ministerial scrutiny.
When relocating services into a new facility, it is essential that service models are reviewed early in the project, and that groups that may be co-located work together to develop and approve effective and efficient service models. As they are developed they should be desk-top tested against as many scenarios as can be thought of before being refined. Communication with staff about progress and new ways of working are paramount in maintaining engagement and facilitating the change when it is required. On-site testing of the ‘final draft’ models will be used to validate they operate as expected and that no serious omissions were made (4). Providing testing was thorough, it should be expected that only small changes will be needed. The changed costs in delivering the services should be known and ideally, these changes will lower operating costs rather than increase them. Overall it should be seen that the new models provide cost savings, even if a few of them are more expensive. Understanding the models in this way should result in an accurate assessment of the costs of running the new facility.

The Promentor® health team have considerable experience in leading the development of new health service models and models of care as part of plans to relocate to a new facility. The team have credibility with clinicians and operational leaders and are able to facilitate collaborative working to result in innovative ways of working that will deliver excellent care, cost efficiencies and enable the avoidance of known pitfalls.



Notes:
 

1) https://www.kevinmd.com/blog/2015/06/its-time-that-all-hospitals-have-single-patient-rooms.html

2) https://www.ncbi.nlm.nih.gov/books/NBK274449/

3) https://www.ncbi.nlm.nih.gov/books/NBK274425/

4) http://www.tandfonline.com/doi/abs/10.1080/10803548.2016.1270543


 
Industry Insights - Business Transformation
Building on our perspective on how businesses should approach the move to a new facility, we delve into the discussion of business transformations in general.

Disruption, friction, and change: The hallmarks of a true transformation
A company transformation is a holistic, top-priority endeavour that requires aggressive focus from the management team to reach the full potential of a business. Transformations are difficult undertakings and come with a high likelihood of failure. But with a focused plan and dedicated leaders, a company’s executives can turn around the business and achieve meaningful success.
 
Listen to McKinsey partner Michael Bucy and senior partners speak with Tim Dickson about what it takes to truly transform a business and bring about lasting change. more
 

The Yin and Yang of Organisational Health 
Sustained performance over the long term and successful transformation in the near term require many of the same ingredients. Actions necessary to support longer-term corporate-performance objectives, on the one hand, and a rapid performance transformation, on the other, might seem at odds. But our research paints a different picture. When coupled with organisational health, long-and short-term performance can become interdependent and complementary.

Just as yin and yang in Chinese philosophy are inseparable, Lili Duan, Rajesh Krishnan and Brooke Weddle discuss how objectives and transformation are unable to exist without each other. more
Australia in October
We look back at November’s biggest stories. Expected bill shock led Australian consumers to tighten their drawstrings and has seen a spending strike in the economy. Following from our previous focus on Amazon’s impact on Australia, the heavyweight finally launches. The citizenship saga continues in Parliament, as our political relationship with China grows turbulent.

Consumers on spending strike amid 0.6 per cent economic growth... more
 

Citizenship saga: Labor bid to send nine more MPs to High Court fails but ALP backbencher David Feeney referred... more
 

Amazon says launch in Australia was its biggest ever... more
 

Mistrust of Australia is growing in China... more
Copyright © 2017 Promentor, All rights reserved.

unsubscribe from this list
update subscription preferences