Change management in RT Flashcards
What are some drivers for change?
Improved outcomes - increased cure rate, lower side effects, improved patient experience, enhanced recovery
Improved efficiencies/costs - fewer staff, quicker procedures, fewer appointments, organisational changes, increased utilisation of technology
What are the 5 leaders of change?
Customer Technology Capital Competitor Government
What are the features of Radiotherapy infrastructure?
Vendor neutral solutions Backward compatibility Future proof Easily expandable Lossless compression Standardisation - DICOM, IHE-RO
What are the four RT features in DICOM?
RTSTRUCT
RTPLAN
RTDOSE
RTIMAGE
What is the integrating the healthcare enterprise?
Initiative for improving funtionality of RT clinic
Composed of RT team, administrators, industry reps
Aim to imporve safety and efficiency in RT clinics by developing IHE integration profiles
When is the push model of change useful?
Imposed change Command and control manner If people are unwilling to change Difficult times - stay alive Few, big changes
When is the pull model of change useful?
Participatory Have a shared vision Used in good times Focus on improvements Blue sky thinking Needs agility, flexibility, and culture of continuous innovation
What is included in the project baseline?
Scope
Budget
Schedule
Plans to manage quality, risk, issues, change
How is change managed during a project?
Through defined activities
What are the stages of the PRINCE2 model of project management?
Scoping and approval Project planning Project start-up Project delivery Project closure Post project review
What needs to be considered in the PRINCE2 model of change management?
Project management methodology Scalable Project initiation - business case 3 levels of organisation - project board, manager, team Risks/contingencies Product/change delivery Project closure
Who has responsibility during a project?
Sponsoring business
Project sponsor
Project manager
Finance
What needs to be done to inform the business case?
Project justification - business oportunities, risk of non delivery
Option appraisal
What are the most common justifications for upgrading applications?
End of life Compatibility/resilience Reduces costs Increased morale Upgrade at leisure
What structure should be employed for a project?
Project board - clinical director, budget holder, managers of clinical areas
Project team
Project plan
Regular progress reports
What are the project deliverables?
Project justification Project plan Communication plan Project risks Project documentation Training Test report Closure report
What needs to be established before changing an application?
Who uses it? Why? Where do they us it? Should they use it? What other systems connect to it? From where?
What are the roles of responsible representatives?
Characterise their role/workflows Get trained in new system Replicate workflows Train staff Look to the future
What is included in project delivery?
Execute project plans
Testing and associated reports
Deliver outputs
Manage exceptions
What needs to be established during testing?
Where is it in the network? Who depends on it? What are its dependencies? What's its future? Who troubleshoots?
What needs to be tested as part of system QA?
Retrieve Save Send Receive Archive
What is needed for process QA?
End to end testing
Check connectivity
Non-zero parameters
What is required for ongoing QA?
Electronic QA Automated QA Checksums Workflow/process audits Access/user audits
What is included in the full DICOM RT record?
CT RTSTRUCT RTIMAGE RTDOSE RT treatment record
