Change management in RT Flashcards Preview

Year 3: Health informatics and change management > Change management in RT > Flashcards

Flashcards in Change management in RT Deck (27):
1

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

2

What are the 5 leaders of change?

Customer
Technology
Capital
Competitor
Government

3

What are the features of Radiotherapy infrastructure?

Vendor neutral solutions
Backward compatibility
Future proof
Easily expandable
Lossless compression
Standardisation - DICOM, IHE-RO

4

What are the four RT features in DICOM?

RTSTRUCT
RTPLAN
RTDOSE
RTIMAGE

5

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

6

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

7

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

8

What is included in the project baseline?

Scope
Budget
Schedule
Plans to manage quality, risk, issues, change

9

How is change managed during a project?

Through defined activities

10

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

11

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

12

Who has responsibility during a project?

Sponsoring business
Project sponsor
Project manager
Finance

13

What needs to be done to inform the business case?

Project justification - business oportunities, risk of non delivery
Option appraisal

14

What are the most common justifications for upgrading applications?

End of life
Compatibility/resilience
Reduces costs
Increased morale
Upgrade at leisure

15

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

16

What are the project deliverables?

Project justification
Project plan
Communication plan
Project risks
Project documentation
Training
Test report
Closure report

17

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?

18

What are the roles of responsible representatives?

Characterise their role/workflows
Get trained in new system
Replicate workflows
Train staff
Look to the future

19

What is included in project delivery?

Execute project plans
Testing and associated reports
Deliver outputs
Manage exceptions

20

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?

21

What needs to be tested as part of system QA?

Retrieve
Save
Send
Receive
Archive

22

What is needed for process QA?

End to end testing
Check connectivity
Non-zero parameters

23

What is required for ongoing QA?

Electronic QA
Automated QA
Checksums
Workflow/process audits
Access/user audits

24

What is included in the full DICOM RT record?

CT
RTSTRUCT
RTIMAGE
RTDOSE
RT treatment record

25

What is required in a closure report?

End report
Follow on recommendations
Benefits review
Lessons learned
Closure recommendation

26

What feedback is given?

360 degree feedback on manager
From a wide audience
Independent reviewer of project board

27

What are possible advancements in RT infrastructure?

Increase compliance to DICOM
Increase agreement on tags
Reduce connectivity requirements
Remote working
Wireless devices
Patient self-registration
Paperless/paperlight