Flashcards in Change management in RT Deck (27):
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?
What are the features of Radiotherapy infrastructure?
Vendor neutral solutions
Standardisation - DICOM, IHE-RO
What are the four RT features in DICOM?
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?
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?
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?
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
Post project review
What needs to be considered in the PRINCE2 model of change management?
Project management methodology
Project initiation - business case
3 levels of organisation - project board, manager, team
Who has responsibility during a project?
What needs to be done to inform the business case?
Project justification - business oportunities, risk of non delivery
What are the most common justifications for upgrading applications?
End of life
Upgrade at leisure
What structure should be employed for a project?
Project board - clinical director, budget holder, managers of clinical areas
Regular progress reports
What are the project deliverables?
What needs to be established before changing an application?
Who uses it?
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
Look to the future
What is included in project delivery?
Execute project plans
Testing and associated reports
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?
What needs to be tested as part of system QA?
What is needed for process QA?
End to end testing
What is required for ongoing QA?
What is included in the full DICOM RT record?
RT treatment record
What is required in a closure report?
Follow on recommendations
What feedback is given?
360 degree feedback on manager
From a wide audience
Independent reviewer of project board