The 4 Hour Access Standard is a system standard which is most visible in Emergency Departments.
That visibility in EDs often means it becomes misconstrued as an 'ED Problem'.
At Hull and East Yorkshire Hospitals we're undertaking a campaign to change that perception and encourage system wide ownership through a communications programme with several initiatives to build and encourage that. Key performance indicators are gradually being reframed into patient centred messages (see Glyphs). These are refreshed every 15 minutes on the acute trust's intranet and will be tied to OPEL actions. They will evolve over time into more meaningful messages.
We've launched a newsletter - The Daily Shift (it's nickname gets it talked about) along with an initiative that celebrates staff from any organisation (health, social services, local authorities, voluntary sector etc.) that go above and beyond the normal boundaries to support system flow.
These are announced weekly with a prize and winners get 30 minutes with either the acute trust chairman or CEO to have a chat and a cup of tea or coffee.
Through the reframing of KPIs wrapped around the very real patient experience we hope to get meaningful ownership throughout the system. Early signals are promising.
You can read The Daily Shift here