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Updating the treasure-chests

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					Updating the ‘treasure-chests’




       Yvonne Westerman
      Margriet van der Heiden
                     Registration process


   NCR           I                           II




         0   1       2   3   4   5   6   7        8   9   10   11   12   13   14   15

                                                                               months

• Period I: initial registration (within 4 to 6 weeks)
Patient identification and basic tumor characteristics
• Period II: final registration (within 6 to 9 months)
Complete registration of tumor characteristics and treatment
A day in the life of …..
                        Registration process

    NCR             I                               II




  Current               I                                                  II




            0   1           2   3   4   5   6   7        8   9   10   11        12   13   14   15

                                                                                          months



Period between incidence and registration
  increased to 14 months

• Two extra hospitals
• Personnel shortage
                        Registration process
    NCR             I                               II




  Current               I                                                       II




    Goal            I                                        II


            0   1           2   3   4   5   6   7        8        9   10   11        12   13   14   15

                                                                                               months



Period between incidence and registration
  increased to 14 months

• Two extra hospitals
• Personnel shortage
       Priority 2006 CCCMN

Catch up with registration and let the
 treasure shine

• 14  11 months
• Maximum effort of all colleagues in all
  possible ways
• Duration February – July 2006
         Less meetings
                           Hiring students                               ‘Initial
                                                   Extra means       registrations’
                                                                    only by students
    Working                No extra
    Saturdays              services
                                                                 Multiple days in
                                           More efficient         same hospital
  Hiring personnel         PC’s in all       planning
    other CCC’s            hospitals
                                                                Efficient
                                                              filing of PA
                                                                reports
                     Real time             Postpone other
     Reducing
                      agenda                registrations
    travel time
                                                                  Hiring former
                                                No more            registration
                      Visitation by
Help in finding                                 follow up             clerks
                        outsider
     ‘lost’
medical records
                                                      Offices in all LMR listings
          Registration           Registration          hospitals     Uniform for all
         online (no more          from IKMN                            hospitals
         synchronising)
                 Ideas to work with
• Extra working hours regular staff
Making extra hours, working on Saturdays

• Extra personnel
Students, other CCC’s, former registration clerks, other staff

• Optimizing working procedures
Less administration, less meetings, visitation by outsider, less flexibility,
  planning online

• Optimizing facilities in hospitals
Everywhere own offices with computers (e-mail, internet and access to
  electronic records)
                    Result
Period incidence-registration decreased
   from 14 to 10 months!!
Top 3 best interventions:
1. Extra hours regular staff over a short period of
   time (including working on Saturdays)
2. Facilities in hospitals
3. Efficient planning


Goal 2007: further decrease to 9 months
               Still to come….
                           • IKMN offices with
                             internet, e-mail and
                             electronic records in all
                             hospitals




• Online registration on
  IKMN server (no more
  synchronizing)

				
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posted:5/21/2013
language:Latin
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