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

Change management in RT Flashcards

1
Q

What are some drivers for change?

A

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

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2
Q

What are the 5 leaders of change?

A 
Customer
Technology
Capital
Competitor
Government
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3
Q

What are the features of Radiotherapy infrastructure?

A 
Vendor neutral solutions
Backward compatibility
Future proof
Easily expandable
Lossless compression
Standardisation - DICOM, IHE-RO
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4
Q

What are the four RT features in DICOM?

A

RTSTRUCT
RTPLAN
RTDOSE
RTIMAGE

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5
Q

What is the integrating the healthcare enterprise?

A

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

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6
Q

When is the push model of change useful?

A 
Imposed change
Command and control manner
If people are unwilling to change
Difficult times - stay alive
Few, big changes
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7
Q

When is the pull model of change useful?

A 
Participatory
Have a shared vision
Used in good times
Focus on improvements
Blue sky thinking
Needs agility, flexibility, and culture of continuous innovation
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8
Q

What is included in the project baseline?

A

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

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9
Q

How is change managed during a project?

A

Through defined activities

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10
Q

What are the stages of the PRINCE2 model of project management?

A 
Scoping and approval
Project planning
Project start-up
Project delivery
Project closure
Post project review
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11
Q

What needs to be considered in the PRINCE2 model of change management?

A 
Project management methodology
Scalable
Project initiation - business case
3 levels of organisation - project board, manager, team
Risks/contingencies
Product/change delivery
Project closure
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12
Q

Who has responsibility during a project?

A

Sponsoring business
Project sponsor
Project manager
Finance

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13
Q

What needs to be done to inform the business case?

A

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

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14
Q

What are the most common justifications for upgrading applications?

A 
End of life
Compatibility/resilience
Reduces costs
Increased morale
Upgrade at leisure
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15
Q

What structure should be employed for a project?

A

Project board - clinical director, budget holder, managers of clinical areas
Project team
Project plan
Regular progress reports

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16
Q

What are the project deliverables?

A 
Project justification
Project plan
Communication plan
Project risks
Project documentation
Training
Test report
Closure report
17
Q

What needs to be established before changing an application?

A 
Who uses it?
Why?
Where do they us it?
Should they use it?
What other systems connect to it? From where?
18
Q

What are the roles of responsible representatives?

A 
Characterise their role/workflows
Get trained in new system
Replicate workflows
Train staff
Look to the future
19
Q

What is included in project delivery?

A

Execute project plans
Testing and associated reports
Deliver outputs
Manage exceptions

20
Q

What needs to be established during testing?

A 
Where is it in the network?
Who depends on it?
What are its dependencies?
What's its future?
Who troubleshoots?
21
Q

What needs to be tested as part of system QA?

A 
Retrieve
Save
Send
Receive
Archive
22
Q

What is needed for process QA?

A

End to end testing
Check connectivity
Non-zero parameters

23
Q

What is required for ongoing QA?

A 
Electronic QA
Automated QA
Checksums
Workflow/process audits
Access/user audits
24
Q

What is included in the full DICOM RT record?

A 
CT
RTSTRUCT
RTIMAGE
RTDOSE
RT treatment record
25
Q

What is required in a closure report?

A 
End report
Follow on recommendations
Benefits review
Lessons learned
Closure recommendation
26
Q

What feedback is given?

A

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

27
Q

What are possible advancements in RT infrastructure?

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

Year 3: Health informatics and change management (3 decks)

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