Management Operating System - Auckland City Hospital Oper… · slide 3. What a Management Operating System . IS A way of bringing together information, forums (meetings/conversations)

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Management Operating System

Louise Carrucan‐Wood 

[email protected] to Tim Winstone & Abbi Harwood‐Tobin

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A way of bringing together information, forums  (meetings/conversations) and work practices to support 

effective decision making & improvement activities

Aligned Visible

Responsive

What is Management Operating System

The Key Outcome is: CONFIDENCE

that we have work systems and structure to 

support our teams to deliver results

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What a Management Operating System IS

A way of bringing together information, forums (meetings/conversations) and work practices to support effective decision making• Aligned• Visible• Responsive

The key outcome is:CONFIDENCE that we have work systems and structure to support our teams to deliver results

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What a Management Operating System IS NOT

Leadership Development

Organisational Development (Culture / Behaviours)

Development of Information Systems

Patient Operational Planning Systems

Performance Improvement Programme

However: It makes visible whether we are achieving what we set out to (or not) in each of these

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Focus of a Management Operating System

Run theorganisation (BaU)

Change (Improve)the organisation

ShortTerm

LongTerm

Deploy Strategy

Improve Process

Redesign

Manage Performance

Manage Process

What HowWhen

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An effective Management Operating System depends on

Management Operating System

Aligned Goals and Objectives

LeadershipBehaviours &

ValuesDiscipline &

Accountability

People & CultureVision & Strategy

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Key Elements of a Management Operating System

Underpinned by:Standard WorkDisciplineDaily accountabilityVisual Management

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Overarching Principles

“Status at a Glance” - increased visibility and transparency of performance

“Action” - a drive towards ‘Concern, Cause, Countermeasure’ thinking

“Discipline” - clearly defined roles and accountabilities

“Alignment” - improved alignment across HSGs and the wider organisation

“Purpose” - focusing on leading and managing the organisation

“PDCA” – ongoing review and improvement

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ADHB Management Operating System

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Questions

Louise Carrucan‐Wood 

[email protected]

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Deployment Approach

1. Develop Management Operating System for Executive Level

2. Rollout Strategy Deployment, Scorecard Development and improved Decision Making Forums within Adult Healthcare Service Group

3. Develop a showcase that includes all the elements of the Management Operating System within one service - Respiratory

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“The Management Operating System gives us a clear view of how individual services are going, and how the HSG is going overall. It stops us forgetting about issues that in the past would sometimes disappear off the radar.”

Barry Snow – Medical Director Adults Health Service Group

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Escalation and Cascade Pathways Organisational / HSG / Service / Department / Individual

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ADHB Level 1 - Management Operating System

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Respiratory Example

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Respiratory Example

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Respiratory Example

“It has worked well to give me a clear understanding of what our priorities are and make that clear to all within the department.”

Mark O’Carroll – Clinical Director, Respiratory

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Respiratory Example

“It has simplified our ability to communicate at the Health Service Group level our business as usual activities”

Andrew Davies –Adults HSG Performance Improvement Director

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Respiratory Example

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Respiratory Example

During the 

Week

MON TUES WED THURS FRI MON TUES WED THURS MON TUES WED FRI MON TUES THURS FRI

8:00

8:30 General Surgery

9:00

9:30 Respiratory

10:00

10:30Catch up ‐ Olivia  M

NoRTH/ 

Respir

Gen Surg Psychology/ 

Nurse Gastroentorology

11:00Gen Surg POP 

11:30 Trauma

12:00Catch Up Sarah F

12:30 Portfolio

1:00

1:30

2:00Catch up Mariano M

Gastro CD & Service Mgr

Gastro CD & Service Mgr

2:30Other

3:00Gen Surg Charge 

Nurse Catch Unplanned

3:30

4:00Unscheduled Standard Work

4:30

5:00

5:30

WEEK 4Sign off ‐ papers  (Tracie) Sign off ‐ papers  (Tracie)

WEEK 1 WEEK 3Sign off ‐ papers  (Tracie)

WEEK 2 

General  Surgery Service 

Excellence

Quality Meeting ‐ Gen Surg, Trauma, Gastro, Resp

Region

al Skin Lesion

 Ref Group

 mee

ting

Gen Surg CD & Service 

Mgr Meeting

Gen Surg CD & Service 

Mgr Meeting

Respiratory Senior Nurse 

Meeting

Finance Meeting

Level 8 OR Mgmt 

Meeting

Respiratory SMO 

Meeting

Respiratory SM

O 

Mee

ting

Respiratory CD & Service Mgr Meeting

Respiratory CD & Service Mgr Meeting Re

sp CD &

 Service Mgr 

Mee

ting

Gen

  Surg Service

Excell

General  Surgery Service 

Excellence

Gastro Mgmt Meeting

Respiratory Service Meeting

General Surgery Rounds

TPOR Service 

Excellence Catch up

NA and Service Manager, Gen Surg 

and Gastro Catch Up

Sign off ‐ papers  (Tracie)

Respiratory SMO 

Meeting

Respiratory SMO 

Meeting

General Surgical Audit 

Conference

Adult Health Service 

Manager/ Nurse Advisor Meeting

Catch Up Mariano M

NoRTH & ADHB Service Manager 

Mtg

FRI

Service Excellence Project Update

POP Review and 

feedback

Respiratory CD & Service Mgr Meeting

Respiratory Service Meeting

Gen Surg CD & Service 

Mgr Meeting

Trauma Forum

General  Surgery Service 

Excellence

THURS

Gen Surg CD & Service Mgr Meeting

Adult HSG Surgical Voloumes  Review

Catch Up Rachel B

General Surgery Business  Meeting

TPOR Service 

Excellence Catch up

WED

Catch Up Sarah F

Northern Cancer Network

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Respiratory Example