The Productive Series

The Productive Series – Releasing Time to Care
 

The Productive Series programs were originally designed by the NHS Institute for Innovation and Improvement to release more time to care for frontline staff who typically spend less than 30% of their time providing direct care.

The Productive Series programs have been called “lean in a box”.  They are based on lean improvement techniques that encourage frontline staff and management to work together to improve patient care.  However, this is Lean which is:

  • customised specifically to healthcare,
  • modularised into manageable sections and
  • manualised into a toolkit box!

The Productives link directly to the achievement of activity targets and the National Safety and Quality Standards.  Hospitals talk about being “accreditation ready every day!” thanks to the Productives.

The programs have been independently evaluated in Australia and demonstrated improvements in safety and quality and substantial returns on investment in the order of 1:15 for inpatient wards and 1:18 for theatres.

Using the Productive approach, health services can:

  • Double direct care time
  • Reduce waiting times & length of stay
  • Improve falls, medication errors and other safety indictors
  • Improve staff wellbeing (thus reducing sick leave and recruitment & retention costs)
  • Improve patient experience and outcomes.

The full suite of Productive programs covers all the main areas of hospitals and health services with specific program for inpatient wards, mental health units, operating theatres and endoscopy suites, community services and community hospitals.  There is a program specific to aged residential care and one for general practice.  In addition, Qualitas is able to teach the Productive methodology in all other areas of the organisation such as Pharmacy and Outpatients.

The four main objectives of the Productive programs are to:

  • improve patient safety, quality and reliability of care,
  • improve staff well-being,
  • increase the proportion of time staff spend on direct patient care, and
  • increase patient satisfaction.

These objectives are achieved by staff working through a structured series of modules with toolkits.  The program is supported with guides for Executive leaders, Project leaders and Ward/Team leaders.  Staff commence with the foundation modules of:

  • Knowing How We are Doing
  • Well Organised Ward/Working Environment
  • Patient/Operational Status at a Glance.

This work establishes a set of measures based on the four objectives which are regularly reported on by teams, a clean, tidy and well organised environment from which to start working on process improvement and an information journey board to give staff key information "at a glance" and reduce interruptions. 

Once they have established this foundation, teams commence work on a series of process modules. These are typical processes that take place in the clinical setting.  After working through these, teams are well set up to work on any problem in their environment.

The Toolkits provide detailed instruction on the use of relevant service improvement tools such as Process Mapping, 5-Why analysis and Spaghetti diagrams.  The toolkit boxes are of the highest standard. The manuals and workbooks allow for self-directed learning and provide all the information, instructions, templates and tools required to enable staff to work through the programs and to ensure long-term sustainability. 

The Productive Series programs are a licensed product from NHS England.  Qualitas Consortium Pty Ltd holds the sole and exclusive license to deliver the programs in Australia. 

The training process typically covers 12 months of support and is a mix of workshops and webinars. Implementation training is typically 2 days training for key staff within the team.  There is a touch point by webinar once each month to ensure that staff stay on track and continue to make progress.   There are 2 follow-up workshop days which are an opportunity for teams to present on their progress and receive further coaching.  The follow-up days generally occur at 6 months and 12 months post implementation.
 

The AHHA, in association with Qualitas, is now able to offer The Productive Series programs.

For more information and details of costs, contact Lisa Robey, AHHA Engagement and Business Director here