The International and National Perspective

1. ECHO
A Close Encounter

3. New Mexico
• Commandant Colonel Hugo O’Conor fought
under the Spanish crown
• 1846, an Irish-American General named
Stephen Watts Kearney led an expedition into
New Mexico.
• Billy the Kid
• 1951, Brother Matthias Barrett

4. We All Know
• First-time outpatient waiting list doubles to
340,000
• Over 20,000 patients a month miss hospital
appointments
• One-strike rule kicks no-show patients off HSE
waiting lists

5. Rheumatology

6. Identified quick wins
Benefit
Selfmanagement
programmes
Encouraging
patient selfmanagement
improves outcome
Implemented by who? when?
Not
Arthritis Ireland
(ongoing)
Review usage
of drugs within
the GMS
(Glucosamine £
5m/year)
Utilisation of this
saving into
reducing
immediate
waiting lists.
Facilitation of 7 new
Consultant positions
inc 2 Rheumatology
Professional posts. .
Development
of regional
MSK pathway
Rheumatology
& Orthopaedic
Waiting list
reduction
Facilitation of 24 new
Clinical Specialist
MSK nationally.
11
Towards Operational Excellence
25 January 2011
Impleme
Status
X
Hap
slow
On
Not
Hap
slow
X
On
Not
x
Hap
slow
On

7. The Echo Solution
• Pareto Principle
• Knowledge Network