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Letter Production Process
Key Time Stamps
Appointment
Dictated
Loaded
Transcribed
Authorised
Dispatched
Casenote
S-Drive since 1997
Winscribe (Phase 1)Dec 2009
Winscribe (Phase 2)Mar 2010
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S-Drive
Analysis of Clinic Letter Production
0%
20%
40%
60%
80%
100%
120%
0 7 14 21 28
No of Days
Cu
mu
lati
ve
%
Clinic to Dictation
Dictation to Typing
Typing to Sending
Clinic to Sending
(All)
Compare over time
Dictation to Typing
0%
20%
40%
60%
80%
100%
120%
0 7 14 21
No of Days
Cu
mu
lati
ve %
Dec - Jan 06
Feb - Mar 06
Apr - May 06
Jul - Aug 08
Oct - Nov 06
Department of Medicine
Compare by Specialty
Clinic Letters Clinic Letters Oct - Nov 06Clinic to Sending
0%
20%
40%
60%
80%
100%
120%
0 7 14 21 28 35 42 49
No of Days
Cum
ulat
ive
%
Clinical Oncology (n=254) Department of Anaesthesia (n=)Department of Dermatology (n=708) Department of Gynaecology (n=686)Department of Medicine (n=746) Department of Medicine for the Elderly Acute Stroke Care and Rehabilitation (n=251)Department of Neurology (n=177) Department of Ophthalmology (n=1707)Department of Oral Surgery (n=426) Department of Orthopaedic Surgery (n=2146)Department of Otolaryngology/Head and Neck Surgery (n=941) Department of Paediatrics (n=558)Department of Palliative Care (n=49) Department of Rheumatology (n=709)Department of Surgery (n=1672) Department of Urology (n=811)Renal Unit (n=218) Department of Gastroenterology (n=200)
S-Drive Always Retrospective
Winscribe Phase1 Key Time
Stamps
Appointment
Dictated
Loaded
Transcribed
Authorised
Dispatched
Casenote
Winscribe (Phase 1)Dec 2009
Tramlines
Cummulative Dictation Minutes
0
200
400
600
800
1000
1200
1400
09/0
2/20
09
16/0
2/20
09
23/0
2/20
09
02/0
3/20
09
09/0
3/20
09
16/0
3/20
09
23/0
3/20
09
30/0
3/20
09
06/0
4/20
09
13/0
4/20
09
20/0
4/20
09
No
of
Min
ute
s
TimeAdded
TimeCompleted
D_DESC Ophthalmology
StartWeek
Data
Cummulative Dictation Minutes
0
200
400
600
800
1000
1200
1400
09/0
2/20
09
16/0
2/20
09
23/0
2/20
09
02/0
3/20
09
09/0
3/20
09
16/0
3/20
09
23/0
3/20
09
30/0
3/20
09
06/0
4/20
09
13/0
4/20
09
20/0
4/20
09
No
of
Min
ute
s
TimeAdded
TimeCompleted
D_DESC Ophthalmology
StartWeek
Data
Cummulative Dictation Minutes
0
200
400
600
800
1000
1200
1400
1600
1800
2000
09/0
2/20
09
16/0
2/20
09
23/0
2/20
09
02/0
3/20
09
09/0
3/20
09
16/0
3/20
09
23/0
3/20
09
30/0
3/20
09
06/0
4/20
09
13/0
4/20
09
20/0
4/20
09
No
of
Min
ute
s
TimeAdded
TimeCompleted
D_DESC General Surgery
StartWeek
Data
Cummulative Dictation Minutes
0
200
400
600
800
1000
1200
1400
1600
09/0
2/20
09
16/0
2/20
09
23/0
2/20
09
02/0
3/20
09
09/0
3/20
09
16/0
3/20
09
23/0
3/20
09
30/0
3/20
09
06/0
4/20
09
13/0
4/20
09
20/0
4/20
09
No
of
Min
ute
s
TimeAdded
TimeCompleted
D_DESC Care of the Elderly
StartWeek
Data
Cummulative Dictation Minutes
0
200
400
600
800
1000
1200
1400
09/0
2/20
09
16/0
2/20
09
23/0
2/20
09
02/0
3/20
09
09/0
3/20
09
16/0
3/20
09
23/0
3/20
09
30/0
3/20
09
06/0
4/20
09
13/0
4/20
09
20/0
4/20
09
No
of
Min
ute
sTimeAdded
TimeCompleted
D_DESC Rheumatology
StartWeek
Data
From This
Cummulative Dictation Time
-5,000
0
5,000
10,000
15,000
20,000
25,000
01-Jun
08-Jun
15-Jun
22-Jun
29-Jun
06-Jul 13-Jul 20-Jul 27-Jul 03-Aug
No
of
Min
ute
s
Time CompletedTime Added
To This
Cummulative Dictation Time
-5,000
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
01-Jun
08-Jun
15-Jun
22-Jun
29-Jun
06-Jul
13-Jul
20-Jul
27-Jul
03-Aug
10-Aug
17-Aug
24-Aug
No
of
Min
ute
s
Time CompletedTime Added
And Beyond
Cummulative Dictation Time
100,000110,000120,000130,000140,000150,000160,000170,000180,000190,000200,000
04-J
an
11-J
an
18-J
an
25-J
an
01-F
eb
08-F
eb
15-F
eb
22-F
eb
01-M
ar
08-M
ar
15-M
ar
22-M
ar
29-M
ar
05-A
pr
12-A
pr
19-A
pr
26-A
pr
03-M
ay
10-M
ay
No
of
Min
ute
s
Time CompletedTime Added
Priority jobs (June 2009)
Priority Jobs (Fri May 14th 2010)
Daily Emails to All Secretaries & Managers
• 19th August 2009– 2871 Outstanding– 956 > 2 weeks– 114 >6 weeks
• Friday 14th May– 1642 Outstanding– 32 Over 11 days– Oldest is 18 days
