Health Care

We work side-by-side with NHS organizations to help them tackle the challenge of delivering cost and efficiency improvements while continuing to increase the quality of care. Any easy-to-achieve savings have already been realized, and trusts are having to dig deeper and turn to more innovative solutions to meet their targets.

We work on transforming healthcare processes, cultural behavior, and the business intelligence used to manage them. It also delivers tangible, measurable results for patients and the staff on the ground in charge of their care.

We work on the frontline across all specialties and support services, championing best
practice and providing sustainable long-term value by ensuring client teams are fully

engaged and involved in every aspect of our change programmes.

Acute

Trusts are under huge pressure to deliver quality care in the face of financial constraint,

while also facing challenges such as meeting patient waiting time targets and maintaining

an engaged, happy workforce.

Origami works collaboratively with trusts to help them achieve targets and deliver

improvement programmes with annualized savings across a wide range of disciplines,

including:

• Theatres – We reduce cancellations, late starts, and list over or underruns. We also challenge the constraints of theatre operation including session timing and length, day case rates and treatment room usage to optimize resources and increase productivity.

• Outpatients – We change the set-up of clinics including templates and supporting services to maximise capacity and minimise patient waits. We work with admin teams to improve their booking efficiency and profile DNAs to target reductions by focusing on demographics.

• Bed management – We identify the processes that impact length of stay and implement improvements to reduce delays on the critical path e.g. at handovers or discharge. 

• Clinical coding – We improve the integrity and knowledge around coding to ensure correct revenue and standardised mortality figures.

• Emergency Departments – We look at the entire patient pathway, from arrival in the Emergency Department through to discharge home or onto a ward, identifying and prioritising opportunities to improve. 

• Diagnostics – We reduce demand and increase capacity through reviewing working processes (demand and capacity modelling gives the most efficient use of workforce).

• Procurement & supply chain – We look at the whole supply chain from procurement to materials management, across 'stock', 'non-stock' and third party spend categories. 

• Corporate services – We improve staffing and rotas, capacity and demand, and the customer journey, while reducing costs. 

Community

We work to prevent acute admissions, ensuring that where possible patients are kept at home and treated in the community. We work on the frontlines with nurses to help them reduce their admin burdens and streamline the patient allocation process, which increases the valuable time they can spend delivering care.

Areas we address include:

• District nursing

• Paperwork rationalization and simplification

• Introducing mobile working and electronic solutions

• Improving workload allocation and planning; allocating the correct case mix to nurses , including a route planning tool to make sure patients are visited in the most logical order

• Community clinics

• Changing the set-up of clinics including accurate slot templates and supporting services

• Community matrons

• Case load review 

• We maximise face-to-face time that nurses spend with patients

• Palliative care

• Reviewing information flow and meeting structure 

• Improving communication with GPs 

• Procurement & supply chain​

Mental Health

Within an area as diverse as mental health, assigning appropriate packages can have a significant financial impact. 

Areas we work in include:

• Length of stay

• Ward processes alignment 

• Bed management

• Pathway optimisation

• Staff establishment / rota management

• We design a process that makes sure the right mix of professionals are allocated to provide care.

• Having the best rota to support the establishment can be challenging – visibility and management is often poor. We implement tools that improve visibility.

• Procurement & supply chain

Commissioning and Pathways

Our approach enhances both care quality and delivers financial savings through reducing the number of appointments needed.

Areas we work in include:

• Medical pathways

• We identify root causes of delays and opportunities for improvement over the entire critical pathway.

• We optimise the patient care pathway to minimise the time between presenting sick and being well.

• Standard procedures are put in place so patients can access treatment faster.

• We work to triage demand out of the healthcare system.

• Outpatient pathways

• Communication between providers

• Procurement & supply chain

Integration

The work we do helps organisations face integration challenges by:

• Increasing visibility

• Redefining patient pathways 

• Redesigning services

• Addressing activity demand