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Knowledge Transfer in Capital Projects at Cork University Hospital

Sep 6, 2016 - Author: Tony McNamara, CEO, Cork University Hospital Group

A large €400m capital programme has been underway in Cork University Hospital over the last decade which has enabled emergent learning that is applied to each successive project.

Trolley Gar - Let's Change The Debate

Aug 16, 2016 - Author: Tony McNamara, CEO, Cork University Hospital Group

One of the metrics used is the three times daily count of trolley numbers in our acute hospitals called “Trolley Gar” which reflects the count of patient numbers on trolleys at 8 am, 2 pm and 8 pm daily. Unfortunately these data and specifically the trolley count at 8am, has become the touchstone for the health service and is often used opportunistically by various stakeholders to criticize the Minister, the HSE and various other leaders responsible for the delivery of the health system.

Predictive Management - Improving The Patient Experience in ED

Jul 20, 2016 - Author: Tony McNamara, CEO, Cork University Hospital Group

The literature is replete with evidence that the longer patients spend on a trolley – usually in the Emergency Department (ED) – the poorer their outcomes. This issue has been a feature of the health service for 15 years and is caused by multiple factors. Of course capacity is one of the key factors but institutional and individual tolerance (often subconscious) of the plight of patients in this situation should also be recognized as a factor.

Some Reflections on Chess and Hospital Leadership

Jul 7, 2016 - Author: Tony McNamara, CEO, Cork University Hospital Group

In his book “How Life Imitates Chess” Gary Kasparov provides insights that are both interesting and incisive into the relevance of the principles of chess to everyday life. His observations are a prompt for us to reflect on the application of these principles to management and leadership in the context of the hospital setting. This short piece provides one or two such thoughts on this theme that I hope prompt further reflection.