Dr Raj Krishnan, Executive MBA Healthcare
Consultant Paediatric Nephrologist at the University Hospital of Wales, Dr Rajesh Krishnan wrote a business case for the development of a stroke network in rural Wales for his MBA Healthcare final project.
Students are expected to develop a senior leadership initiative for their Management Project, which can be implemented in their workplace.
Dr Krishnan proposed a new approach to treating patients recovering from strokes in rural Wales.
He explained: “Patient recovery after a stroke has improved in the recent years with the advent of a treatment called thrombolysis. However, thrombolysis treatment is usually given in hospital, which means patients from rural areas have poorer outcomes due to slower access to these services.”
Dr Krishnan proposed a “Mobile Stroke Unit” (MSU) which will enable faster thrombolysis in rural areas of Dyfed. The business case introduced a redesign of the stroke care pathway by partnering relationships with the local Health Board and Welsh Ambulance Service to improve outcomes for stroke patients.
This business case included both a detailed clinical justification for the service, and an economic evaluation. It sought an investment of £1.3 million with savings of £450,000 expected after the first year by increasing the thrombolysis rate by 20%. KPIs were drawn up focussing on performance around acute patient care and experience.
It is expected patients will benefit from shorter stays in hospital, have improved survival rates and a better patient experience.